1. Introduction Flashcards
Differentiate inflm from non-inflm causes of arthritis
Early morning stiffness >1hr, post-inactivity gelling
Joint swelling and warmth
Improves with exercise or NSAIDs
vs
Short lived morning stiffness, Sx exacerbated by use and specific movemements
What is a red flag in inflammatory arthritis
Erythems- suggests septic joint or crystal arthritis
Risk factor for RA and gout respectively
Smoking
ALochol, sugary drinnk
What disease is multisystem
Vasculitis
What PMHx is suggestive of spondyloarthritis
Uveitis, psoriasis, IBD, ank spond
What are main causes of monoarthritis and which joints do they normally affect
Septic arthritis or gout or pseudogout
usually affect knees or hips
what is a common cause of oligoarthritis abd what joints are affected
Spondyloarthritis
Asymmetrical large joints
Feet or ankles, 1st mtpj, knee and wrists
Reactive,enteropathiv, peripheral
what arthritises are poly (>5) and how to diff.
RA vs psoriatic
Symmetrical small joint likely to be RA, and almost never involves DIPJ unlike PA
Hx of Gout
Acute onset, severe pain with intermittent attacks
What disease are tophi found in
Advanced gout
Common signss of Psoriatic arthritis
Dactylitis, enthesitis, DIPH involvement and extensive nail change
Is onset of RA gradual or acute
Gradual- weeks or months
MAY have relapsing remitting course
Grip strength in RA-
poor
Timeframe for inflammatory back pain
more than 3 months
What does alternating buttock pain suggest
Sacroileitis
What does alternating buttock pain suggest
Sacro-ileitis
Red flags of back pain
Weight loss, ca hx, neuro Sx, fever, night time pain, persistence > 6 weeks
Dist of ank spond back pain vs other back pain
Spinal stiffness and buttock pain vs localised pain
Diff in inflm and non inflam muscle pain
Symmetrical pain and stiffness in shoulder/pelvic girdle for inflamm, age greater than 50, diff rising from bed or chair vs diffuse tenderness, fatigue, sleep dist. and depressin
What does myalgia with prox muscle weaknness, skin rash suggestr
Inflamm myopathy eg. dermatomyocitis
Dist of myalgia in poly and fibro
poly- limb girdle stiffness and pain, vs multiple tender points
Characteristics of PMR
> 50yo, >2 weeks, APR, morning stiffness> 45 mins, bilateral aching as mentioned , exclude othe rdiagnoses, rapid sterpid response
What is PMR assoc with
GCA, consider if new onset headache, abrnormal temp artery, visual dist. and jaw claudicarion
