Rheumatological Disorders

Question 1

clinical presentation of myalgia

Answer 1

initial tissue damage leads to tissue sensitivity on a local level, sustained contraction results in progressive failure of relaxation and eventual contracture of tissue; dull achy pain varying in intensity, also varies based on mechanical stress

Question 2

ankylosing spondylitis

Answer 2

inflammatory disorder of the axial skeleton in formation of new bone at the attachment of ligaments and tendons

Question 3

other parts of the body ankylosing spondylitis affects

Answer 3

iritis, heart complications, ligament/tendon pain

Question 4

clinical presentation of ankylosing spondylitis

Answer 4

young male who experiences intermittent low back pain and stiffness which is most apparent in the morning

Question 5

reactive arthritis (Reiter’s Syndrome)

Answer 5

triad of urethritis, conjunctivitis, and arthritis
“cant see, cant pee, cant dance with me”

Question 6

clinical presentation of reactive arthritis

Answer 6

generally a young male who develops a urethritis and a mild conjunctival reaction followed by lower extremity pain syndromes

Question 7

clinical presentation of psoriatic arthritis

Answer 7

distal interphalangeal joint and pitting nails, may also have SI joint involvement

Question 8

enteropathic arthritis

Answer 8

arthritic symptoms develop in patients who have ulcerative colitis and//or Crohn’s disease

Question 9

clinical presentation of enteropathic arthritis

Answer 9

early symptoms of ulcerative colitis and crohns disease are frequent bowel movements with blood or mucus; abdominal pain, weight loss, changes in bowel habits, SI joint pain, morning stiffness

Question 10

clinical presentation of rheumatoid arthritis

Answer 10

significant hand and forearm complaints as well as involvement of the lower extremity, most commonly affects cervical region; stiffness, tenderness, pain with motion, swelling, and soft tissue nodules

Question 11

stage 1 x-ray finding of RA

Answer 11

no destructive changes, possible osteoporosis

Question 12

stage 2 x-ray findings of RA

Answer 12

periarticular osteoporosis, subchondral bone destruction, cartilage destruction, limited joint mobility, no deformities, adjavcent muscle atrophy, extra-articular soft tissue lesions

Question 13

stage 3 x-ray findings for RA

Answer 13

cartilage and bone destruction, periarticular osteoporosis, joint deformity, fibrous or bony anklyosis, muscle atrophy, soft tissue lesions

Question 14

stage 4 x-ray findings of RA

Answer 14

fibrous or bony ankylosis, all criteria of stage 3

Question 15

clinical presentations of osteitis condensans ilii

Answer 15

dull low back pain localized to one side, may have sclerosis of the iliac bone

Question 16

clinical presentation of osteitis pubis

Answer 16

pain at the pubic symphysis with occasional radiation of pain into the thigh; may have clicking or popping when rising from a seated position, turning over in bed, or walking on uneven ground

Question 17

clinical presentation of diffuse idiopathic skeletal hyperostosis (DISH)

Answer 17

spinal stiffness of long standing duration starting in middle age