Rheum Flashcards
Common extra spinal findings in ankylosing spondylitis
Enthesitis
Inflammation and pain at sites of tendon and ligament attachment
What test can confirm CTS?
Nerve conduction studies
Pt has dry eye but negative ANA
Age related sicca
d/t age related exocrine gland atrophy
adult with new onset symmetric, small joint arthralgias, mild joint swelling x 1 wk. Works at a day care
Viral arthritis
d/t parvo B19
What other chronic dz is associated with dermatomositis?
Malignancy
15% of dermatomyositis pts
Diclofenac is a?
NSAID
Young adult
recurrent oral/genital ulcers
Skin, ocular involvement common
Behcet syndrome multisystem inflammatory condition Asian descent Thrombosis main cause of morbidity clinical dx
Initial step for dx of sciatica?
Trial of NSAIDs
Young adult
anterior knee pain
Worse with climbing stairs
Patellofemoral syndrome
dx - extension of the knee while compressing the patella
tx - stretch, strengthen the thigh muscle and avoid activities that worsen the pain
Tx for polymalgia rheumatica
Low dose prednisone
pt >50, pain and stiffness in the neck, shoulders, pelvic girdle, elevated ESR
Guy gets seronegative arthritis after tx for G/C.
Reactive arthritis
Tx - NSAIDs
electrolyte changes in paget dz
disorder of bone resorption
CA, Phos - WNL
Alk Phos, urine hydroxyproline - high
you suspect bone malignancy. Order a?
lumbar Xray
When do you start DEXA scans?
> 65, or younger women with an increased risk for osteoporotic fx
Dermatomyositis affects the?
Muscle fibers
Dx with bx
findings - weakness, gottron papules (hands), heliotope rash
Pt <40 y/o with lumbar back pain at night
Improves with rest worse with activity
Dx?
Low back pain d/t inflammatory cause (mechanical)
Inflammation at ligamentous insertions
Which part of the spine is most commonly affected by RA?
cervical
Can cause spinal subluxation and spinal cord compression
Pt on glucocorticoids develops hip pain w/ decreased ROM but NL Xray. Why?
Osteonecrosis
Best seen on MRI
Inflammatory arthritis
Splenomegaly
Neutropenia
Felty syndrome
Polyarthralgia
Tenosynovitis
Vesiculopustular skin lesions
Disseminated gonorrhea
