Respiratory/Rheumatology Flashcards
Causes of clubbing? (8) - go through systems
Resp: ILD, bronchiectasis, lung Ca, mesothelioma, empyema
Cardiac: endocarditis
GI: IBD
Other: thyrotoxicosis
Causes of bronchiectasis?
Congenital: Kartagner’s, CF, Yellow-nail syndrome
Acquired:
- Infection (TB, Pertussis, Measles), ABPA
- Mechanical obstruction (tumour, foreign body)
Causes of Upper lobe pulmonary fibrosis? (6)
SCART:
Sarcoidosis/Silicosis
Coal worker’s pneumonicosis
Ank Spond
RTx
TB
Causes of LL pulmonary fibrosis? (5)
RASID
RA, SLE
Asbestosis
Scleroderma
IPF
Drugs
Key exam findings to suggest in RA? (5)
Symmetrical deforming polyarthropathy sparing DIP
- Swan-neck, Boutoniere’s
- Z-deformities in thummbs
- Subluxations
Active synovitis or not
Functional impairment or not
Rheumatoid nodules (suggest sero-positive disease)
Extra-articular features (e.g. ILD & Felty’s)
Key exam findings in scleroderma patient? (5)
Sclerodactyly + extent
Microstomia
Raynaud’s, Calcinosis, Telangiectasia
Hand function (buttons, keys)
Systemic: ILD + PHTN, PBC** (hepatomegaly)
Urine for Scleroderma Renal Crisus
What would you look for in Psoriatic arthritis patients? (6)
Bilateral, Asymmetric deforming polyarthropathy (mainly involving DIPs)
Nail disease (pitting, ridging, onycholysis)
Active synovitis
Dactylitis
Hand function
Psoriatic plaques
DDx for DIP disease?
SLE
Sero-ve spondyloarthropathies: Psoriatic, Reactive, Enteropathic arthritis
Gout
Scleroderma
What XR changes are you looking for in psoriatic arthritis? (4)
Pencil-in-cup deformity
Periostitis
Marginal erosions
Soft tissue swelling (dactylytis)
XR features of amkylosing spondylitis - lumbar spine? (4)
- Romaniouslesion (shiny corner)
- Squaring of vertebrae
- Syndesmophytes (bony growth originating from inside the ligament)
- Joint fusions (Bamboo)
