Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Z Clin Med II - Ortho > Spondyloarthropathies > Flashcards

Spondyloarthropathies Flashcards

1
Q

What is sacroilitis

A

inflamm of the sacroiliac joint

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what is dactylitis

A

a sausage shaped swelling of finger or toe

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what is enthesitis

A

inflamm of the enthesis (a site where a ligament or tendon inserts into a bone)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is ankylosing spondulitis

A

Back pain and stiffness in adolescence and early adulthood
morning stiffness
insidious back pain worsening with inactivity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Criteria for dgx ankylosing spondylitis

A

limited lumbar motion
low back pain for 3 months; improved with exercise, not relieved by rest
reduced chest expansion
sacroilitis on xray

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is HLA-B27

A

It is a genetic marker in the blood that is genetic and can increase risk of developing spondyloarthropathy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What you will see on radiology

A

The joint space is narrowed and shows erosions

Along the spine, you can see fibrosis connecting vertebrae

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Nonvertebral sx of spondyloarthropathies

A 
asymmetric peripheral arthritis
arthritis of the toe IP joints
sausage digits
achilles tenosynovitis 
plantar fasciitis
costochondritis
iritis/uveitis
mucocutaneous lesions (rare)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Patterns of arthritis in psoriasis

A 
spondylitis
DIP joint arthritis
oligoarticular asymmetric arthritis
polyarticular symmetric arthritis
arthritis mutilans
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Clinical signs of psoriatic arthritis

A 
inflamm arthritis in DIPs
asymmetric arthritis
sausage digits
Nail pitting or onycholysis
NO rheumatoid nodules
negative RH factor
erosive arthritis
sacroilitis
syndesmophytes
paravertebral ossification
enthesopathy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Radiographic features of psoriatic arthritis

A

“pencil in cup” joint erosions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is reactive arthritis

A

Triad of arthritis, urehritis, and conjunctivitis but most pts do not have all three of these

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is reactive arthritis assoc with

A

inflamm eye disease
balanitis, oral ulceration, or keratodermia
enthesopathy
sacroilitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is one lab that 80% of pts are positive for with reactive arthritis

A

HLA-B27

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Clinical signs of reactive arthritis

A

larger joints, sacroilitis, enthesitis (ex.achilles tendonitis), dactylitis
dysuria, urethral discharge, prostatitis, balanitis or vulvitis
conjunctivitis, iritis, keratitis
lesions on skin, keratoderma blenorrhagicum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is the average duration of reactive arthritis

A

4-5 months
2/3 have musculoskeletal sx that last for a more than a year
can get recurrent attacks

17
Q

Tx of spondyloarthropathy

A

exercise, NSAIDs, cortisone injections, abx for reactive, TNF blockers, IV bisphosphonates

Z Clin Med II - Ortho (51 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions