MSK Signs and Symptoms Flashcards

1
Q

Inflammatory joint pain

A

AI: RA, Spondyloarthropathies, Connective tissue disease, vasculitis
Crystal arthritis
Infection

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2
Q

Non- inflammatory pain

A

Degenerative eg osteoarthritis
Non degenerative - CWPS, hypermobility

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3
Q

Inflammatory joint disease points

A

Pain eases with movement
Stiffness - more than 60 mins
Early morning or at rest
Swelling
Synovial/ bony
Hot and red
Young, psoriasis, FH
Hands and feet
Responds to NSAIDs

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4
Q

Degenerative disease points

A

Pain increases with use
Stiffness - less than 30 mins
Morning evening
Swelling
No inflamamtion
Older, sport, job
1st CMCJ, DIPJ, knees
No response to NSAIDs

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5
Q

What to ask in a MSK history?

A

Where is the pain?
What is the nature of the pain?
Is there any stiffness?
Is there any swelling?
What is the history of these symptoms?
How has this affected function

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6
Q

Associated symptoms with MSK?

A

Rash
Raynaud’s
Mouth ulcers
Sicca symptoms (dry eyes & mouth)
Diarrhoea
Preceding factors
Recent infection

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7
Q

Family history which is associated with MSK issues

A

Thyroid
Vitiligo
Type I diabetes
Pernicious anaemia
RA/ CTD/ MS

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8
Q

Lifestyle factors assosciated with MSK issues

A

Smoking
Occupation
Alcohol

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9
Q

HLA B27 spectrum

A

Psoriasis
Crohns/ Ulcerative colitis
Ankylosing spondylitis
Reactive arthritis/ reiter’s

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10
Q

S + S of RA

A

Symmetrical
Polyarthritis
Deformity
Erosion on X-ray
Ulnar deviation
Swan neck
Boutonniere
Digital vasculitis

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11
Q

What are the spondyloarthropathies?

A

AS
Reactive arthritis
Psoriatic arthritis
Enteropathic arhtritis (Crohns/ UC)

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12
Q

What is AS?

A

Progressive new bone formation/ calcification in spine = severe limitation of movement

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13
Q

What is enthesitis?

A

Inflammation of the heel

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14
Q

Signs of Psoriatic arthritis

A

Nail pitting
Dactylitis

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15
Q

Skin and joint involvement in psoriatic arthritis

A

Scalp
Behind ears
Umbilicus
Nails
Hands & feet

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16
Q

Examples of connective tissue disorders

A

SLE
Scleroderma
Polymyositis, Dermatomyositis

17
Q

Features of Connective tissue disorders

A

Multi-system disorders
(+) ANA
Systemic features

18
Q

Features of SLE

A

Non - erosive arthritis
Butterfly rash
Photosensitivity
Mouth ulcers

19
Q

Examples of Nodal OA hands

A

Bouchard node
Heberden’s node