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ortho/rheumatology > other arthritis, reiters > Flashcards

other arthritis, reiters Flashcards

1
Q

assymetric oligoarthritis, tenosynvitis, skin rash

A

gonorrhea

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2
Q

common pathogen and joint for septic arthritis

A

staph aureus and knee

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3
Q

pathogen in sexually active people and septic arthritis

A

gonorrhea

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4
Q

labs and xray in septic arthritis

A

40% positive blood culture. xray shows soft tissue swelling

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5
Q

sausage finger appearance

A

arthritis and tenosynovitis of the flexor tendon. psoriatic arthritis

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6
Q

sx of psoriatic arthritis

A

mild course. symmetric arthritis resembles RA of hands and feets. pitting of nails and onycholysis

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7
Q

“pencil in cup” on xray

A

deformities of proximal phalanx in psoriatic arthritis

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8
Q

labs in psoriatic arthritis

A

elevated ESR, normocytic normochromic anemia, hyperuricemia, RF nml.

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9
Q

tx of psoriatic arthritis

A

NSAID, methotrexate.

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10
Q

what to avoid giving in psoriatic arthritis

A

corticosteroids and anitmalarials

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11
Q

reiter syndrome tetrad(reactive arthritis)

A

urethritis, oligoarthritis, conjunctivitis, mucosal ulcers

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12
Q

leading cause of nontraumatic monoarthritis

A

reiters syndrome

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13
Q

reiters syndrome from what

A

sexually transmitted disease, chylamydia or gastroenteritis

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14
Q

reiters syndrome involves what joints

A

asymmetrical arthritis below the knee

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15
Q

labs/CXR for reiters syndrome

A

HLA-B27 positive 80% of pts. synovial fluid neg, xray shows permanent and progressive joint disease

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16
Q

tx of reiters

A

NSAIDS and P.T. antibx for sx

17
Q

leading cause of nontraumatic monoarthritis

A

reiters syndrome

18
Q

acute monoarticular arthritis

A

gout

19
Q

gout definition

A

systemic disease of altered purine metabolism and subsequent sodium urate crystal precipitation into synovial fluid

20
Q

gout population

A

men 9:1 until menopause

21
Q

podagra

A

great toe gout attack (70% of cases)

22
Q

joint fluid analysis of gout

A

negative bifringment urate crystals. serum uric acid level >8mg/dL

23
Q

medication tx of gout

A

indomethacin 25-50mg TID. also injections and oral prednisone.

24
Q

colchine vs allopurinol

A

Colchicine is used only during acute gout attacks. Allopurinol disrupts uric acid production and its effect on bone-marrow is minimal. Colchicine has worse side-effects when compared to Allopurinol!!

25
Q

pseudogout is what

A

calcium pyrophosphate dehydrate

26
Q

pseudogout affects what joints

A

knee, wrist, and elbw

27
Q

labs/xray in pseudogout

A

rhomboid shaped calcium pyrophospate crystals, pos bifringent. xray shows chondrocalcinosis

28
Q

pseudogout tx

A

NSAIDs, colchicine, steroid injections

29
Q

BINGE DRINKING, male, obese, postmenopausal women

A

risk factors for gout

30
Q

gout spares what joints

A

hips and shoulders

31
Q

what can decreasse the incidence of acute urate nephropathy

A

allopurinol

32
Q

2 colchicine SE

A

diarrhea and bone marrow suppression(neutopenia)

33
Q

xrays show erosions, rat bite

A

gout

34
Q

This is a cross reactive autoimmune response. The immune system responds to an infection and then continues the fight after the infection is cleared.

Typically begins with a __or ___infection. Most commonly what organism?

Typically affects ages ___

gender?

A

reiters syndrome

Typically begins with a GI or GU infection. Most commonly Chlamydia

Typically affects ages 20-40

Men more frequently than women

35
Q

reiters

Culture what

Rheumatoid factor will be ___

Elevated ___

75% of patients will have ___

A

Culture the urethra/cervix

Rheumatoid factor will be negative

Elevated C-reactive protein

75% of patients will have HLA-B27 (?)

ortho/rheumatology (13 decks)

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