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2 MSK > Spondyloarthropathies > Flashcards

Spondyloarthropathies Flashcards

1
Q

what is spondyloarthropathies

A

chronic systemic inflammatory disorder characterised by involvement of both spine and joints (genetically predisposed)

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2
Q

what genetic predisposition is associated with spondyloarthropathies

A

HLA B27

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3
Q

what other conditions are associated with HLA B27

A

ankylosing spondylititis
reactive arthritis
crohn’s
uveitits

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4
Q

what what ankylosing spondylitis

A

form of arthritis mainly affecting the spine

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5
Q

what are the 4 subgroups of spondyloarthritis

A

ankylosing spondylitis
psoriatic arthritis
reactive arthritis
enteropathic arthritis

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6
Q

what is mechanical back pain like

A

worsened by activity, typically worse at the end of the day, better with rest

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7
Q

what is inflammatory back pain like

A

worse with rest
better with activity
significant early morning stiffness (>30mins)

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8
Q

what are some shared rheumatological features of the spondyloarthroapthies

A

sacroiliac and spinal involvement
Enthesitis (inflammation at the insertion of tendon into bone)
Inflammatory arthritis
dactylics (inflammation of entire digit)

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9
Q

some extra rheumatological features of spondylarthropathies

A

ocular inflammation
mucocutaneous lesions
rare aortic incompetence or heart blood
no rheumatoid nodules

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10
Q

does ankolosying spondylitis affect men or women more

A

men

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11
Q

what is ankylosing spondylitis

A

chronic systemic inflammatory disorder that primarily affects the spine

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12
Q

what are the criteria for diagnosing ankylosing spondylitis

A
  1. limited lumbar motion
  2. lower back pain for 3 months (improved with exercise not relieved by rest)
  3. reduced chest expansion
  4. sacroilitis on x ray (bilateral grate 2-4, unilateral 3-4)
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13
Q

what are the A symptoms associated with ankylosing spondylitis

A 
Axial arthritis 
Anterior uveitis 
Aortic regurgitation 
Apical fibrosis 
Amyloidosis 
Achilles tendinitis 
plAntar fasciitis
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14
Q

what does ankylosing spondylitis do to the vertebrae

A

fusses them together

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15
Q

what is the test for ankylosing spondylitis

A

schober test

spine should stretch from 15cm to 20 cm

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16
Q

treatment for ankylosing spondylitis

A 
physiotherapy 
occupational therapy 
NSAIDs 
Disease modifying drugs 
Anti TNF treatment 
Biological agent drugs

2 MSK (35 decks)

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