Rheumotology Flashcards
Gout - polarized light microscopy findings
-ve birefringence
Needle shape
Pseudogout - polarized light microscopy findings
+ve birefringence
Rhomboid shape
Which joints are effected first in ankylosing spondylitis?
Sacroilliac joints
Which antibodies would you use in conjunction with RF?
Anti-CCP antibodies
First step in managing an acutely hot painful swollen joint?
Aspirate the joint
Yellow flags for chronic pain?
Depression Time off work Extended rest Passive treatment favoured Negative attitude Social and financial problems
Yellow flags are pyschosocial factors shown to be indicative of long term chronicity and disability.
Red flags for back pain?
Thoracic pain Bladder or bowel dysfunction Fever and unexplained weight loss History of carcinoma Ill health or presence of other medical illness Progressive neurological deficit Disturbed gait, saddle anaesthesia Age of onset 55 years
What is the commonest pathogen responsible for septic arthritis?
19 - 25: Neisseria gonorrhoea
>25: S. aureus
What are anti-centromere antibodies +ve in?
Systemic sclerosis
What are the CREST problems present in systemic sclerosis?
C - calcinosis R - Raynaud's E - oesophoegeal dysmotility S - Sclerodactyly T - telangiectasia
Which blood test is useful in monitoring SLE?
Compliment
What is the treatment for acute gout?
1st line: NSAIDs
2nd: Colchicine
Which condition does this desciption match: Joint pain, worse on movement Post-menopausal women DIP joints Heberden's nodes
OA
Which condition does this sound like?
> 50yr >2wk duration
Bilateral aching of neck, shoulders, +/- pelvic girdle
Morning stiffness
Evidence of acute phase reaction (i.e. increased CRP/ESR)
Polymyalgia rheumatica
How common is nail changes in psoriatic arthritis?
80%
