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Rheumatology > Psoriatic Arthritis > Flashcards

Psoriatic Arthritis Flashcards

1
Q

Patterns

A

Symmetrical Polyarthritis
Asymetrical Oligoarthritis
Spondylitis

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2
Q

Presentation

A

Peripheral Joint pain/ Stiffness
Involvement of DIPJ
Sparing of MCPJ

Neck Pain/ Stiffness
Back Pain/ Stiffness

Dactylitis
Telescoping of digits

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3
Q

Examination

A

Swollen/ Painfull Joints
Dactyltitis
Nail Pitting
Onchylosis
Scaly Plaques (Extensors)

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4
Q

Investigations

A

Elevated CRP
X- Ray Joint

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5
Q

X- Ray Signs

A

Osteolysis
Dactylitis
Erosions
Pencil - In - Cup deformity (Arthritis Mutilans)

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6
Q

Complications

A

Enthesitis
Anterior Uveitis
Aortic Incompetence
Amyloidosis

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7
Q

Screening

A

Patients with Psoriasis advised to complete PEST tool. If score is high referral made to Rheumatology.

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8
Q

Treatment

A

NSAIDS (Ibuprofen)
DMARDs (Hydroxychloroquine)
Anti TNF a (Etanercept)
IL 17 Inhibitors
IL12, IL23 Inhibitors

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