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2b > MSK symptoms and signs > Flashcards

MSK symptoms and signs Flashcards

1
Q

Name three examples of autoimmune inflammatory MSK diseases

A

Rheumatoid arthritis
Spondyloarthropathies
Vasculitis

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2
Q

Describe inflammatory conditions

A 
Eases with use
more than 60 mins stiffness
Stiff in the evening
Hot and Red
Young, FHx
Hands and feet
Responds to NSAIDs
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3
Q

What is expected for MSK examinations

A

Arthritis research UK

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4
Q

Describe degenerative conditions

A 
Increases with use
Stiffness <30mins
Older, prior occupation/sport
1st CMCJ, DIPJ, knees
Less convincing response to NSAIDs
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5
Q

Questions to ask in MSK history

A 
Where is the pain?
Nature of it?
Stiffness?
Swelling?
History of symptoms?
Has it affected function?
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6
Q

Where does RA affect

A 
PIPJ
Elbows, shoulders
Knee
DCMCJ
(peripheral)
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7
Q

Where does OA affect

A

Spine
Hips
1st CMCJ, DIPJ, knees
(central)

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8
Q

What three places does psoriatic arthritis affect

A

Enthesitis
Dactylitis
Joints

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9
Q

How would describe the history of RA

A

Once onset it will continue, fluctuate slightly.

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10
Q

What can start RA

A

Sudden stress

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11
Q

Which type of arthritis, can come and go completely

A

Palindromic rheumatoid arthritis

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12
Q

Describe the history of gout

A

Acute phase:
Self limiting, short
Chronic phase:
Constant

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13
Q

what is pondagra

A

Gout of the big toe

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14
Q

When after infection does reactive arthritis occur

A

2-3 weeks

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15
Q

Common associated symptoms with joint pain

A 
Rash (photosensitive)
Raynauds
Mouth ulcers
Sicca symptoms
Diarrhoea
Preceding factors (infection)
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16
Q

What are sicca symptoms

A

Dry eyes and mouth

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17
Q

Which kind of infection most commonly causes arthritis

A

Bowel

STI

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18
Q

Autoimmunity family history diseases

A 
Thryoid
Vitiligo
T1DM
Pernicious anaemia
RA/CTD/MS
19
Q

HLA B27 spectrum family history

A

Psoriasis
Crohns/UC
Ankylosing Spondylitis
Reactive (reiters)

20
Q

Lifestyle factors in genetically susceptible individuals

A

Smoking
Occupation
Alcohol

21
Q

Describe the classic RA presentation and first investigation outcome

A

Symmetrical, deforming polyarthritis

Erosion on XRay

22
Q

Describe the hand signs in RA

A 
Ulnar deviation of fingers
Radial deviation of wrist
Swan neck deformity
Boutonniere deformity
Digital vasculitis
Z thumb
23
Q

Describe the hand signs in OA

A

Heberdens nodes

Bouchards nodes

24
Q

Where are heberdens nodes

A

Distal DIPJ

25
Q

Where are bouchards nodes

A

Proximal DIPJ

26
Q

What are the classic changes in RA

A

Swan neck deformity and boutonniere

27
Q

Name four spondyloarthropathies

A

Ankylosing spondylitis
Reactive arthritis
Psoariatic arthritis
Enteropathic arthritis

28
Q

What is enteropathic arthritis associated with

A

Crohns/UC

29
Q

Why do AnkSpond get inflammatory spinal pain

A

In reaction to previous bony inflammation, new bone forms and calcifies. Causing severe limitation of movement.

30
Q

Where are the two places commonly affected by AnkSpond

A

Sacro-iliitis

Spine

31
Q

Where is often firstly involved in AnkSpond

A

Sacroiliitis

32
Q

Where can be affected by Enthesitis

A

Tennis elbow
Golfers elbow
Anterior knee
Achilles

33
Q

What inflammatory eye disease do spondyloarthropathies

A

Anterior uveitis aka iritis

34
Q

Where is commonly affected by spondyloarthropathies

A

Large joint oligoarthritis

35
Q

Features of psoaritic arthritis of the hand

A

Psoarisis of the nails (nail pitting)
Dactylitis
Inflammation of DIPJ

36
Q

DIPJ arthritis must be

A

OA

Psoriatic

37
Q

Which places of skin are often affected by psoarisis

A 
Scalp
Behind ears
Umbilicus
Nails
Hands and feet
38
Q

Hidden places for psoriasis

A

Natal cleft
Umbilicus
Genitals

39
Q

3 examples of connective tissue disease

A

SLE
Scleroderma
Polymyositis/dermatomyocits

40
Q

Signs of SLE

A

Non erosive arthritis
Butterfly rash
Photosensitivity
Mouth ulcers

41
Q

Describe raynuads

A

Circulatory changes in the fingers, responding to changes in temperature

42
Q

Which phases of raynauds are painful

A

White! and red

43
Q

When does raynuads often start

A

Menarche

44
Q

Who with raynauds has a good prognosis

A

Started at menarche, no ANA

2b (28 decks)

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