Inflammation in The Muscoskeletal System Flashcards
Rheumatology is
Medical sub speciality concerned with diagnosis and treatment of conditions affecting musculoskeletal system
Rheumatoid conditions
Musculoskeletal medicine
Multi system autoimmune disorders
Chronic pain
Non organ specific
Classification of rheumatic diseases
Back pain
Regional periarticular or soft tissue diseases
Osteoarthritis
Inflammatory arthropathies
Osteoporosis and metabolic bone disease
Inflammatory arthritis is
Urgent
Treatment for non inflammatory diseases
No point giving drugs for immune system
Inflammatory arthritis treatment
Antibiotics and surgical cleaning
Multi system diseases
Connective tissue diseases
Vasculitis
Relapsing polychondritis
Periodic fever syndromes
Sarcoid
Connective tissue diseases
SLE, Sjogreens,sclederma, dermatomyositis
Vasculitis diseases
ANCA associated disease behcet takaysus
Polymyalgia
Diagnosis of rheumatology
History
Exam (urinalysis)
Radiological and antibody evidence
Pathological (synovial fluid/biopsy)
Lupus,skin rash
Myosotis
Vasculitis
Diurnal variation common in
Chrohns
Asthma
Rheumatoid arthritis
(Autoimmune arthritis)
Presenting symptoms
Swelling
Stiffness
Weakness
Multisystem presentation
How to examine joint
Look feel move
Screening exam for musculoskeletal disorders
GALS
Gait
Arms
Legs
Spine
Test for GAIT
Ask patient to walk a few steps, turn back and walk back
Look for symmetry, smoothness and ability to turn
With patient in anatomical position observe from behind,side and front
Arms GALS
Hands
Observe palmar and dorsal aspect for swellling or disformaties
Make first
Grip strength
Assess fine pinch
Squeeze mcps (watch face)
Elbows ask to extend them
Ask patient to put hands on head (examining shoulders)
LEGS GALS
Knees
Extend knee
Feel for crepitus
Perform patellar tap
Assess internal rotation with hip and knee flexed at 90 degrees
Feet
Inspect feet for swelling ,deformity and callosities
Squeeze MTPs
SPINE GALS
Stand patient up and look side and back
Assess lateral flexion neck
Can include jaw movements
Check flexion and extension (touch toe)
