Polyarthritis Flashcards
examples of polyarthrtitis
RA
PsA (psoriatic arthritis)
Lupus
enthesitis
inflammation of where the ligament/tendon attaches to the bone
in conjunction with spondylathropathy and spondylitis
(dactylitis= sausage fingers/toes)
bursitis
elbows or lateral hips
polymyalgia rheumatica
difficulties with diagnosis
aches/pain/tierdness
osteoarthritis common confounder
inflammatory in older people <60
upper and lower limb grille stiffness (shoulder and pelvic girdle)
functional difficulty (rolling over in bed)
CRP raised
prednisone 15mg trial
ask for advice
differentials- rotator cuff tendiopathy, osteoarthritis, trochanteric bursitis
psoriatic arthrits
oligoarthritis assymetircal (RA is usually symmetrical- not EXACT same joints but the same groups)
usually have psoriasis
extra articular features
tendinoapthies? (Golfer selbow, eye inflammation, IBS)
urgent referral criteria
> 6 weeks painful, stiff, swollen inflammatory arthritis
standard management for inflammatory rheumatic disease
- rescue: analgesia (NSAIDs, steroids)
- long term: conventional DMARD, biological DMARD
- monitor: infusions past 6 months.
terminology: mono oligo poly SpA
mono: (crysal)
oligo: psoriatic
poly: RA
SpA: spondyloarthropathy
rheumatology systemic enquiry
RA: raynauds, inflammatory eye disease, vasculitis rash
lupus:
raynards, motuh ulcers, clump alopecia, obstetric catastrophe, venothromboembolic disease
psoriatic arthritis: psoriasi, inflammatory eye disease, dactylics, plantar fasciitis, inflammatory spine, buttock symptoms, fox, colitis
anatomy of the finger
bone
cartilage
capsule / ligaments
synovium
how to manage rheumatic disease?
drugs: analgesic, NSAIDs, glucocorticoid, cDMARD
MDT: specialist nurse, OT physio, podiatry, orthotics, GP, rheumatologist, orthopaedics
self management
support groups
NRAS, lupus UK, versus arthritis
psoriatic VS RA
asymmetric oligoarthritis
episodic
psoriasis
extra-articular features
