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AB 4th Year Rheum + Ortho > Rheumatology - Arthritis > Flashcards

Rheumatology - Arthritis Flashcards

1
Q

risk factors for osteoarthritis?

A 
injury
FHx
age
obesity
physical occupation
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2
Q

features of osteoarthritis?

A 
pain 
- associated with activity
- not swollen/hot
- not worse at night
functional problems
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3
Q

features of osteoarthritis on examination? the hand?

A 
crepitus
bouchards nodes (PIP)
heberdens nodes (DIP)
squaring of CMC joint
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4
Q

what areas of the body does osteoarthritis commonly affect?

A

knee
hip
hand (spares MCP)
spine

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5
Q

XRAY changes of osteoarthritis?

A

L - loss of joint space
O - osteophytes
S - sclerosis
S - subchondral cysts

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6
Q

Tx for osteoarthritis?

A 
physio
wt loss
pain control
steroids
surgery
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7
Q

what is the pain control ladder for osteoarthritis?

A

topical NSAIDs
paracetamol
opioids
duloxetine

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8
Q

features of rheumatoid arthritis?

A 
synovitis
pain 
morning stiffness
tender
warm
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9
Q

where is commonly affected in rheumatoid arthritis?

A 
hands (DIP spared)
swan neck
boutonnier's
ulnar deviation 
knee
shoulder
feet
cervical spine
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10
Q

what other body parts can be affected by rheumatoid arthritis?

A

rheumatoid nodules (extensor surfaces)
pleural effusion
IPF
scleritis

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11
Q

what is the pathology of rheumatoid arthritis?

A

immune response against synovium

inflammatory pannus forms

joint destruction

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12
Q

Ix for rheumatoid arthritis?

A 
ESR, CRP, PV
rheumatoid factor
anti CCP
XRAY
US
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13
Q

XRAY findings for rheumatoid arthritis?

A

peri articular osteopenia
soft tissue swelling
periarticular erosions

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14
Q

Tx for rheumatoid arthritis?

A 
DMARDs 
biologics (high DAS 28 score)
analgesia/NSAIDs
physio
OT
surgery
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15
Q

what DMARDs can be used in rheumatoid arthritis?

A

MTX
leflunomide
hydroxychloroquine
sulfasalazine

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16
Q

what must be given alongside MTX?

A

folic aicd

17
Q

what are those with rheumatoid arthritis at higher risk of?

A

CAD

18
Q

risk factors for ankylosing spondylitis?

A 
male
20-40yrs
HLA B27 
FHx
IBD
19
Q

features of ankylosing spondylitis?

A 
spinal pain and stiffness
worse in morning 
improves on moving 
insidious onset
fatigue
hips/knees can be involved
20
Q

what other areas can be involved in ankylosing spondylitis?

A

anterior uveitis

enthesitis

21
Q

what is found on examination of ankylosing spondylitis?

A

tender SIJ
kyphosis
schober’s test reduced

22
Q

Ix for ankylosing spondylitis?

A

pelvic XRAY
spine XRAY
MRI
HLA B27

23
Q

findings on XRAY for ankylosing spondylitis?

A

bamboo spine
erosions
sclerosis
joint widing of the sacrum

24
Q

Tx for ankylosing spondylitis?

A

physio
NSAIDs/analgesia
anti TNF
DMARDs for peripheral joints (sulfasalazine)

25
Q

what are the seronegative arthritis?

A

ank spon
psoriatic arthritis
reactive
enteropathic

AB 4th Year Rheum + Ortho (17 decks)

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