Reactive Arthritis Flashcards

1
Q

What else it this known as?

A

Reiter’s syndrome

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2
Q

What does it usually present after? - 2

A

1-4 wks after bacterial gastroenteritis/STI (chlamydia)

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3
Q

Symptoms:

What is the triad of symptoms?

Where do they get joint pain?

What may they get in their mouths?

A

Conjunctivitis
Urethritis
Arthritis

Can’t see, can’t pee, can’t climb a tree

Low limbs
Lower back pain
Enthesitis

Mouth ulcers

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4
Q

Signs:

They may have circinate balanitis. What is it?

Keratoderma blennorrhagica. What is it? Where does it happen?

A

Painless penile ulcers due to STIs

Brown plaques on soles and palms

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5
Q

Investigations:

Bloods:

  • What 2 tests should be requested
  • What can be tested for specifically which can help support a diagnosis of AS?

How do you look for recent infection? - 3

What is seen on XR?

A

ESR/CRP

HLA B27

Swabs
Stool cultures
Serology

Enthesitis
Sacroiliitis

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6
Q

Management:

Manage as always with stepwise pain control.

Treat cause!

How long does it take for most to resolve?

A

By 6 months

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