Dr. Lawrence Ford- Rheumatic Diseases Flashcards
Acute Monoarthritis
Infection but gout and trauma are possible
Asymmetric, oligoarticular (
OA and ReA
Symmetric Polyarticular , >5 joints
RA and SLE
Involvement of spine, sacroiliac joints, sternoclavicular joint
Ankylosing Spondylitis
Involvement of DIP
OA (Heberdens nodules) and in psoriatic arthritis
Involvement of PIP
OA (Bouchards nodules) and RA
Involvement of MCP
RA
Acute first metatarsophalangeal joint arthritis
Classic for gout, but also seen in OA and ReA
Multiple organ system involvement, often without major joint complaints
Vasculitis and SLE
Diffuse pain but without arthritis
Fibromyalgia
Muscle weakness and rashes and occasionally peripheral arthritis
Myositis
What rheumatic conditions may medications elicit?
Lupus like syndrome, myopathies, or osteoporosis
Alcohol
may precipitate gout, cause myopathies, or avascular necrosis
Substance Abuse
vasculitis, arthralgias, and rhabdomyolysis
Family History
AS, gout, OA
Nervous System
SLE, vasculitis, Lyme Disease
Eye Involvement
Sjogrens, RA (scleritis), seronegative spondyloarthropathies (uveitis), giant cell arteritis, Behcets, Wegners granulomatosis
Oral mucosal ulcers
SLE, enteropathic arthritis, Behcets
Rashes
SLE, vasculitis, psoriatic arthritis, adult onset Stills, Lyme Disease
Raynauds phenomenon
idiopathic, scleroderma, SLE, RA, and MCTD
Pleuritis and Pericarditis
RA, SLE, MCTD, and adult onset Still’s disease
GI involvement
enteropathic arthritis, polymyositis, and scleroderma
Young
SLE, juvenile RA, and GC arthritis
Middle Aged
Gout, OA, RA
Elderly
Polymyalgia rheumatica, Giant cell arthritis
Men
Gout and AS
Women
SLE, RA, OA