arthritis

Question 1

ankylosing spondylitis

Answer 1

aka marie stumpell’s disease. seronegative arthritides. HLA B27+. Autoimmune inflammatory. affects SI joints. causes morning LBP and stiffness. moves up the spine. starts age 15-35 in males. can cause AAA and iritis

Question 2

Caplan;s syndrome

Answer 2

coal miners lung with RA nodules

Question 3

Felty’s syndrome

Answer 3

chronic rheumatoid arthritis with splenomegaly

Question 4

Gonococcal

Answer 4

usually affects the knee. (niceiria ghoneria gram negative, green yellow pus

Question 5

gouty arthritis (metabolic arthritis

Answer 5

Uric acid in blood. if in big toe= “podagra”. m/c/c diet increase in purines (red wine and aged cheese).
lab: increased ESR& uric acid. rad: overhanging edge sign

Question 6

hemophilia

Answer 6

usually affects the knee. causes enlarged intercondylar notch

Question 7

osteoarthritis (OA or DJD)

Answer 7

unilateral distribution in weight bearing joints. Subchondral sclerosis, osteophytes. Heberden’s nodes (DIP) & bouchard (PIP). m/c location= hip then knee. m/c arthritis

Question 8

Psoriatic Arthritis (PA)

Answer 8

seronegative arthritide. HLA B27+. rad: periarticular erosions, mouse ear erosions, pencil in cup deformities, ray’s sign. inspection: cocktail sausage digits, silver scales, pitted nails.

Question 9

Reiter’s AKA: reactive arthritis, venereal arthritis

Answer 9

seronegative arthride. HLAB27+. chlamydia. s/sx white pus, conjunctivitis or uveitis. urethritis. arthritis. heel spur and plantar fasciitis “lovers heel”. cant see, cant pee, cant dance with me

Question 10

Rheumatoid Arthritis (RA)

Answer 10

inflammatory condition, usu begins in hands. symmetrical distribution. ulnar deviation of wrist. Pannus formation. Haygarth’s (MCP) and Bouchards (DIP) nodes. rat bite or marginal erosions.

Question 11

seronegative arthritis

Answer 11

PEAR= psoriatic, enteropathic arthropathy, ankylosing spondylitis, Reiter’s syndrome. ALL HLAB27+. All RA latex -

Question 12

Seropositive Arthritis

Answer 12

RSSS= Rheumatoid arthritis, Sjogren’s, Scleraderma, Systemic lupus erthematosis (SLE). ALL RA latex +

Question 13

Sjogren’s

Answer 13

dry eyes (xerophthalmia), dry mouth (xerostomia), seropositive for RA Latex

Question 14

still’s disease

Answer 14

juvenille rheumatoid arthritis

Question 15

Systemic Lupus Erythematosis

Answer 15

photosensitivity, Libman Sach’s endocarditis, Autoimmune disease. antibodies against DNA. ANA or FANA test. Butterfly rash aka Malar rash

Question 16

Osteonecrosis

Answer 16

AKA avascular necrosis (AVN). death of bone due to lack of blood. m/c/c= trauma. also by corticosteroids.

Question 17

keinboch’s disease

Answer 17

AVN lunate

Question 18

kohler’s disease

Answer 18

AVN of tarsal navicular

Question 19

legge calve perthes

Answer 19

AVN of head of femur of child

Question 20

Preisser’s disease

Answer 20

AVN of scaphoid

Question 21

Scheuermann’s disease

Answer 21

AVN of multiple vertebral endplates. disc space spared

Question 22

colles fracture

Answer 22

most common fracture of the wrist. fracture of distal radius with posterior displacement. dinner fork deformity

Question 23

Osgood Schlatter’s

Answer 23

AKA tibial apophysitis. avulsion of tibial tuberosity of knee in young athletic children

Question 24

Smith’s fracture

Answer 24

aka “reverse colles” fx of distal radius with anterior displacement. Garden spade deformity