Arthriditides Flashcards
How many points required to diagnose rheumatoid arthritis
6 points totaled or greater
In treating rheumatoid arthritis, when should DMARDS be started
As early as possible to delay disease progression
Use NSAIDS at at the lowest dose for relief
Steroids plus MTX not bio logics
Dactylitis is associated with which arthritide
Psoriatic arthritis
Nail changes common
Plaques in scalp
Diagnosis psoriatic arthritis
Predominant joint DIP
Lacks RF factor no nodules
Total 3 points
Treatment psoriatic arthritis
MTX
Sulfasalazine
What is osteoarthritis
Chronic joint disorder in which there is a progressive softening and disintegration of articular cartilage accompanied by new growth of cartilage and bone at the joint margins osteophytes and capsular fibrosis
X-ray changes of osteoarthritis
Subchondral sclerosis
Joint space narrowing
Osteophytes
Cysts
Nonsurgical treatment osteoarthritis
ACETOMINAPHEN
Topical NSAIDS
Weight loss
Physiotherapy
Walking aids
What is the Definition of gout
Deposition of monosodium urate crystals in tissues
Typically first MTP joint, ankle, mid foot, knee
May mimic infection
Treatment gout 4 stages
Asymptomatic hyperuricemia - don’t treat
Acute flares- colchicine, NSAIDs
Finding specifically diagnostic of classic rheumatoid arthritis
Rheumatoid joint erosions