Inflammatory arhtropathies Flashcards

1
Q

What are the four categories that inflammatory arthropathies can be grouped as?

A

seropositive, seronegative, infectious and crystal deposition disorders

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2
Q

What kind of condition is many of the inflammatory arthropathies?

A

autoimmune

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3
Q

What is the mainstay of treatment?

A

simple analgesia, anti-inflammatory medication, steroid injections and disease modifying anti rheumatic drugs

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4
Q

Which condition affects the neck, shoulders, elbows, writs, hands, hips, knees and feet? often symmetrical

A

Rheumatoid arthritis

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5
Q

which condition affects elbows, wrists, hands knees, ankles and feet often not symmetrically?

A

psoriatic arthritis

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6
Q

which condition commonly affects spine, shoulders hips and knees?

A

inflammatory spondylitis

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7
Q

Which condition affects, neck, lumbar spine, wrists, hands, hips, knees and feet symmetrically?

A

osteoarthritis

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8
Q

What are the features of inflammatory arthritis?

A

joint pain with associated swelling, morning stiffness, improvement in symptoms with exercise, synovitis on examination, raised inflammatory markers and extra-articular symptoms

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9
Q

What is the most prevalent seropositive inflammatory arthropathy?

A

rheumatoid arthritis

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10
Q

what is rheumatoid arthritis?

A

an auto-immune inflammatory symmetric polyarthropathy

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11
Q

What joints does rheumatoid arthritis commonly affect

A

small joints of the hands and feet and larger joints such as knees, shoulders and elbows

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12
Q

Who is more commonly affected, men or women in rheumatoid arthritis?

A

women

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13
Q

When are people most often affected in rheumatoid arthritis?

A

between the ages of 35 and 50

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14
Q

What are the clinical features of rheumatoid arthritis?

A

symmetrical synovitis, pain and morning stiffness

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15
Q

What joints are affected in rheumatoid arthritis?

A

MCP and PIPs joints but DIP joints are not

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16
Q

what can atlanto-axial subluxation result in?

A

cervical cord compression

17
Q

in what percentage of patients with RA do rheumatoid nodules occur?

A

25%

18
Q

what lung involvement can there be in rheumatoid arthritis?

A

pleural effusions, interstitial fibrosis and pulmonary nodules

19
Q

what ocular involvement is common in those with RA?

A

keratoconjunctivitis sicca, episcleritis, uveitis and nodular scleritis that may lead to scleromalacia

20
Q

What investigations are needed in those with RA?

A

antibodies, CRP, ESR and plasma viscosity, x-rays where you may see peri-articular osteopenia and soft tissue swelling which can lead to erosions

21
Q

What percentage of RA patients are seronegative?

A

15-20%