Rheumatology Flashcards
Give four extra-articular features of rheumatoid arthritis
- Scleritis
- Episcleritis
- Carpal tunnel syndrome
- Raynaud’s phenomenon
What is Felty’s syndrome?
- Complication of RA
- Triad of RA, low WCC and splenomegaly
Give three triggers for an attack of gout
- Trauma
- Dehydration
- Alcohol excess
Which investigation is diagnostic in gout/pseudogout?
Polarised light microscopy of synovial fluid
Which three joints are most commonly affected by pseudogout?
- Knee (most common)
- Hip
- Wrist
Which other conditions are associated with pseudogout? Give three examples
- Haemochromatosis
- Hypothyroidism
- Hyperparathyroidism
What are the textbook cutaneous features of SLE?
- Malar rash
- Discoid rash
- Photosensitive rash
What are the features of anti-phospholipid syndrome?
How is this condition managed?
Features: CLOT
- Coagulation defects
- Livedo reticularis
- Obstetric problems (recurrent miscarriage)
- Thrombocytopenia
Management:
- Antiplatelets, e.g. aspirin, clopidogrel
- Anticoagulants, e.g. heparin, warfarin
Give three extra-articular features associated with ankylosing spondylitis
- Anterior uveitis
- Pulmonary fibrosis (commonly apical)
- Aortic regurgitation (early diastolic murmur)
Give three radiological signs of ankylosing spondylitis on XR
- Sacroiliitis
- Squaring of the lumbar vertebrae
- Bamboo spine
Give four subtypes of psoriasis
- Chronic plaque
- Guttate
- Flexural
- Pustular
What is the name of the complication of psoriatic arthritis which causes ‘telescoping’ of the joints in the hands?
Arthritis mutilans
Give four causes of reactive arthritis
- Chlamydia
- Campylobacter
- Shigella
- Salmonella
Reiter’s syndrome consists of a triad of…
- Conjunctivitis
- Urethritis
- Arthritis
Small vessel vasculitis can be further classified as ANCA positive and ANCA negative. Give two examples of each
ANCA positive:
- Churg-Strauss syndrome
- Wegener’s granulomatosis with polyangiitis
ANCA negative:
- Henoch-Schonlein purpura
- Goodpasture’s syndrome
