Rheuma Flashcards
Gene associated with Rheumatoid Arthritis
HLA DR4
Earliest sign in Rheumatoid Arthritis
microvascular damages
Proliferation of WBCs causing irrevesible deformity
pannus formation
Hallmark of RA
morning stiffness of at least an hour
Swan Neck - Lateral slip or Central slip?
lateral
Boutonniere Deformity - Lateral slip or Central slip?
central
Rupture of extensor tendons of 4th and 5th digits
Vaughn Jackson Deformity
Rupture of the FPL
Mannerfelt
Rupture of the distal RU ligament
Piano key sign
Swelling at the popliteal area which could lead to impingement of posterior tibial nerve causing tarsal tunnel syndrome
Baker’s Cyst
Acetabulum becomes deeper which may cause fusion later on
Protrusio Acetabuli
MC cause of mortality in RA (extra-articular affectation)
heart affectation (pericarditis)
Presence of nodules in lungs in RA
Caplan’s syndrome
Felty’s Syndrome
SLLAANT Splenomegaly Lymphadenopathy Leukopenia Anemia Arthritis Neutropenia Thrombocytopenia
Sjogren’s Syndrome
XXA
Xeropthalmia (dryness of eyes)
Xerostomia (dryness of mouth)
Arthritis
Painful sexual intercourse
dyspareunia
Polymyalgia Rheumatica (PMR)
SECRET Stiffness Elderly Caucasian Rheumatism ESR elevation Temporal Arteritis (Giant Cell Arteritis)
Average years of PMR
5 years (may have complete remission)
Juvenile Idiopathic Arthritis
Pauciarticular - joints involved
KAWT Knee Ankle Wrist TMJ
Systemic Lupus Erythematosus
DOPAMIN RASH Discoid Rash/Ulcer Oral Ulcer Photosensitivity ANA Malar Rash/Butterfly Rash Immunologic Disease (Infection) Neurologic Disease
Renal Disease (Lupus Nephritis)
Arthritis
Serositis
Hematologic Disease (Felty’s)
Raynaud’s Phenomenon
Pallor>Cyanosis>Rubor
Limited Scleroderma
CREST Calcinosis Raynaud's Esophageal dysmotility Sclerodactyly Telangiectasia
Major criteria for Scleroderma
Scleroderma proximal to MCP/MTP joints, neck, trunk, or face
MC cause of mortality in Scleroderma (extra-articular affectation)
lung affectation (Restrictive Lung Disease)
Characteristic Rash
Heliotrope rash V-sign rash Shawl sign Mechanic's hand Gottron's papule
Different types of Spondyloarthropathies
PARI Psoriatic Arthritis Ankylosing Spondylitis Reactive Arthritis (Reiter's Disease) Inflammatory Bowel Disorder
Gene associated with Spondyloarthropathies
HLA B27
MC extra-articular affectation in AS
Eyes: Anterior UveitiS
Reactive Arthritis
CUKAC Conjunctivitis Urethritis Keratoderma Blennorhagium Arthritis Circinate Balanitis
Spondyloarthropathy mostly associated with HLA B27
Ankylosing Spondylitis
OA affectation in DIP
Heberden’s
OA affectation in PIP
Bouchards
Most disabling complication in OA of hands
LOM at CMC - squaring of joint
What position would you place the LE in Malum Coxae Senilis for pain relief?
ER
Hallmark of OA
joint space narrowing
Tender points in Fibromyalagia (18)
Occiput Traps Supraspinatus Gluteals 2nd rib Lower cervicals Lateral epicondyle Greater Trochanter Medial fat pad of knee
