AMK rheum Flashcards
rheumatoid arthtrits more specific antibody
CCP
specific mean not seen in many other condtions
sensitive most likely to be positive as most senstive to be detected
more sensitive is rheumatoi facotr
if rf negative then look for anti-ccp
do you take methotraxate and folic acid together
no 24hr apart
MX of rheum
1st present
refer to rhuem and NSAID
dont give steriods as can mask sx
confrimed dx
then give steriods for flares and DMARS
DAS28 score
chlamydia synovial joint fluid sample would show what - leads to reactive arthritis
sterile fluid with high WCC
cnat see cant pee cant climb tree
most common cause of septic arthritis
staph a
symmetrical polyarthriits, asymetricla oligoarthritis, dip joitn disease adn nail changes such as pitting adn onycholysis what is seen on xray fro this conditon and what is tx
dmard
when do oyu measure urate post gout
2w
abx for septic arthritis how long
4-6weeks - local guidlines and theatre for joint washout
kochers criteria in children for septic arthrtisi vs transietn synovitis what is the criteria
non-weight bearing
esr over 40
fever over 38.5
wcc over 12000
what ix supports ank spondy
pelvic x ray sacroiltiis
ank spond
mronig stiff
improve with activity
extraarticular features
muscular abck pain presnet slike
pain worse when moving
localised pain
neurological pain
radiates along dermatome
parasethesia
bony pain
worse with movement
neurolgoical sx
most senstiive sle
ANA
