RA Hands Flashcards

1
Q

OA fingers

A

DIP

PIP

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2
Q

RA fingers

A

PIP

MCP

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3
Q

Psoriasis nails

A

Pitting

Onycholysis

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4
Q

Fixed flexion deformity

A

Scleroderma
Duputyrens
OA

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5
Q

Make fists tighten fingers

A

Triggering- tenosynovitis

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6
Q

RA nodes

A

Spongey

Boggy

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7
Q

OA nodes

A

Boney

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8
Q

Active RA temperature

A
Hot
Red 
Sworn
Tender on palpation
Painful passive F
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9
Q

Hand function

A

Pincer grip
Precision grip
Piano
Pen and name

Button

4P’s + button

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10
Q

UL function

A

Elbow E
Elbow F
Wrist E

Taps
Hands behind head
Slide hands up back

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11
Q

Froments sign

A

HyperF of interphalangeal joint if WEAK AD pollicis

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12
Q

5 different types of anaemia in RA

A
Anaemia of chronic disease- RA 
Fe deficiency anaemia- NSAID PUD
Aplastic anaemia- DMARDS
Macrocytic anemia- MTX
Pernicious anemia- RA
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13
Q

Sjogrens

A
Keratoconjunctivitis sicca
Xerostomia
Parotid enlargement
Primary
Secondary- SLE, RA, scleroderma
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14
Q

General RA

A

Malaise/lethargy
Fever
Weight loss

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15
Q

CV RA

A

Pericarditis

Pericardial effusion

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16
Q

Resp RA

A

Nodules
— Caplan syndrome
Fibrosis
Pleural effusion

17
Q

GU RA

A

Renal amyloidosis

18
Q

NS RA

A

Poly neuropathy
Mononeuritis multiplex
Carpal tunnel
Atlantoaxial joint subluxation

19
Q

Eyes RA

A

Episcleritis
Scleritis
Sjogrens

20
Q

Episcleritis

A

Between conjunctiva and sclera

Mild eye pain and redness

21
Q

Bloods RA

A

Pancytopenia

Felty syndrome

22
Q

XR RA – 5 inside OUT

A
Loss of joint space
Bone erosions 
Peri articular osteoporosis 
Deformities- subluxation 
Soft tissue swelling
23
Q

MTX SE

A
Pneumonitis
Pulmonary fibrosis
Hepatic fibrosis
Oral ulcers 
Megaloblastic anaemia
24
Q

Hydroxychloroquine

A

Retinopathy

25
Q

Sulfasalazine

A

Oligospermia

26
Q

IM Gold

A

Nephrotic syndrome

27
Q

Penicillamine

A

Nephrotic syndrome
Change in taste
MG like syndrome

28
Q

Ciclosporin

A

Renal impairment
HTN
gum hypertrophy

29
Q

Psoriatic arthritis

A

Asymmetric oligoarthritis

  • dactylitis
  • larger joint sometimes
  • lone DIP

Rheumatoid

Arthritis mutilans

Sacroilitis

30
Q

Scleroderma hands

A

Waxy
Cold
Tight
Telangiectasias