22: History Taking and Examination in Inflammatory Joint Diseases Flashcards
1
Q
what are the functions of the synovium?
A
- maintenance of intact tissue surface
- lubrication of cartilage
- control of synovial fluid volume and composition (hyaluronan, lubricin)
- nutrition of chondrocytes within joints
2
Q
is inflammatory arthritis worse or better on movement?
A
worse on rest, better on movement
3
Q
is mechanical arthritis worse or better on movement?
A
worse on movement
better on rest
4
Q
what does an osteoarthritic joint feel like on palpation?
A
bony/firm
5
Q
what does synovitis feel like on palpation?
A
soft tissue/boggy/spongy
‘like a grape’
6
Q
dactylitis ‘sausage toe or fingers’ are indicative of what condition?
A
spondyloarthropathy
7
Q
label the nodes
A
8
Q
describe fibromyalgia
A
- centralised pain disorder characterised by severe pain and other somatic symptoms
9
Q
fibromyalgia clinical presentation
A
- widespread pain in multiple regions of the body for 3 or more months
- intrusive fatigue: physical, cognitive +/- emotional
- increased sensitivity to sound, light, fluctuations in ambient temperature
- fluctuate in type and severity over time
10
Q
You are the FY 1 on call in the medical receiving unit. A 70 year old woman with Rheumatoid arthritis is referred in by her GP with right wrist swelling.
What are the causes of an acutely swollen joint?
A
- sepsis
- RA flare
- gout
- seronegative spondyloarthritis
- reactive arhtriits
- degenerative joint disease
- trauma
- haemarthrosis
