Rheumatology Hx Flashcards
acute onset of arthritis (overnight to days) =
inflammatory arthritis
eg. crystal, infectious and reactive arthritis
primary OA doesnt involve __/__/_/__/__/__
MCPs wrist elbow shoulders ankles 2-5th MTPs
RA doesn’t involve __ as they don’t have enough synovium
DIPJs
oligoarthritis = __-__ joints affected
2-4
polysrthritis involves __ joints
> 4
RA affects these 7 joints
asym/symmetrical
MCPJ, PIPJ, MTPJ, wrist, elbow, knee, shoulder
symmetrical
psoriatic arthirits affects these 3 joints
asym/symmetrical
PIPJ, DIPJ, large joints
asymmetrical
ank spond affects __ and __ joints
asym/symmetrical
axial
large peripheral
asymmetrical
arthritis that affects DIPJ, PIPJ, base of thumb
OA
palindromic arthritis is likely to be __ in nature
inflammatory
less than 30min morning joint stiffness =
OA
more than 1hr joint stiffness in the morning =
this is because of ___
RA
more viscous synovial fluid and cytokines released at night
arthiritis that is worse on movement and activity gelling
OA
arthiritis better on movement
inflammatory
features of a bacterial infection of a joint
monoarthritis very red and swollen joint fevers and chills diarrhoea/wound/UTI underlying joint abnormality eg. OA, RA, prosthetic
features of viral infection of joints
acute polyarthritis rash (parvo) <6wks hepatitis + HIV + STIs PWIDs tattoos and travel
extra-articular features of RA
rheumatoid nodules sicca Raynauds ocular inflam SOB and dry cough (pulmonary)
malar rash that spares the nasolabile folds and is photosensitive=
SLE
__ arthritis increases the risk of PUD
rheumatoid arthritis
white and cheesy nodules on the pinna of the ear for example =
gouty tophi - deposits of uric acid
inflammation of the 1st MTO joint =
podagra = gout
to differentiate between septic arthritis and gout Ix =
joint aspiration
mouth and genital sores are caused by this small vessel vasculitis
Behcets syndrome
