Arthritis

Question 1

What type of joints are most commonly affected by Arthritis?

Answer 1

Diarthrodial Joints

Question 2

What are the components of the Joint Exam?

Answer 2

Signs of inflamm
ROM
Deformities
Condition of surrounding structures

Question 3

What are the red flags in Joint Disease?

Answer 3

Acute Monarticular Arthritis
Cranial Sx in Elderly Pts w/ muscle pain
Morning Stiffness lasting over an hour in Pts w/ back pain

Question 4

What are the traits of Acute Phase Reactant levels?

Answer 4

Reflect intensity of Inflammation

Abn in: infection, Inflamm cond, Malignancy, Infarction, Trauma

Question 5

What levels are considered Acute Phase Reactants?

Answer 5

ESR, CRP, Serum amyloid A, Ferritin, Fibrinogen, haptoglobin

Question 6

What is Rheumatoid Factor?

Answer 6

Ab to Fc Portion of IgG

80% of RA patients

Question 7

What are the Antinuclear Ab in RA?

Answer 7

Anti DS DNA
Anti-Sm
Anti RNP etc…
Sensitive, not specific

Question 8

What will cause an increase in Uric Acid Levels?

Answer 8

Diet High in Meat

Diuretic Drugs

Question 9

What are the traits of Synovial Fluid Analysis?

Answer 9

Dx Crystal Dis and Infecton
By needle aspiration
Mandatory in Acute Monorthritis