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Rheumatology > Pattern Recognition in Rheumatology > Flashcards

Pattern Recognition in Rheumatology Flashcards

1
Q

Oligoartritis

A

2-4 joints affected

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2
Q

Insidious

A

Slow onset ,didn’t even realize

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3
Q

Describe hand joints

A
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4
Q

Summary slide

A
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5
Q

Diff for monoartritis (red hot joint)

A
  1. Septic Arthritis
  2. Crystal arthropathy (gout)
  3. Trauma
  4. Haemarthrosis
  5. polyarticular diseases
    occasionally, present as monoarthritis
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6
Q

Gout 4 stages

A
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7
Q

Mimics of monoarthritis

A

Cellulitis
Bursitis
Tendinitis

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8
Q

Useful investigation for monoarthritis

A

Aspirate the joint

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9
Q

Diff for polyarhritis

A
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10
Q

EMS

A

Early morning stiffness, due to inflammation

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11
Q

Osteoarthritis vs RA

A
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12
Q

Summary of workup

A
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13
Q

Important not to miss when someone comes in with back pain:

A

• Inflammatory back problems (Spondyloarthropathies)
• Malignancy (mets/primary bone tumours, myeloma)
• Osteoporotic fracture
• Infection (TB, paraspinal abscess, Brucellosis)
• Widespread pain syndrome (FMS)
• Acute lymphadenopathy
• Thyroiditis
• Meningitis/septicaemia
• ABD problem: AAA, ca pancreas, nephrolithiasis, endometriosis
• Pagets

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14
Q

Spondyloarthropathies signs

A

• Insidiuos onset
• Pain not releived by rest
• Age <40yrs
• Improves with Exercise
• Nocturnal discomfort, NSAID response very good response

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15
Q

Backache red flags

A
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16
Q

Investigations for back pain

A

• FBC, CRP, ESR
• If suspecting underlying Ca or metabolic bone
disease:
– Ca2+
– Alk Phos
• Urinalysis
• Imaging
– Not needed in non-specific acute back pain
• Psychosocial issues (yellow flags)

17
Q
A

Ankylosing spondylitis

18
Q

Pain management for back pain

A

– Paracetemol Tramadol Trypiline
– (NSAIDS) – don’t usually work well for mech LBP
– Antidepressants Ice, heat Physiotherapy

19
Q
A

Rheumatoid arthritis

20
Q
A

Psoriatic arthrit

21
Q
A

Psoriatic arthrit

22
Q
A

Osteoarthritis

23
Q
A

SLE

24
Q
A

Gout

Rheumatology (3 decks)

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