Overview Flashcards
1
Q
What is important to distinguish about a joint arthropathy
A
Whether is it inflammatory or non-inflammatory
2
Q
What to assess in rhem problem
A
Acute vs chronic Articular vs extra-articular Inflammatory vs no-inflammatory Mono vs poly Arthritis vs multi system disease Arthritis vs chronic pain
3
Q
Hx of rheum
A
Onset Progression of pain Pain and swelling Stiffness >30 min Preceding illnesses Associated symptoms FHx Previous tx and the response to that tx
4
Q
Sign of inflammation
A
Rubor Calor Dolor Tumour Function dec Stiffness >30 min
5
Q
Diff diag for mono arthritis
A
Acute Septic arthritis - infection common staph a Crystal arthropathies - gout - chondrocalcinosis Immune mediated - reactive Chronic - OA
6
Q
Diff diag polyarthristis
A
Acute - viral - parvovirus, rubella/ bacteria RA Reactive SLE Vasculitis Chronic - RA Spondyloarthropathy - psoriatic, Ank Spond,enteropathic Connective tissue - SLE, Sjorgens, Dermatomyositis Poly OA
7
Q
Ix general
A
Haem - FBC, CRP, ESR Biochem - U&E, creatinine, LFT Immuno - RF, Anti-CCP, ANA, ANCA Micro - cultures Synovial fluid - gram stain and culture Radio - X-ray joint and the chest Urine dip - extra art features -kidney, affects of drugs or the condition
8
Q
General mx
A
Con - education, physio, OT, exercise, weightloss
Med- analgesics, anti-inflam, DMARD, biological
Steroid PO, IM, IV, intra articular
Surg - replacement of the drug
