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MSK/Skin > ICM rhemutology > Flashcards

ICM rhemutology Flashcards

Review pertinent H&P exam findings for non-inflammatory, inflammatory, reactive, and infectious joint pathology Discuss diagnostic work up of joint problems Review well known rheumatologic conditions Develop a differential diagnosis for joint pain

1
Q

articular findings

A

OA
RA
Psoritic arthritis

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2
Q

per-articular/soft tissue findings

A

tendonitis
bursitis
fibromyalgia

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3
Q

monoarticular findings

A

septic artthritis
gout
bursitis

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4
Q

less than 4 more than 1 joint findins

A

OA
RA
Reiter’s
Psoriatic

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5
Q

more than 4 joint findings

A

SLE

RA

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6
Q

fever ddx

A 
septic athritis
SLE
Vaculitdes
gout
rheumatic fever
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7
Q

non fever findings

A

OA

RA

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8
Q

symettric findings

A

RA

SLE

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9
Q

asymetric findings

A

OA
Gout
psoriatic
reiter’s

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10
Q

acute findings

A 
gout
pseudogout
septic arthritis
SLE
trauma
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11
Q

chronic findins

A

RA
OA
Psoriatic

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12
Q

things to look for on PMX

A

msk injuties, rash or skin changes, prior gout flares, IBD, sleep problems, depression

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13
Q

things to look for on FHX

A

inflamatory, autoimmune, psychological conditions

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14
Q

social hx things to look for

A

employment, activites, sex HX, EtOH

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15
Q

things to look for in ROS

A

fever, weight changes, eye changes, rashes, skin lesions, diarrhea

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16
Q

important dx tool in monoarticular arthristus

A

symovial fluid analysis

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17
Q

dull aching pain, increased by activity, elleviated by rest, crepitus

A

OA

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18
Q

heberden’s nodes/bouchard’s nodes found in

A

OA of hands

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19
Q

xray dx of OA

A

assymeptic narrowing of joint space
sclerosis
osteophytes
no bone washout

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20
Q

chronic symmetric erosive synovitis

A

RA

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21
Q

morning joint stiffness

3 or more joints

A

4 or more for 6 weeks

morning joint stiffness
3 or more joints
hand involvement
symettric arthritis
rheumatoid nodules
serum RF
radiographic chanes in hand/wrist
22
Q

exam findings in RA

A 
synovitis
swan neck deformity
boutinniere deformity
ulnar deviation
nodules
23
Q

labs to test in RA

A

CBC
ESR/CRP
RF
synovial fluid analysis

24
Q

imaing findings in RA

A

bony eruptions near joint capsule
juxta-articular osteopenia
symmetric joint space narrowing

25
Q

erosive arthritis

A

RA

26
Q

dx criteria of SLE

A 
(4)
butterfly rash
discoid rash
phototosensitivity
oral ulcers
non erosive arthritis in 2 joints
serositis
renal disorder
neural disorder
hematologic disorder
immunological disorder
27
Q

imflammatory disorders affecting multiple joints, spine, peripheral joints and periarticular structures

A

spondyloarthropathies

28
Q

types of spondyloarthropathies

A

ankylosing spondylitis
psoriatic arthritis
reiter’s syndrome
enteropathic arthritis

29
Q

bilateral sacroiliitis

A

ankylosing spondylitis

30
Q

movement test for ankylosing spondylitis

A

schober test (ability to bend over)

31
Q

arthritis associated with HIV

A

psoriatic arthritis

32
Q

signs of psoriatic arthritis

A 
spine stiffness
asymmetric
large joint involvement
dactylitis
nail pitting
conjuctivitis
33
Q

nail pitting found in

A

psoriatic arthritis

34
Q

arthritis occuring after GU/GI infection

A

reactive arthritis

35
Q

bugs causin reactive arthritis

A

chlamydia, campylobacter, yersinia, shigella

36
Q

HLA b27 positive arthritis

A

reactive arthritis

37
Q

conjunctivitis, urethritis, arthritis

A

reiter’s syndrome

38
Q

urate crystals and negative bifergence

A

gout

39
Q

calcium pyrophosphate crystals and positive biferengance

A

psudogout

40
Q

asoociated with hypothyroidism, hyperparathurpidism, amyloidosis

A

pseudogout

41
Q

seen in the knee

A

pseudogout

42
Q

chondrocalcinosis

A

pseudogout

43
Q

bugs that cause septic arthritis

A

gonorrhea in adults

staph A in kids

44
Q

rapid onset of monoarticular joint pain, erythema, decreased ROM

A

septic arthritis

45
Q

straw colored synovial fluid

A

noninflammatory

46
Q

yellow cynovial fluid

A

inflammatory

47
Q

turbid-yellow fluid

A

septic

48
Q

young-to middle aged female with headache, neck discomfort, fatigue, sleep problems,

A

fibromyalgia

49
Q

associated wth IBS, RA, lyme disease, hyperthyroid

A

fibromyalgia

50
Q

treatments for fibromyalia

A

sleep, NSAIDS, aerobic exercise

MSK/Skin (18 decks)

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