LECTURE 2 - finished

Question 1

What is a migratory pattern of joint involvement?

Answer 1

Inflammation persists for only a few days in each joint (eg, acute rheumatic fever, disseminated gonococcal infection

Question 2

What is an additive pattern of joint involvement?

Answer 2

Inflammation persists in involved joints as new ones become affected (eg RA)

Question 3

What is an intermittent pattern of joint involvement?

Answer 3

Episodic involvement occurs, with intervening asymptomatic periods (eg, gout, pseudogout)

Question 4

What is oligoarthritis? What is it AKA?

Answer 4

AKA = pauciarthritis

The involvement of 2 - 4 joints

Question 5

How many joints does the term polyarthritis involve?

Answer 5

5 or more

Question 6

Define Dactylitis

Answer 6

Intense inflammation of multiple tissues in the fingers and toes resulting in significant finger/toe oedema (“sausage” digits)

Question 7

Define constitutional manifestations

Answer 7

A general term that refers to manifestations that do not belong to one specific body system. Typical examples are:
• Fever
• Fatigue
• Malaise
• Weight loss etc

Question 8

List 4 systemic arthridites that cause skin lesions

Answer 8

• SLE (e.g. Malar rash)
• Dermatomyositis (e.g. Heliotrope Rash)
• Scleroderma (e.g. Dermal induration due to fibrosis)
• Psoriatic arthritis (e.g. Psoriasis)

Question 9

List 3 ocular manifestations and 1 condition each that can cause them

Answer 9

• Scleritis - RA
• Anterior uveitis (= Iridocyclitis) – AS
• Conjunctivitis - Reactive arthritis

Question 10

When pain is felt as the joint is gently forced (i.e. stressed) towards its limitation of range suggests what?

Answer 10

Synovitis

Question 11

Define crepitus

Answer 11

A palpable or audible grating sensation that is produced during motion of the joint

Question 12

What do joint effusions develop in response to?

Answer 12

• synovial inflammation
• trauma
• anasarca
• haemarthrosis
• adjacent focus of acute inflammation (sympathetic effusion)