STN 5 Flashcards
ACUTE MONOARTHRITIS
INFECTIVE (MORE MIGRATORY) - HBV/HCV/PARVOVIRUS/RUBELLA/EBV/RHEUMATIC FEVER CRYSTALS (MORE EPISODIC ; MALES) RA & VARIANT (MORE ADDITIVE) - MONOARTICULAR ONSET ; exception: palindromic (more episodic) SPONDYLOARTHRITIS - MONOARTICULAR ONSET CTD (FEMALES)- MONOARTICULAR ONSET SYSTEMIC DISEASE - SARCOIDOSIS OA NEOPLASM, NEUROPATHIC JOINT TRAUMATIC HEMARTHROSIS
CHRONIC MONOARTHRITIS
MYCOBACTERIAL - INFECTION CRYSTALS RA & VARIANTS, CTD, SPONDYLOARTHRITIS SYSTEMIC DISEASE NEOPLASM, NEUROPATHIC JOINT
ACUTE OLIGOARTHRITIS - 1 TO 4 JOINTS
INFECTION - GONOCOCCAL (CERVICITIS IN FEMALE/ URETHRITIS IN MALE); HBV/HCV/PARVOVIRUS/EBV/RUBELLA CRYSTALS RA & VARIANTS SPONDYLOARTHRITIS CTD SYSTEMIC DZ - SARCOIDOSIS
CHRONIC OLIGOARTHRITIS - 1 TO 4 JOINTS
SPONDYS CTD SYSTEMIC DZ OA INFX NEUROPATHIC JOINT
ACUTE POLYARTHRITIS
INFX - GONO / VIRAL HBV/HCV/PARVO/RUBELLA/STD RA & VARIANTS SPONDY CTD CRYSTALS SYSTEMIC DZ - ACUTE RHEUMATIC FEVER
CHRONIC POLYARTHRITIS
RA CTD SPONDYLOARTHRITIS - REACTIVE ARTHRITIS SYSTEMIC DISEASE - MALIGNANCY CRYSTALS INFX - HCV/HBV OA
DACTYLITIS
INFX - TB CRYSTALS - GOUT SPONDYL - PSORIATIC ARTHRITIS REACTIVE ARTHRITIS SYSTEMIC DZ - SARCOIDOSIS, SICKLE CELL
polyarthritis + fever
infx crystals CTD, vasculitis RA variants - still's , Juvenile inflamm arthritis systemic dz, malignancy
polyarthritis + raynauds
CTD + vasculitis
RA &variants
cryoglobulinemia
polyarthritis + rash
infx CTD RA variants spondy systemic dz - sarcoidosis
polyarthritis + nodules
infx crystals RA CTD - SLE, vasculitis, SSc, Behcet's spondy OA (bouchard's heberden)
polyarthritis + lungs
infx CTD - ILD RA - rheumatoid nodules in lung ; ILD/bronchiec/pleural eff. / caplan nodules spondy systemic - sarcoidosis
polyarthritis + cardiac
infx - rheumatic fever CTD RA - pericardial eff. MR/AR spondy - AR systemic dz - sarcoidosis (aneurysms)
polyarthritis + renal
infx / septic embolus
crystal nephropathy
CTD - lupus
systemic - amyloidosis
polyarthritis + GI
whipple’s
spondy - IBD
lupus (mesenteric vasculitis)
systemic - amyloidosis, celiac dz, microscopic colitis
polyarthritis + ocular
behcet’s relapsing polychondritis, sarcoidosis, CTD, spondy
infx - TB
RA - neuro RA - resp RA - cardiac RA - ocular RA - hematologic RA - mucocutaneous RA - ass'd conditions
carpal tunnel / AA subluxation/cervical myelopathy ; peripheral neuropathy / mononeuritis multiplex
bronch/ILD ; nodules ; eff. ; bronchiolitis obliterans
pericardial eff ; MR/AR
ocular - mononeuritis multiplex; episcleritis ; keratitis ; lens - cataract/glaucoma ; fundus - retinal vasculitis ; bull’s eye maculopathy 2’ HCQ use
hematologic - cytopenias
rheumatoid nodules ; secondary sjogrens ; rheumatoid vasculitis of skin
osteoporosis ; IHD / HLD / HTN ; amyloidosis
psoriatic arthritis - ass’d illness
osteoporosis ; gout IBD ; NASH IHD ; DM skin ca depression
PA - PHYSICAL EXAMINATION / INX / TX
DIPJ - OA, PA, SPONDY unlike RA - PIPJ only
plaques over gluteal cleft ; umbilicus ; hairline
XR new bone formation - unlike RA - periarticular osteopenia
asymmetric sacroilitis
SLE
ALL SHOULD GET HCQ unless heart blocks or retinopathy
warfarin for all APS - DOAC not efficacious
