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Emma Rheumatology > Clinical Presentations > Flashcards

Clinical Presentations Flashcards

1
Q

hands @ DIP/PIP

joint pain/stiffness

A

osteoarthritis

also knees, spine, hip

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2
Q

single joint

acute onset pain/swell

A

septic arthritis

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3
Q

MCP
pain/min swelling
young pt

A

hemochromatosis

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4
Q

hands at PIP/MCP

A

RA

also wrists, elbows, knees, hips, toes

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5
Q

sacroiliac joint and spine

asymmetric oligoarthritis

A

seronegative spondyloarthrits

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6
Q

vertebral fusion

A

(bamboo spine)

ankylosing spondylitis

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7
Q

asymmetric oligoarthritis
DIP
dactyitis
enthesitis

A

psoriatic spondylitis

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8
Q

<5 joints, usu large joints

+ GI flare

A

type I IBD arthritis

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9
Q

> 5 joints, small joints

independent of GI sx

A

type II arthritis

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10
Q

1st MCP at base of great toe

A

(podagra)

gout

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11
Q

bilateral proximal m. weakness

worse in AM

A

polymyalgia rheumatica

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12
Q

proximal m. weakness
slow onset
distal weakness later in disease

A

inflammatory myopathies

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13
Q

endomysial inflammation

A

polymyositis

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14
Q

perimysial inflammation

A

dermatomyositis

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15
Q

worse upon waking

A

RA

pain improves w/ use

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16
Q

joint pain esp at night

A

OA

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17
Q

warm swollen knee or wrist

A

pseudogout (calcium pyrophosphate crystal)

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18
Q

morning axial spine stiffness

improves w/ exercise

A

seronegative spondyloarthrits

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19
Q

intermittent, recurrent attacks of swelling and pain in one or a few joints at a time, especially the knee

A

lyme arthritis

20
Q

pencil in cup deformity

A

psoriatic arthritis

21
Q

morning joint stiffness <30 min

A

OA

22
Q

buckling, locking of knee joint

A

OA

23
Q

crepitus

A

OA

24
Q

asymmetric narrowing of the joint spaces

A

OA

cartilage is lost due to asymmetric mechanical forces

25
Q

tenosynovitis
bursitis
sterile cellulitis

A

gout

26
Q

large, well-demarcated erosions (rat-bite)

A

gout

27
Q

gout sx in/around joints/bursae/tendons/extensor surfaces of forearms

A

chronic tophaceous gout

28
Q

white, chalky deposits surrounded by fibrosis

A

chronic tophaceous gout

29
Q

osteophytes

A

OA

30
Q

intermittent attacks of acute mono-arthritis

A

gout

31
Q

pseudogout

A

knee and wrist

32
Q

iridocyclitis

A 
systemic disorders...
JIA
sarcoidosis
ankylosing spondylitis
IBD
33
Q

IBD

A

fibromyalgia

34
Q

chronic uveitis

A

ANA + oligoarticular JIA

RF - polyarticular subtypes

35
Q

fever, rash, and arthritis

A

systemic JIA

36
Q

fever at least 2 wk duration

A

systemic JIA

37
Q

acute uveitis risk

A

ankylosing spondylitis

Enthesitis Related
(ERA) JIA

38
Q

GI sx, which JIA?

A

Enthesitis Related

ERA

39
Q

Painless iridocyclitis in JIA most likely to occur in

A

a child with JIA under the age of 5 who presents with one or just a few affected joints

40
Q

low complement

A

SLE

41
Q

high anti-dsDNA

A

SLE

42
Q

T/F

overactivity of TNF-a is a feature of SLE

A

F

a feature of RA

43
Q

sudden severe HTN with rapidly declining renal function and microangiopathic hemolytic anemi

A

scleroderma renal crisis

44
Q

closest of spondyloarthropathies to RA in chronicity and pattern of joint distribution but still distinct

A

psoriatic arthritis

45
Q

chlamydia

A

reactive arthritis

46
Q

GI bacterial infec

A

reactive arthritis

Emma Rheumatology (8 decks)

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