Overview of Rheu Dis and Approach to Locomotor System Pain Flashcards
What are the three main components of diagnosing rheumatological diseases?
Patient history (80%), physical examination (15%), laboratory tests (5%).
What factors should be evaluated when taking the patient’s history for rheumatological diseases?
Symptoms history, precipitating factors (e.g., drugs, infections), and response to previous treatments.
What are the three patterns of joint involvement?
Episodic, additive, migratory.
What are the three categories of joint distribution?
Monoarticular, oligoarticular, polyarticular.
What is the typical pattern of inflammatory joint pain?
Increased by rest, especially in the morning, and improves with movement.
What are examples of non-inflammatory joint pain?
Pain from mechanical causes like lumbar discopathy or gonarthrosis.
What is the significance of symmetrical vs. asymmetrical joint involvement?
Symmetrical suggests conditions like rheumatoid arthritis, while asymmetrical may indicate spondyloarthropathies.
What conditions can cause monoarthritis?
Septic arthritis, crystal arthritis, trauma, bone cartilage disorders, tumors.
Name two inflammatory causes of monoarthritis.
Infection, rheumatoid arthritis (RA).
What are two non-inflammatory causes of monoarthritis?
Trauma (e.g., hemarthrosis) and osteoarthritis.
What is the difference between acute and chronic polyarthritis?
Acute is often caused by infection (viral, bacterial), while chronic is due to connective tissue diseases (e.g., RA, SLE).
Which skin condition is associated with psoriatic arthritis (PsA)?
Psoriasis.
What percentage of psoriatic arthritis patients develop arthritis before skin symptoms?
0.15
What is the significance of erythema nodosum in rheumatology?
It may indicate Behçet’s disease, sarcoidosis, or inflammatory bowel diseases.
What is the classic sequence of Raynaud’s phenomenon?
Pallor (paleness), cyanosis (bruising), and rubor (redness).
What conditions are associated with Raynaud’s phenomenon?
Systemic rheumatic diseases, trauma, drugs, occlusive vascular diseases.
What are common ocular involvements in rheumatic diseases?
Scleritis, uveitis, episcleritis, and optic neuritis.
What rheumatologic conditions can cause chronic back pain?
Spondyloarthropathies and inflammatory diseases.
What percentage of ulcerative colitis and Crohn’s patients develop arthritis?
15% and 10-20%, respectively.
Which disease associated with mouth ulcers has a prevalence of 8-37 per 10000 people?
Behçet’s disease
What conditions should be considered when evaluating abdominal pain in rheumatology?
Inflammatory bowel disease and Familial Mediterranean Fever (FMF).
What is the diagnostic importance of photosensitivity in rheumatology?
It is a hallmark of systemic lupus erythematosus (SLE).
What are common causes of non-inflammatory polyarthritis?
Osteoarthritis and metabolic diseases.
