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Diagnostic Imaging I Exam Two > Other Inflammatory Joint Diseases > Flashcards

Other Inflammatory Joint Diseases Flashcards

1
Q

Jaccoud’s arthropathy follows what previous condition?

A

Rheumatic fever

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2
Q

What are the clinical presentations of Jaccoud’s arthropathy?

A

Non-erosive, reversible joint deformity with ulnar and fibular deviations

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3
Q

What GI issue is seen with Scleroderma patients due to a dilated esophagus?

A

Dysphagia and heartburn (90%)

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4
Q

What lung issue is seen in 100% of Scleroderma patients?

A

Fibrosis (only 25% will have symptoms)

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5
Q

What features make up the CREST syndrome seen with Scleroderma?

A 
Calcinoshs
Raynaud's phenomenon
Esophageal dysmotility
Sclerodactyly
Telangiectasia
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6
Q

What population is likely to develop scleroderma?

A

Females ages 30-50

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7
Q

What lab results are associated with scleroderma?

A

Elevated ESR, +ANA, RF

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8
Q

What conditions are known as the Rheumatoid types (seropositive)?

A

RA, SLE, scleroderma, Jaccouds

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9
Q

Which conditions are known as the Rheumatoid variants (seronegative)?

A

AS, Reiter’s, psoriatic, enteropathic

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10
Q

What are the radiographic features associated with scleroderma?

A

1 distal tapering of soft tissues
2 subcutaneous soft tissue calcification
3 flexion contractures

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11
Q

What is the term for the terminal turf bony erosions associated with scleroderma and various other disease or possibly burns?

A

Acro-osteolysis

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12
Q

Instead of being positive for RF, what are the seronegative conditions positive for?

A

HLA-B27

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13
Q

Which conditions are HLA-B27+?

A

AS, psoriatic, reactive, and enteropathic

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14
Q

Ankylosing spondylitis primarily involves what general area of the skeleton?

A

Axial (SI and spine)

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15
Q

What is another name for AS?

A

Marie Strumpell’s Disease or Rhizomelic spondylitis

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16
Q

50% of AS patients will have what disease especially of the hips and shoulders?

A

Peripheral disease

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17
Q

What is the most common seronegative condition?

A

AS

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18
Q

What is the gender bias for AS?

A

Males

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19
Q

What is the #1 area for AS to target?

A

SI joints (bilateral symmetric involvement)

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20
Q

If a calcaneal spur is seen upon X-ray, what is the first condition that should be suspected? Second?

A 
#1 = DJD
#2 = AS
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21
Q

Which arthropathies are uniquely more common in men?

A

Reactive and AS

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22
Q

What is the usual age range for AS?

A

15-35

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23
Q

What are the lab results for AS?

A

HLA-B27+, +ESR (-RF and -ANA)

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24
Q

What are the common joint changes seen with AS?

A

Loss of subchondral definition, erosions and joint widening, fusion (50%)

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25
Q

What area of the SI joint specifically is targeted by AS?

A

Lower 2/3 due to synovial nature

26
Q

What is the condition involving bilateral symmetric triangular sclerosis on X-ray near the bottom of the SI joints but only on the iliac side?

A

Osteitis Condensans Ilii

27
Q

What causes the sclerosis seen with osteitis condensans ilii?

A

Mechanical stress across the SI joint

28
Q

What population is more likely to have osteitis condensans ilii?

A

Multiparous females

29
Q

What is unique about the patient presentation of osteitis condensans ilii?

A

No SI problems or symptoms!

30
Q

Which sign of AS appears on X-ray as reactive sclerosis?

A

Shiny corner sign

31
Q

Which sign of AS appears on X-ray as loss of anterior concavity of vertebral bodies?

A

Vertebrae squaring

32
Q

Which sign of AS appears on X-ray as interspinous ligament ossification?

A

Dagger sign

33
Q

Which sign of AS appears on X-ray as endplate destruction?

A

“Anderson lesion”

34
Q

Which sign of AS appears on X-ray as a spinal fracture?

A

Carrot stick fracture

35
Q

Which sign of AS appears on X-ray as thin syndesmophytes?

A

Bamboo spine

36
Q

What is the “trolley track sign” indicative of?

A

AS: z joint capsular ossification

37
Q

What is the MAJOR feature of AS of the spine on Xray?

A

Syndesmophytes

38
Q

A fluffy enthesis can be seen with which condition?

A

AS

39
Q

Enteropathic arthritis is radiographically similar to what other condition?

A

AS

40
Q

Enteropathic arthritis is usually accompanied by which GI issues?

A

Ulcerative colitis and Crohn’s

41
Q

What is the gender bias with enteropathic arthritis?

A

Isn’t one

42
Q

How common is psoriatic arthritis?

A

5-7% of psoriatic patients

43
Q

What population is likely to get psoriatic arthritis?

A

30-50 year olds (no gender bias)

44
Q

What areas of the body are targeted by psoriatic arthritis?

A

HANDS*, feet, and axial skeleton

45
Q

The immune reaction with psoriatic arthritis is similar to what other condition?

A

RA

46
Q

Which joints are more commonly affected by psoriatic arthritis?

A

DIPS (like DJD)

47
Q

What is the term for the central erosions of the phalanges commonly seen with PA?

A

Pencil-and-cup

48
Q

“Cocktail sausage digit” is associated with which arthropathy?

A

PA

49
Q

What is the difference between the syndesmophytes with PA and AS?

A

PA: thick, non marginal, random
AS: thin, marginal

50
Q

Mouse ears periostitis is associated with what condition?

A

Psoriatic arthritis

51
Q

What is the unique distribution of PA?

A

“Ray pattern” - more prominent along one digit than across joint type

52
Q

What are the two conditions with periosteal reactions?

A

PS and JRA

53
Q

Which is more symmetrical: AS or PA?

A

AS

54
Q

What is the most likely cause of unilateral sacroilitis with lab results that are negative for HLA-B27?

A

Infection

55
Q

What is the number one way in which reactive arthritis is different than PA?

A

Reactive loves feet; PA loves hands

56
Q

What causes Reiter’s?

A

Previous infection in the body (GI or urinary or STD)

57
Q

What is the triad associated with reactive arthritis?

A

Urethritis, conjunctivitis, and arthritis

58
Q

What population is more likely to get reactive arthritis?

A

Males ages 25-35

59
Q

What part of the body is targeted the most with reactive arthritis?

A

Knees, ankles, feet (lower extremities)

60
Q

Keratoderma blennorrhagica is associated with which condition?

A

Reiter’s

Diagnostic Imaging I Exam Two (7 decks)

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