01 Intro

Question 1

What are the differences between inflammatory and mechanical joint pain?

Answer 1

Inflammatory

• AM stiffness > 1 hour
• fatigue
• better with movement and worse with rest
• systemic symptoms
• steroid responsive

Mechanical

• AM stiffness < 30 minutes
• NO fatigue
• better with rest and worse with movement
• NO systemic Sx
• NOT steroid responsive

Question 2

What are the red flags of joint pain?

Answer 2

• Fevers, rigors, weight loss
• No comfortable position
• Wakes from sleep
• Loss of function
• Trauma
• Malignancy

Question 3

In terms of joint parts (synovium, cartilage, etc)...
What are each a disease of?
Arthritis?
Osteoarthritis?
Rheumatoid Arthritis?
Psoriatic Arthritis?
Gout?
Pseudogout?
Septic arthritis?

Answer 3

• Arthritis is a problem of bone, cartilage,or synovium
• OA is a disease of cartilage
• RA is a disease of synovium
• Psoriatic A (PsA) is a disease of synovium and tendon
• Gout, pseudogout, and septic arthritis: effusion of foreign substance (urate, CPPD, bugs)

Question 4

What are monoarticular non-inflammatory dz?

Answer 4

OA
Avascular Necrosis (AVN
Trauma

Question 5

What is the oligoarticular non-inflammatory dz?

Answer 5

OA

Question 6

What are the polyarticular non-inflammatory dz?

Answer 6

OA
Hemochromatosis
Wilson’s disease
Ochronosis

Question 7

What are the monoarticular inflammatory dz?

Answer 7

Gout
Pseudogout
Infection
Lyme
Other crystals

Question 8

What are the oligoarticular inflammatory dz?

Answer 8

Psoriatic arthritis
Lyme dz
Juvenile Rheumatoid Arthritis

Question 9

What are the polyarticular inflammatory dz?

Answer 9

RA
Psoriatic
SLE
Polyarticular gout
Lyme
Rheumatic Fever
Reactive Arthritis
CPPD

Question 10

What are the main clinical joints involved in
OA
RA
Polymyagia Rheumatica
Gout
Pseudogout
Seronegative Spondylitis
Ankylosing Spondylitis
Psoriatic Spondylitis
Reactive Arthtitis and Reiter Syndrome
Irritable Bowel Dz Arthritis
Septic Arthritis
Lyme

Answer 10

OA&raquo_space; Knee, DIP, 1st CMC
RA&raquo_space; MCP, PIP, hand first
Polymyagia Rheumatica&raquo_space; girdles
Gout&raquo_space; 1st MTP (podagra)
Pseudogout&raquo_space;
Seronegative Spondylitis&raquo_space; SI and Back
Ankylosing Spondylitis&raquo_space; Bilateral SI
Psoriatic Spondylitis&raquo_space; Assymmetrical SI
Reactive Arthtitis and Reiter Syndrome&raquo_space; Assymmetrical SI
Irritable Bowel Dz Arthritis&raquo_space; Bilateral SI
Septic Arthritis&raquo_space; prosthetic joints, hip in children
Lyme&raquo_space; knee and migratory