Intro Flashcards
t/f blood tests do diagnosis for RA
f
RA assessment questions
age, sex, ethnicity, family history
Acute/chronic pain?
widespread pain?
number of joints?
5 key questions RA
- red flags?
- within joint or around
- inflam or non inflam
- focal (less than 3 joints) vs widespread (more than 3)
- Acute (less than 6 weeks) or chronic
When is something focal or widespread in RA
more or less than 3 joints
When is something acute in RA
less than 6 wks
RA red flags
severe pain, swelling, redness, heat fracture septic arthritis malignancy Neuro signs / symptoms (burning, numbness, paresthesia)
is septic arthritis a acute or chronic red flag
rapid onset (hours to days)
does periarticular hurt during active and passive movements
just active
does articular hurt in active or passive movement
both
is there swelling in periarticular
uncommon
is there swelling in articular
common
heat in inflammatory vs non
sometimes
absent
redness in inflammatory vs non
sometimes
absent
swelling in inflammatory vs non
mod to severe
mild
pain in inflammatory vs non
worse in morning
worse after use
loss of function in inflammatory vs non
yes
sometimes
morning stiffness in inflammatory vs non
> 1hr
<30 mins
systemic features in inflammatory vs non
sometimes
absent
ESR in inflammatory vs non
sometimes
absent
Example inflammatory condition
non inflamm
RA
OA
ESR stands fort
erythrocyte sedimentation rate
its a confirmatory test for RA
2 types of articular inflammatory diseases
RA
systemic lupus
3 types of periarticular inflammatory
bursitis
enthesitis
polymyositis
1 type of non inflammatory articular disease
OA
2 types pertiarcular non inflam disease
Fibromyalgia
carpal tunnel syndrome
three diseases that are usually mono / oligoarticular
OA
osteonecrosis
gout
three diseases that are usually polyarticular
RA
lupus
OA (rare)
if someone is diagnosed with JIA, how long must symptoms be present
6 weeks
when is JIA diagnosed
before 16 yrs old age
is it common for JIA to be active for life time
not uncommon
affected structures JIA
joint synovium
tendon sheath synovium
enthesis
risk of uveitis
can cause blindness
5 types of JIA subtypes
oligoarticular, polyarticular, systemic, psoriatic, enthesitis related
JIA signs/symp
Growth abnormalities
asymmetric posture/ movement
restriction mm strength/length
restricted ROM
fatigue, morning stiffness, pain