Rheumatoid Red Flag

Question 1

clinical features of vasculitis?

Answer 1

inflammatory
ischaemic/infarction (from vessel stenosis from inflammation)
blood is fine, just narrowed lumen

Question 2

vasculitis usually happens in one or more organs?

Answer 2

multiple organs

Question 3

what can cause shoulder/hip stiffness from malignancy?

Answer 3

paraneoplastic, polymyalgia rheumatica

Question 4

infectious causes of headache in older people 70+?

Answer 4

TB

cryptococcus

Question 5

when to suspect GCA?

Answer 5

new headache
jaw claudication
low-grade fever
Limb girdle stiffness
anyone with PMR with low dose steroids
-sudden monocular blindness

Question 6

what vessel in danger of occlusion in GCA?

Answer 6

anterior ischaemic optic neuropathy/retinal artery occlusion

Question 7

giant cell arteritis affect full vessel?

Answer 7

Nope: patchy

Question 8

relationship between Polymyalgia and GCA?

Answer 8

PMR noted in >50% of GCA patients

Question 9

haemarthrosis blood looks how?

Answer 9

darker, blood mixed with synovial fluid

Question 10

how does needle injection cause septic arthritis?

Answer 10

someone has bacteraemia, you stick a needle through to the joint and it can bleed into the joint.

Question 11

what bacterias cause monoarthritis?

Answer 11

Staph Au
N Gonno
E.Coli
strep

Question 12

polyarticular arthralagia suggests what infective route?

Answer 12

rubella, parvo, hep B

reactive arthritis

Question 13

reactive arthritis cause?

Answer 13

immune complexes

Question 14

septic arthritis features?

Answer 14

fever
pain
heat
erythema
loss of function
rapid joint destructive

Question 15

pitfalls for septic arthritis dx?

Answer 15

gout and joint sepsis
no fever if immunosuppressed
co-existing endocarditis
history of trauma

Question 16

3 usual features of systemic inflammation?

Answer 16

fatigue (disproportionate)
lethargy
insidious onset

Question 17

older ppl in septic arthritis, what bacteria more likely?

Answer 17

gram -ve

E. coli

Question 18

pathophysiology of a purpuric rash from infection?

Answer 18

immune complex deposition

Question 19

most common vasculitis? cause?

Answer 19

cutaneous
leukocytoplastic vasculitis

OCP, drugs etc.

Question 20

small vessel vasculitis most common presentation?

Answer 20

skin: rash, palpable purpura

Question 21

systemic inflammation, FIRST thought? then if all cleared?

Answer 21

infection, infection, infection

vasculitis usu. dx of exclusion