Diagnosis and evaluation of joint problems

Question 1

Two clinical clues to help diagnose joint problem

Answer 1

1. Joint pattern

2. Presence or absence of extra-articular manifestations

Question 2

morning stiffness - after prolonged period of rest.

Answer 2

Yes does not confirm inflammation. Also ask how long stiffness lasts.

1. move knee couple of times then ok this is not inflammation
2. Pt. says stiff until lunch then there is inflammation of joint receptors

Question 3

Regular Osteoarthritis length of stiffness

Answer 3

No inflamation or little. Stiffness will less than 15-30 min

Question 4

Rheumatoid arthritis length of stiffness

Answer 4

stiffness can last 2-3 hours depending on severity

Question 5

One joint involved in toe

Answer 5

Gout - monoarticular disease

Question 6

Polyarticular disease that is symmetrical

Answer 6

RA - if hand affected then usually both are affected

Question 7

if you have DIP joint involvement what type of arthritis is this

Answer 7

OA

Question 8

If you have metacarpal involvement what type of arthritis is this

Answer 8

RA

Question 9

If patient comes in with fever

Answer 9

Could be gout or may have infection of joint

Question 10

If patient has a rash

Answer 10

SLE (face), Psoriatic arthritis

Question 11

If patient has nodules on the body surface

Answer 11

RA

2. Also seen in gout. tophi

Question 12

Neuropathy and joint problem

Answer 12

could be vascularitis called polyarteritis

Question 13

Example of inflammatory bowel diseases

Answer 13

1. Chrones disease

2. Ulcerative colitis

Question 14

Calcium Pyrophosphate

Answer 14

Pseudogout.. Positively birefringent