Ankylosing Spondylitis Flashcards
1
Q
ankylosing spondylitis
A
seronegative arthritis mainly affecting the axial part of body
2
Q
risks
A
male
age 20-30
family history
3
Q
signs
A
back pain morning stiffness improves with activity tender on sacral iliac joint enthesitis peripheral arthritis
4
Q
what is enthesitis
A
inflammation of tendons. ligaments
5
Q
where can enthesitis commonly occur
A
achilles tendon
6
Q
investigations
A
examination - schober’s test
x-ray
MRI - if negative sacroiliac joint
HLA-B27 testing
7
Q
what kind of picture can be seen on the x-ray
A
bamboo tree - rare
syndesmphytes seen
squaring of lumbar vertebrae
8
Q
management
A
physio
NSAIDs (+PPI for GI cover)
biologics - peripheral arthritis
9
Q
complications
A
anterior uveitis
aortitis
reduced chest expansion
10
Q
what is suggestive of AS
A
sacro-ilitis