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Diagnostic Imaging - Inflammatory & Non-Inflammatory Arthritic > Radiology of Arthritis & Related Conditions > Flashcards

Radiology of Arthritis & Related Conditions Flashcards

1
Q

4 Major Types of Arthritis

A
  1. Non-inflammatory (degenerative)
  2. Inflammatory
  3. Metabolic
  4. Infectious / Septic
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2
Q

4 Types of Degenerative / Non-Inflammatory Arthritis

A
  1. DJD / DDD
  2. DISH
  3. Neurotrophic
  4. SCM (synovial chondrometaplasia)
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3
Q

7 Types of Inflammatory Arthritis

A
  1. Psoriatic
  2. Enteric
  3. AS
  4. Reiters
  5. OCI (osteitis condensens ilii)
  6. OP (osteitis pubis)
  7. RA
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4
Q

3 Types of Metabolic Arthritis

A
  1. Gout
  2. HADD
  3. CPPD
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5
Q

Is the IVD a synovial joint?

A

no, fibrocartilage

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6
Q

Where does degeneration begin in the IVD?

A

AF fibers

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7
Q

Clinical features of DJD

A
  1. Common sites: weight bearing joints and fingers
  2. All lab tests are negative
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8
Q

Radiographic Hallmarks of DJD

A
  1. non-uniform joint space narrowing
  2. osteophytes
  3. sclerosis
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9
Q

A radiographic sign of DDD in the disc itself. Can be a normal variant in synovial joints.

A

Vacuum disc sign (aka = phenomena of Knuttsen)

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10
Q

AKA for kissing spine syndrome

A

Baastrup’s Syndrome (interspinous OA)

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11
Q

An old person’s diseased hip is called ______

A

Malum Coxae Senilis

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12
Q

Latin word for diseased or evil

A

Malum

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13
Q

Radiographic signs of an old person’s diseased hip

A
  1. non-uniform joint space loss
  2. osteophytes
  3. sclerosis
  4. bone cysts
  5. flat femoral head at its superior position
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14
Q

DJD of the knee - MC feature and location

A

Hypertrophy of the tibial spine

Medial knee MC

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15
Q

DJD of Ankle & Tarsal Jts

MC feature

A

Degenerative calcaneal spurs

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16
Q

DJD of foot

MC joint involved

Common features

A

MTP of digit 1 (hallux)

Loss of ROM causes hallux rigidis

DJD causes a bunion and hallux valgus deformity

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17
Q

2 AKAs for DISH

A
  1. Forestier’s disease
  2. hyperostosis ankylosing senilis (He “has” DISH)
18
Q

What does DISH stand for?

A

Diffuse

Idiopathic

Skeletal

Hyperostosis

19
Q

Ligament usually affected by DISH?

A

ALL

20
Q

Clinical features of DISH?

A
  1. Males > females
  2. Age > 50
  3. associated with Diabetes M
  4. No lab findings
21
Q

MC location for DISH?

A

T spine

22
Q

If DISH occurs in C-spine, possible complications?

A
  1. dysphagia
  2. ossification of PLL leading to spinal stenosis = more common in Asians
23
Q

Radiographic Criteria for DISH are:

A
  1. 3 consecutive spinal disc levels (4 vertebral bodies)
  2. Non-marginal spondylophytes
  3. Non-uniform spondylophytes
  4. preservation of disc heights of the bridged sections
  5. No ankylosis
24
Q

A radiographic “sign” of DISH

A

Dripping Candle Wax sign

25
Q

AKA for Neurotrophic Arthropathy

A

Charcot’s joints

26
Q

Disease most commonly associated with Neurotrophic Arthropathy?

A

Diabetes M. (52%) followed by trauma (48%)

27
Q

MC location for neurotrophic arthropathy?

A

feet

28
Q

“Signs” of Neurotrophic Arthropathy

A

Bag of bones

Tumbling block vertebra (lumbar spine)

Licked Candy stick (shoulder, hip, & foot articulated ends)

29
Q

MC location for Charcot’s

A

Lumbar spine (total disorganization)

30
Q

AKA for synovial chondrometaplasia

A

Synovial Osteochondromatosis (joint mice)

31
Q

Name the disease (C-spine)

A

DISH

note OPLL as well as ALL

32
Q

Name the disease

A

Erosive DJD

33
Q

name the disease (L spine)

A

DISH

34
Q

name the disease (C spine)

A

DISH

35
Q

Name the disease (T-spine)

A

DISH

36
Q

Radiographic signs of Psoriatic Arthitis in the spine

A

Syndesmophytes:

1) Assymetric
2) Non-marginal
3) Unilateral
4) Broad-based

Note: exceptions are made for C-spine in 1 & 2 above.

It’s all about the syndesmophytes

37
Q

Malar Erythema from sun exposure

Reversible deformities of fingers and ulna

A

Systemic Lupus Erythematosus

SLE

38
Q

Ulnar deviation of fingers

Fibular deviation of toes

No joint destruction

Joint spaces maintained

reversible deviations

Follows a Strep infection

A

Jaccoud’s Arthritis

39
Q

name the disease of this young boy

A

Scleroderma

distal tufts reabsorbed

“Square-a-derma”

40
Q

name the disease

A

Scleroderma

41
Q

Triad of digital clubbing, systemic arthritis, periostitis PLUS a major visceral disease (usually bronchogenic carcinoma)

A

Hypertrophic Osteo-Arthropathy (HOA)

42
Q

The AKA for Hypertrophic OsteoArthritis (HOA) is:

A

Hypertrophic PULMONARY Osteoarthropathy

Pulmonary because of association to bronchogenic carcinomas

Diagnostic Imaging - Inflammatory & Non-Inflammatory Arthritic (2 decks)

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