Clinical Approach to RA, Seronegative Arthropathies and Gout (Johnston) Flashcards
What imaging should you use for RA?
Which is more sensitive detecting erosions?
1) X-rays of hands and feet
2) CT (more sensitive detecting erosions)
What mortality is highly associated with RA?
1) CAD
2) HF
The 2010 RA Classification Criteria has to have a score of at least what for definite RA?
6/10
What is found on labs for RA?
1) RF
2) Anti-CCP
What deformities are seen with RA in the hands?
1) Swan neck (hyperextension of PIP joints)
2) Boutonniere (hyperflexion of PIP joints)
Rheumatoid nodules seen in the elbow are always positive for?
RF
What physical findings are found in the wrist with RA?
In the knee what can be found?
1) Radial deviation
2) Bakers cyst
What is Pyroderma Gangrenosum which can be seen in RA patients?
Tender reddish purple papule that leads to necrotic non-healing ulcer
What is Rheumatoid Vasculitis?
Purpura, petechial, splinter hemorrhages, digital infarct
What autoimmune disorder with lacrimal and salivary dysfunction is seen in 35% of RA patients?
Sjogren’s syndrome
Seronegative Spondyloarthropathies has immune susceptibility to what HLA?
HLA-B27
Seronegative Spondyloarthropathies have a predilection for what areas of the body?
Spine and SI joint
Which seronegative spondyloarthropathies has the strongest association with HLA-B27?
Ankylosing Spondylitis
Ankylosing Spondylitis is the most common inflammatory disorder of?
Axial skeleton and SI joints
What are the clinical manifestations of Ankylosing Spondylitis?
1) Low back pain for more than 3 months
2) Morning stiffness that improves with activity
3) Symmetrical SI joint pain
4) Planter fasciitis