Pages: 3-4 (Inflammatory Arthritides) Flashcards
What condition is associated with Males ages 15-35 years old and is characteristic of causing LBP with morning stiffness that starts in the SI joints?
Anylosing spondylitis (aka: Marie Strumpell)
What orthopedic exam(s) are used to help diagnosis Anylosing spondylitis (aka: Marie Strumpell)?
- Chest expansion
- Forestier’s bowstring
- Lewin supine
- Amoss sign
What RADIOGRAPHIC signs on xray are seen with Anylosing spondylitis (aka: Marie Strumpell)?
- Shiny corner sign (early)
- Bamboo spine
- Dagger sign
- Trolley track sign
- Poker sign
- Andersson lesion
- bilateral SI joint fusion (ghost joints)
- bilateral marginal syndesmophytes
- squaring of the vertebral bodies
Anylosing spondylitis (aka: Marie Strumpell) is associated with _____?
iritis/anterior uveitis
What FRACTURE is seen with Anylosing spondylitis (aka: Marie Strumpell)?
Carrot stick fracture
What LABS are associated with Anylosing spondylitis (aka: Marie Strumpell)?
+HLA B27 (SERO-)
+ESR (Sedimentation rate)
What condition is identical to Anylosing spondylitis with GI dysfunction?
Enteropathic athropathy
Which inflammatory arthritide cause Diarrhea?
Enteropathic athropathy
What condition is associated with Males ages 20-30+/- years old and is characteristic of causing Urethritis, Conjunctivitis, and Arthritis as well as foot ulcers?
Reactive arthritis (aka: Reiter’s disease)
THINK: “Can’t see, Can’t pee, Can’t dance with me!”
What RADIOGRAPHIC signs on xray are seen with Reactive arthritis (aka: Reiter’s disease)?
- Calcaneal spur
- Fluffy periostitis
- Non-marginal syndesmosphytes in the spine
What LABS are associated with Reactive arthritis (aka: Reiter’s disease)
+HLA B27 (SERO-)
+ESR (Sedimentation rate)
What arthritide is caused by Chlamydia?
Reactive arthritis (aka: Reiter’s disease)
What condition is associated with Males ages 20-50 years old and is characteristic of causing Silver scaly lesions on extensor muscles, Pitted nails, and Cocktail sausage digits?
Psoriatic arthritis
What RADIOGRAPHIC signs on xray are seen with Psoriatic arthritis?
- Ray sign
- Mouse ear deformity
- Gull wing tufts
- Pencil in cup deformity
- Non-marginal syndesmophytes in the spine
- Increase in joint space
- Atlanta-axial instability
What SIGN is associated with Psoriatic arthritis?
Ray sign
Which joints are typically involved with Psoriatic arthritis?
DIP joints
What LABS are associated with Psoriatic arthritis?
+HLA B27 (SERO-)
+ESR (Sedimentation rate)
Which two inflammatory arthritides are associated with atlanta-axial instability?
- ) Rheumatoid arthritis (aka: Still Disease, Uniform Arthritis)
- ) Psoriatic arthritis
What condition is associated with Females ages 40-60 years old and is characteristic of causing Fatigue, Anemia and Chronic joint inflammation, swelling, and stiffness in the MCP and PIP joints of the hand?
Rheumatoid arthritis (aka: Still Disease, Uniform Arthritis)
What RADIOGRAPHIC signs on xray are seen with Rheumatoid arthritis (aka: Still Disease, Uniform Arthritis)?
- Rat bit erosions
- Pannus formation
- Symmetrical distribution
- Bilateral uniform loss of joint space
- Localized periarticular osteoporosis
What JOINTS are spared in patients with Rheumatoid arthritis (aka: Still Disease, Uniform Arthritis)?
DIP joints
What orthopedic exam(s) are used to help diagnosis Rheumatoid arthritis (aka: Still Disease, Uniform Arthritis)?
Bracelet test
What are some visual characteristics of Rheumatoid arthritis (aka: Still Disease, Uniform Arthritis)?
- Haygarth’s (MCP) nodes
- Swan neck deformity
- Boutonniere deformity
- Lanois deformity (ulnar or fibular deviation)
When Rheumatoid arthritis (aka: Still Disease, Uniform Arthritis) is presenting with Dry eyes and mouth, it is called?
Sjogren’s syndrome
Which inflammatory arthritide is associated with a Baker’s cyst?
Rheumatoid arthritis (aka: Still Disease, Uniform Arthritis)
Baker’s cyst: benign swelling of the semi membranous bursa behind the knee
What LABS are associated with Rheumatoid arthritis (aka: Still Disease, Uniform Arthritis)?
+RA latex
+FANA
+ESR (Sedimentation rate)
+CRP
What type of anemia is associated with Rheumatoid arthritis (aka: Still Disease, Uniform Arthritis)?
Normocytic normochromic anemia
What condition is associated with Females and is characteristic of causing Oral ulcers, Discoid lesions, Alopecia, Raynaud’s phenomenon, and Malar/Butterfly rash?
Systemic lupus erythematosus
What LABS are associated with Systemic lupus erythematosus?
\+RA latex \+FANA \+ESR (Sedimentation rate) \+LE Prep Leukopenia Thrombocytopenia
What condition can cause ulnar deviation of the phalanges with no joint destruction and is seen with a Positive rebound effect?
Systemic lupus erythematosus
What condition is associated with Females ages 30-50 years old and is characteristic of causing Erosions of the distal tufts of the phalanges, Acro-osteolysis, Tight skin, Raynaud’s phenomenon and Pulmonary fibrosis?
Scleroderma (aka: Progressive systemic sclerosis)
What are the most common signs/symptoms in a patient who has Scleroderma (aka: Progressive systemic sclerosis)?
C = Calcinosis cutis (calcium deposits form in the skin) R = Raynaud's phenomenon E = Esophageal dysfunction S = Sclerodactyly (localized thickening and tightness of the skin) T = Telangiectasis (dilation of the capillaries, which causes them to appear as small red or purple clusters)
What LABS are associated with Scleroderma (aka: Progressive systemic sclerosis)?
+RA Latex (30%)
+FANA
What condition is associated with Females ages 20-40 years old who are Multiparous and is characteristic of bilateral/symmetric triangular sclerotic areas on the lower half of the ilium that cause no changes in joint space?
Osteitis Condensans Ilia (aka: Osteitis triangularis)
What is the case management for Osteitis Condensans Ilia (aka: Osteitis triangularis)?
- Self resolving; no labs needed
- Trochanteric belt for stability
