Rheumatology exam Flashcards
1
Q
X-ray changes in ankylosing spondylitis
A
Sacro-iliac joints- cortical outline lost, juxta-articular osteosclerosis, erosions, joint ankylosis
Lumbar spine- loss of lumbar lordosis, squaring of vertebrae, syndesmophytes, bamboo spine, apophyseal joint fusion
2
Q
Findings in gout
A
Asymmetric polyarticular disease DIP involvement Tophi- ears, elbows, feet Red hot swollen joints XR- juxta-articular erosions, overhanging edges, punched out lesion
3
Q
Findings in psoriatic arthritis
A
Symmetrical deforming arthritis DIP involvement Dactylitis Arthritis mutilans Nails- pitting, ridging, onycholysis, hyperkeratosis Psoriatic rash Enthesitis Uveitis XR- intra-articular erosions
4
Q
Findings in RA
A
Symmetrical deforming arthritis DIP sparing Nodules Non-reversible deformities- ulnar deviation, swan-neck, Boutonniere, Z-thumb, subluxation at wrist and MCPs Wasting in hand Pathological Raynaud's Finger tip ulcers + pulp atrophy XR- periarticular erosions, soft tissue swelling, joint space narrowing, juxta-articular osteopenia
5
Q
Findings in OA
A
Involves DIP
Nodes- Heberden’s, Bouchard’s
Squaring of thumb, collapse of 1st MCP
6
Q
Findings in SLE
A
Symmetrical deformities that is correctable and non-erosive Nailfold changes Rashes- malar, chillblains, discoid Alopecia Painless mouth ulcers
7
Q
Findings in scleroderma
A
CREST- calcinosis, Raynaud's, esophageal dysmotility, sclerodactyly, telangiectasia Tendon friction rubs Ulcers in MCPs, PIPs, finger tips Pulmonary HTN ILD
