Arthritis Flashcards
what is the most common form of arthritis
ankylosing spondyltits
what is the most common bacteria in septic arthritis
Staph. arureus
were are the osteophytes located in the hand in rheumatoid arthritis
PIP
MCP
in osteoarthritis what will be found in the DIP and PIP joints
Heberden’s nodes: DIP
Bouchards node: PIP
on the body how does Rheumatoid arthritis distrubte
symmetric
what will the X-ray show for osteoarthritis
loss of joint space
sclerosis
sunchondral cysts
osteophytes
what are other side effects of rheumatoid arthritis
malaise,
carpal tunnel disease
in order to diagnose a patient with rheumatoid arthritis they must have what
4/6 morning stiffness for 1 hours arthritis of 3+joints for 6 weeks Systemic arthritis for 6 weeks Rheumatoid nodules \+RH factor radiographic changes
what tests can be use to detect rheumatoid arthritis
Rheumatoid factor ( IgM Ab against Fe portion of IgG)
HLA-DR4
ESR-CRP elevated
what will X-ray of Rheumatoid arthritis show
bony erosion
joint space loss
C1-2 instability
treatment options for Rheumatoid Arthritis
NSAIDs
Steroids
DMARDs (disease modifying drugs)
surgery
Septic arthritis occurs in who
children
-immunocompromised adults
in septic arthritis what protein causes destruction
Metalloproteases
what are symptoms of septic arthritis
PAIN with ROM of joint
fever, tachycardia
what will labs show for septic arthritis WBC ESR, CRP blood culture x-rays joint aspirate
WBC: elevated or normal ESR, CRP: elevated blood culture: point towards bacteria x-rays: normal in acute setting joint aspirate: greater 50,000 WBC/mm3
septic arthritis common bug for: neonate: 5 yrs less: 5-teen: adolescents: adults: sickle cell:
neonate: staph aureus 5 yrs less: staph aures 5-teen: staph arues adolescents: gonorrhea adults: staph arues sickle cell: Salmonella
Chronic septic arthritis is most likely from
Tb or lyme
treatment for septic arthritis
surgical washout
antibiotics
what joints get impacted by Seronegative spondyloarthropathies
SI joints
spine
protein present in Seronegative Spondyloarthropathies
HLA-B27
what are 3 clinical symptoms for seronegative spondyloarthropathies
uveitis
carditis
enthesitis
When does Reiter Disease appear
after: urethritis, cervicitis, or dysentery
2-8 weeks after infection
clinical symptoms for psoriatic arthritis
nail disorders
iritis
Inflammatory Bowel Disease more in
Crohns
what are symptoms of Seronegative Spondylorthropathies
back pain
morning stiffness
what exam is used for sernegative spondyloarthropathies
FABER
SI joint
enthesitis
what labs can be done and be positive for Seronegative Spondyloarthropathies
HLA-B27
X-rays of spine
treatment for Seronegative spondyloarthropathies
NSAIDS, MTX
surgery
For osteoarthritis, is the pain worse at the beginning or end of the day
end
what is the incidence of Akylosing Spondylitis
1 in 2000
Rheumatoid arthritis patients that undergo surgery must have what part of their spine evaluated to prevent cord injury
C1 and C2
what arthritis falls under seronegative spondyloarthropathies
ankylosing spondylitis
Reiter disease
Psoriatic arthritis
Inflammatory Bowl Disease
