History Taking and Monoarthritis Flashcards
main 3 questions to think about when you’re suspecting something rheumatological
is it inflammatory or not?
are other systems affected?
how do these symptoms affect the patient
what symptoms suggest inflammatory arthritis
hot, red, swollen joint systemically unwell loss of function? symmetrical acute presentation stiff in morning >30 mins
who is most likely to get inflammatory arthritis?
FHx of it infection IBD patients psoriasis patients autoimmune condition CT disease patients
is psoriatic arthritis asymmetrical or symmetrical
asymmetrical
what arthritis commonly affects the DIPs
osteoarthritis
differentials for monoarthritis?
septic arthritis bursitis gout trauma psoriatic arthritis reactive arthritis
what colour is the fluid in reactive arthritis
clear
most common locations for reactive arthritis
knee
ankle
main feature of palindonic rheumatism
inflamed joint which comes and goes, can move location
what drugs should you ask about in a suspected gout sufferer?
diuretics
what does sclerosis on x ray look like
whiter
which gram stain of bacteria most commonly causes reactive arthritis
gram +ve
which conditions is anterior uveitis common in
ankylosing spondylitis
psoriasis
which conditions are pleural effusions common in?
RA/CT disease
what are tophi?
urate crystals deposited in skin that are there constantly
