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RA > spondyloarthritis > Flashcards

spondyloarthritis Flashcards

1
Q

is there a RF in seronegative spondylorarthris

A

no

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2
Q

common features of spondyloarthritis

A 
inflammation of spine
synovitis
enthesopathy
inflammatory eye
no RF
tendency to be hereditary
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3
Q

does spondyloarthritis effect legs or arms more

A

legs

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4
Q

spondyloarthritis associated with __ genetic marker

A

HLA B27

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5
Q

Psoriatic Arthritis

A 
psoariasis
multigenetic inheritence
can begin in childhood
dactylitis
enthesitis
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6
Q

dactylitis

A

sausage like fingers and toes due to swelling

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7
Q

enthesitis

A

tendon attaches to bone (heals / back)

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8
Q

psoriatic arthritis categories

A

spinal

or peripheral

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9
Q

enteropathic spondylitis aka

A

intestinal arthropathy

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10
Q

enteropathic spondylitis associated with

A

ulcerative colitis / crohns disease
arthritis
may effect spines / SI joint or arm/legs

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11
Q

reactive arthritis associated with

A

generally symmetrical
hot , swollen joints
lower limbs
stiffening in spine

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12
Q

reactive arthritis triggered by

A

infection bowel / Genito URINARY tract

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13
Q

ankylosing spondylitis associated with

A

stiffness / fusing of spine by inflammation
young adults
delay in diagnosis

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14
Q

t/f ankylosing spondylitis rare beyond 45

A

t

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15
Q

prevalence of ankylosing spondylitis male female

A

1:1

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16
Q

features of ankylosing spondylitis

A

sacroilitpis
enthesitis
synovitis

eyes, bowel, lung or heart may be involved

17
Q

hallmark sign of ankylosing spondylitis

A

sacroilitis

18
Q

sacroilitis

A

deep dull diffuse pain in buttock

bilateral

19
Q

enthesitis at risk of

A

risk of fractures

osteoporosis

20
Q

modified New York criteria for AS

A

low back pain for more than 3 months (better w exercise, not rest)
limited lumbar spine motion
limited chest expansion

21
Q

clinical features spondyloarthrits

A 
pain after rest
stiff in AM
decreased spine ROM
deformity / instability
dec strength 
altered breathing mechanics
22
Q

inflammatory back pain vs mechanical - w exercise?

A

inflam - improves with exercise

mech - worsens

23
Q

inflammatory back pain vs mechanical - pain

A

inflam - EARLY AM

mech - later in day

24
Q

inflammatory back pain vs mechanical - AM pain

A

inflam - prolonged

mech - less than 40 mins

25
Q

criteria for inflammatory LBP

A

> 3 months
improves w exercise
pain at night
no improvement w rest

26
Q

how to do objective of spondarthritis assessment

A
  • tragus to wall
  • side flexion both sides
  • PSIS 10 up and 5 down and bend (Schobers)
  • smythe (10 up from PSIS three times)
  • rotation, chest breath
  • tragus to acromion
  • chin to tip of clav
27
Q

what test measures flexion

A

schobers

28
Q

what test measures ext

A

smythe

29
Q

management for spondyloarthrits

A

meds
physical intervention
lifestyle
surgery

30
Q

meds for spondyloarthrits

A

NSAIDS

DMARDS

31
Q

are DMARDS effective in axial disease

A

no

32
Q

side effects of DMARDS

A

nausea vomitting rashes hair loss

33
Q

NSAID side effects

A

GI upset, bruising, headache, drowsiness

34
Q

PT for spondyloarthrits

A 
start ASAP
use outcome measures
lifelong regular exercise
flexibility / breathing exercises
PT modalities
35
Q

outcome measures for spondyloarthrits

A

physical assessment

posture, trunk flexion, schooners, smythe, rotation, chest expansion, cervical mobility

36
Q

how to control inflmmation

A

rest
ice compress
exercise

37
Q

target areas exercise spondyloarthrits

A

pecs
neck posture
tspine
pelvis (hip flexors, adducts, quads, hams)

38
Q

adapted equipment for spondyloarthrits

A

swivel chair
back support
rear view mirrors

RA (14 decks)

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