Clinical Aspects of RA and Approach to Therapeutics Flashcards
RA investigation
Immunology =>
Rheumatoid facto (IgG, IgM)
Anti cyclic citrullinated antibodies
X-ray
Arthritis symptoms
Pain Stiffness Immobility Poor function Systemic Symptoms
Clinical signs of RA
Swelling Tenderness Limitation of Movement (Redness) (Heat)
Non-specific systemic features
Fatigue/lassitude
Weight loss
Anaemia
Specific systemic features
Eyes Lungs Nerves Skin Kidneys
Long term features of RA
CVS
Malignancy
DAS
Disease Activity Score
DAS clinical remission
<2.4
DAS eligibility for biologic therapy
> 5.1
Treatmenet of inflammatory arthritis
Medicines
Injections
Therapies
Surgery
Therapeutic categories of RA
NSAID
DMARD
Biologics
Corticosteroids (oral, IM, IA)
IA administration
Intra-articular (into a joint)
DMARD
Disease Modifying Anti Rheumatic Drugs
Commonly used DMARDs
Methotrexate
Sulphasalazine
Hydroxychloroquine
Leflunomide
Biologics
TNFa inhibitors IL-1 inhibitors IL-6 inhibitors Anti B Cell therapies Anti T Cell therapies