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Rheumatology > Ankylosing spondylitis > Flashcards

Ankylosing spondylitis Flashcards

1
Q

Presentation

A

Severe kyphosis - question mark posture
Decreased cervical movement
Decreased spinal movements
Increased occiput to wall distance
Decreased chest expansion

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2
Q

Modified Schobers test

A

A mark 10cm above and 5cm below the posterior iliac spines - should increase by 5cm

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3
Q

Definition

A

Symptomatic sacroilitis associated with morning stiffness and improved by exercise

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4
Q

Complications

A

Anterior uveitis
Aortic regurge
Atrioventricular conduction defects
Apical pulmonary fibrosis
Atlanto-axial subluxation
Achilles tendonitis
Amyloidosis

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5
Q

Genetic association

A

HLA B27

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6
Q

Investigation

A

XR, MRI, inflammatory markers

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7
Q

Seronegative arthritides

A

Psoriatic arthritis
Enteropathic arthritis
Ankylosing spondylitis
Reactive arthritis

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8
Q

Management

A

Patient education
Physio
OT
Analgesics
NSAIDs
Corticosteroids
Biologics - adalimumab and etanercept

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Rheumatology (9 decks)

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