Ankylosing Spondylitis

Question 1

Examination

Answer 1

Ask to stand from chair walk and turn around

Neck 6 movements
Lumbar spine 6 movements (lateral rotation actually thoracic spine)

Schobers - dimples of Venus. Dot between the two. Line 10cm above and 5cm below. Forward flexion as much as possible. Positive if distance doesn’t extend more than 5cm

Occiput to wall

Finger to floor distance >10cm

Chest expansion <2.5cm at 4th ICS

Question 2

6 A’s

Answer 2

Anterior uveitis
Atlantic-axial subluxation
Apical lung fibrosis
Aortic regurgitation
Amyloidosis (secondary, renal)
Achilles tendonitis