Systemic Conditions Flashcards
What is the general age on onset for inflammatory back pain
less than 40-45 years old
How will inflammatory back pain respond to activity ?
Improves with activity, not rest
list the three common inflammatory joint presentations
- Single swollen joint
- Low back pain and stiffness
- Multiple joint symptoms
List 4 common inflammatory conditions
- Gout
- Septic arthritis
- Reactive arthritis
- Psoriatic arthritis
Define Spondyloarthropathy
Inflammatory arthritis of the spine and SIJ
List 5 common features of Spondyloarthopathies
- young males more commonly affected
- Involvement of one or small number of peripheral joints
- Inflammation of the entheses
- Seronegativity to rheumatoid factor
- Visceral involvement e.g. carditis
List 6 common Subjective history reports that may indicate/rule out inflammatory condition?
- Psoriasis
- Hx of inflammatory bowel disease
- Pain/involvement of peripheral joints or enthesis
- Family history of inflammatory conditions
- eased with NSAIDS
- Morning stiffness beyond 2 hours
5 Characteristics of joint inflammation
- Night pain
- morning stiffness
- Warmth
- Redness
- Loss of function
2 Clinical features of RA
- Symmetrically affects the small joints of the hands, wrist and feet
- Onset over weeks or months
3 clinical features of reactive arthritis
- Rapid onset
- Asymmetrical involvement of larger joints of the lower limb
- Enthesitis
For a diagnosis of RA, what is needed (2)
- Seropositive to rheumatoid factor
2. co-existing clinical features
Pt has been found positive to HLA B27, what 2 diagnosis are most likely ?
- ankylosing Spondylitis
2. Reactive arthritis
ANA will be common found in what systemic condition
SLE
Treating C-spine in a pt with suspected RA, what testing should be strongly considered first?
upper cervical ligament testing
List 5 common clinical signs of RA
- Fatigue
- Weight loss
- General diffuse MS pain
- symmetrical and bilateral
- fingers, wrist, hands, feet, c-spine commonly involved
