Monoarthiritis tutorial

Question 1

If just one joint affected what thing would you be thinking?

Answer 1

osteoarthirits-could just be in one joint, maybe there was an injury
psoriatic arthritis ( early sign)-gradual
Septic arthritis- come on quickly, red, swollen
gout
reactive arthritis

Question 2

if polyarthiritis?

Answer 2

rheumatoid arthritis

OA- (as some patients wait until quite a few joints affected before they come)

Question 3

What is important when taking a rheumatology history?

Answer 3

Is there evidence of inflammatory joint/muscle condition?
Are systems outwit the MSK system affected?
How do the symptoms impact upon the patient?

Question 4

What would suggest the mucocutaneous system is affected?

Answer 4

Alopecia, oral or nasal ulceration, nosebleeds, malaria rash,photosensitivive rash, dry mouth, tightening or thickening of the skin of the fingers that suggest sclerodactyly

Question 5

How can you determine if the chest is involved?

Answer 5

Pleuritic chest pain
SOB
Cough
haemoptysis

Question 6

What PMHx is important to know?

Answer 6

asthma., peptic ulcer ect as NSAIDs would not suit them

Question 7

What are bony swellings of DIP joints

Answer 7

Heberden’s nodes

Question 8

What are bony swellings of the PIP joints

Answer 8

Bouchard nodes (remember because further back on the hand)