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Tri 8 - Report Writing > Arthritis > Flashcards

Arthritis Flashcards

1
Q

Categories of Arthritis

A 
inflammatory 
degenerative
depositional/metabolic 
infectious 
neuropathic
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2
Q

Diffuse joint space narrowing
Marginal or central erosions
Absent or minimal subchondral sclerosis
Lack of osteophytes

A

Inflammatory Arthritis (RA)

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3
Q

Juxtaarticular osteoporosis
Periarticular soft tissue swelling
Soft tissue nodules
Articular deformities

A

Inflammatory Arthritis (RA)

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4
Q

Localized joint space narrowing (non-uniform)
Subchondral sclerosis
Osteophyte formation
Cyst or pseudocyst formation
Weight bearing side of the joint usually involved

A

Degenerative Arthritis (Osteoarthritis)

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5
Q

Marginal periarticular erosions
Overhanging edge
Lack of osteoporosis

A

Metabolic Arthritis (Gout)

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6
Q

Lobulated, asymmetric soft tissue mass
Spotty carpals
Relative preservation of articular spacing

A

Metabolic Arthritis (Gout)

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7
Q

Destruction of joint space
Joint effusion
Soft tissue swelling
Osteoporosis

A

Infectious Arthritis

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8
Q

hands:

DIPs and thumb affected

A

OA

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9
Q

hands:

MCPs, PIPs, and thumb affected

A

RA

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10
Q

hands:

proximal thumb and MCPs affected

A

CPPD

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11
Q

knee:

medial joint line and patella

A

OA

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12
Q

knee:

entire joint line and patella

A

RA

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13
Q

knee:

patella

A

CPPD

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14
Q

hip:

superior or inferior joint line

A

OA

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15
Q

hip:

entire joint line (2)

A

RA and CPPD

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16
Q

Asymmetric, non-uniform loss of joint space, osteophytes, subchondral sclerosis, subchondral cysts, loose bodies and subluxation

A

Degenerative Joint Dz

17
Q

Spondylophytes, loss of disc height, facet hypertrophy, uncinate hypertrophy, IVF encroachment, spondylolisthesis

A

cervical DJD

18
Q

Spondylophytes

A

thoracic DJD

19
Q

Spondylophytes, loss of disc height, facet hypertrophy, vacuum sign, spondylolisthesis

A

lumbar DJD

20
Q

Occurs as a complication of loss of joint space, loss of disc height and remodeling of the facet surfaces to a more sagittal orientation

A

Degenerative spondylolisthesis

21
Q

m/c at DIPs and PIPs of hands

Sclerosis, osteophytes, periostitis, ankylosis, non-uniform joint space narrowing

A

Erosive Osteoarthritis

22
Q

Central joint erosions on proximal articular surface and peripheral joint erosions at distal articular surface = “gull wing” sign

A

Erosive Osteoarthritis

23
Q 
Flowing anterior ossification of ALL
Disc height relatively preserved
50% have OPLL
m/c in cervical spine
Stenosis (must order CT)
A

Diffuse Idiopathic Skeletal Hyperostosis (DISH)

24
Q

Neurotrophic Arthropathy:
Associated with diabetes
Six Ds: joint distention, increased subchondral density, debris, dislocation, disorganization, and bone destruction
Weight-bearing joints

A

Hypertrophic

25
Q

Neurotrophic Arthropathy:
Syringohydromyelia
Simulates a sharp amputation of the articular end of the bone: resorption and tapered ends

A

Atrophic

26
Q

Destruction of the joint with gross disorganization
Osseous debris
Joint instability, dislocation
Joint distention (effusion)
Lack of osteoporosis (usually)
Can have a “surgical amputation” appearance in the atrophic form (licked candy stick)

A

Neuropathic Arthropathy

27
Q

charcot’s joint is a condition of

A

Neuropathic Arthropathy

28
Q

Synovial membrane detaches and calcifies/ossifies
Multiple round/ovoid, smooth faceted, laminated loose bodies within the joint capsule
Associated extrinsic bone erosion or DJD
m/c joints: knee, hip, ankle, elbow, wrist

A

Synoviochondrometaplasia

29
Q

These “bare areas” refer to portions of the bone within the synovial space that are not protected by articular cartilage

A

Rheumatoid Arthritis (RA)

30
Q

Ulnar deviation of the MCP joints

Swan-neck deformity of the fingers

A

Rheumatoid Deformities

31
Q 
Inflammatory Arthritis: 
\_\_\_\_\_\_\_\_ arthropathies  
Ankylosing Spondylitis
IBD Arthropathy (Enteropathic)
Reiter’s (Reactive) Arthritis
Psoriatic Arthritis
A

Seronegative arthropathies

32
Q 
Absence of osteoporosis
Presence of bony proliferation
Periostitis
Intra-articular bony ankylosis
HLA-B27 positive
A

Seronegative arthropathies

33
Q

Fusiform soft tissue swelling (sausage digits)
Pencil in cup deformity
Fluffy periostitis with erosions at the interphalangeal joints can resemble “mouse ears”
Pitting of the nails
Bony ankylosis
Erosions of the spinous processes in the cervical spine (penciling)

A

Psoriatic Arthritis

34
Q

Calcaneal enthesopathy
Parasyndesmophytes (non-marginal)
Unilateral or Bilateral asymmetrical sacroiliitis
Lower extremity involvement
Fluffy periostitis
Ray distribution of involvement (hands/feet)

A

Reiter’s Syndrome (Reactive Arthritis)

35
Q 
Bony ankylosis of SI joints & facets
Marginal bridging syndesmophytes
Bilateral SI joint involvement
Favors “root joints”
Disuse osteoporosis
A

Ankylosing Spondylitis

36
Q

Crystal deposition into the synovial fluid, linings and articular cartilage

Soft tissue calcification, chondrocalcinosis
Common in knees, wrists, symphysis pubis, elbows and hips
DJD

A

Calcium Pyrophosphate Dihydrate Crystal Deposition Disease

37
Q 
Calcification within a tendon, bursa or other periarticular soft tissue
Self limiting
- rotator cuff, bursa
- glut max
- longus colli
A

Hydroxyapatite Deposition Disease

Tri 8 - Report Writing (2 decks)

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