Spondyloarthropathy Flashcards
What is spondyloarthropathy? What are the four sub-groups?
How to to differentiate between mechanical and inflammatory back pain?
What is enthesitis?
What is dactylitis?
typical features of AS?
What are A diseases related with spondylitis?
How to diagnose AS?
History
Examinations:
Bloods: inflammatory parameters (ESR, CRP, PV)
Imaging
describe the basic radiological differences between AS and osteoarthritis of the back
What is psoriatic arthritis?
What are typical clinical features of psoriatic arthritis?
Nail involvement - pitting
How to diagnose psoriatic arthritis?
Bloods:
Inflammatory parameters
Negative RF (to rule out RA)
What is reactive arthritis?
What are typical clinical features?
How to diagnose reactive arthritis?
How to treat reactive arthritis?
What is enteropathic arthritis?
What are symptoms of enteropathic arthritis?
How to investigate and diagnose enteropathic arthritis?
How to treat spondyloarthropathies?
Pharmacologics:
Biologics:
- Secukinumab only for PsA and AS, beneficial for those with needle phobia
Non-pharmacologics:
- physio (important for avoiding fusion)
- occupational therapy
- orthotics, chiropodists
X-ray is useful for pathology over 3 months, to check for fusion
