Spotter Flashcards
A patient presents with this.
What is the name for this symptom? [1]
What is the likely underlying pathology? [1]
Keratoderma blennorrhagicum: hyperkeratotic lesions predominantly on the soles
Due to reactive arthritis
Name the diagnosis [1]
Give the most common cause of this? [1]
Pes cavus:
- Caused by hereditary motor and sensory neuropathy (AKA Charchot-Marie Tooth disease)
Which pathology does this sign suggest? [1]
What is this sign called? [1]
Temporal artery biopsy - halo sign
a hypoechoic circumferential wall thickening due to oedema
What is the name for this hand sign? [1]
Which pathology does it indicate? [1]
gottron papules - indicates dermatomyositis
This patient does not have SLE.
What are they most likely to have? [1]
Dermatomyositis - heliotrope rash
This patient has a form of vasculitis. Which type? [1]
Kawasaki - strawberry tongue
Behcet’s disease
Which drug is most likely to cause this presentation?
Procainamide
Digoxin
Sodium valproate
Methyldopa
Allopurinol
Procainamide:
- drug-induced lupus erythematosus
RA
Describet the changes seen in this xray [2]
The image demonstrates inflammatory changes including:
- sacroiliitis (inflammation of the sacroiliac joints bilaterally seen here as reduced joint space) and squaring of the vertebrae.
- Dx: AS
Pes cavus is typically caused by CMT.
Which gene is positive in most cases? [1]
PMP22
Winging scapula
- long thoracic nerve damage
- facioscapulohumeral muscular dystrophy
Name this deformity [1]
Hallux vagus (lateral deviation of the great toe on 1st metatarsal)
This patient has AS.
Describe the changes in the spine seen here [1]
Hyperextension at cervical spine
& protuberance of the abdomen
Dx? [1]
OA
