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Musculoskeletal Physiotherapy 3 > Week 3 : Rheumatological Conditions > Flashcards

Week 3 : Rheumatological Conditions Flashcards

1
Q

What is rheumatology

A

diagnosis and therapy of rheumatic diseases

rheumatologists specialise

rheumatologists deal mainly with clinical problems involving joints, soft tissues, autoimmune disease, vasculitis, and heritable connective tissue disorders

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2
Q

What do rheumatologists do

A

treat arthritis, autoimmune diseases, pain disorders affecting joints, and osteoporosis

> 200 disease, inc rheumatoid arthritis, osteoarthritis, gout, lupus, back pain, osteoporosis and tendinitis

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3
Q

MSK complaint - joint pain, joint swelling, diffuse/systemic Sxs -> initial rheumatic Hx and P/E to determine

A 
is it articular
is it acute or chronic
is inflammation present
how many/which joints are involved 
are there red flags?
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4
Q

Goals of assessment

A

identify red flag conditions
- conditions with sufficient morbidity/mortality to warrant an expedited diagnosis

make a timely diagnosis

  • common condition occur commonly
  • many MSK conditions are self limiting
  • some conditions require serial evaluation over time to make a Dx

Provide relief, reassurance and plan for evaluation and treatment

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5
Q

Red Flag conditions include

A

fracture
infection
organ involvement

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6
Q

Articular vs periarticular

articular

A

pain - diffuse, deep tenderness
ROM pain - active +passive in all planes
Swelling - Common

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7
Q

Articular vs periarticular

periarticular

A

pain = point

ROM pain = active motion in few planes

Swelling = uncommon

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8
Q

Peri-/non-articular pain

A 
Fibromyalgia 
Fracture
Bursitis, tendinitis, enthesitis, periostitis
CTS
Polymyalgia rheumatica 
Sickle cell crisis 
Raynaud's phenomenon 
Complex regional pain disorder (RSD) 
Myxedema
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9
Q

inflammatory vs non-inflam

Pain (when)

A

Yes (AM)

Yes (PM)

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10
Q

inflammatory vs non-inflam

swelling

A

soft tissue

bony

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11
Q

inflammatory vs non-inflam

Erythema

A

Sometimes

absent

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12
Q

inflammatory vs non-inflam

Warmth

A

sometimes

absent

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13
Q

inflammatory vs non-inflam

AM stiffness

A

prominant

Minor (<30(

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14
Q

inflammatory vs non-inflam

Systemic features

A

sometimes

absent

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15
Q

inflammatory vs non-inflam

Increased erythrocyte sedimentation rate, c-reactive protein

A

Frequent

uncommon

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16
Q

inflammatory vs non-inflam

Synovial Fluid WBC

A

WBC >2000

WBC <2000

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17
Q

inflammatory vs non-inflam

examples

A

septic, RA, SLE, Gout

OA, AVN

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18
Q

Inflammatory articular conditions

A

septic gout
RA
Psoriatic arthritis

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19
Q

Inflammatory non-articular conditions

A

bursitis
enthesitis
PMR
Polymyositis

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20
Q

Noninflammatory articular condition

A

OA
charcot joint
fracture

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21
Q

Noninflammatory nonarticular conditions

A

fibromyalgia
CPS
CRPS

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22
Q

What is monoarticular

A

affecting one joint
inflammatory, trauma, hemarthrosis
spondyloarthropathy
septic arthritis, crystal induced

23
Q

What is oligoarticular

A

affects a few joints

spondyloarthropathy, crystal induced, infection related

24
Q

Polyarticular

A

affects multiple joints
RA, SLE
Crystal induced
infectious

25
Q

Conditions that affect less than 4 joints

A 
OA
Fracture
Osteonecrosis 
gout or pseudogout
septic arthritis 
lyme disease
reactive arthritis 
TB
sarcoidosis
26
Q

Conditions that affect 4 or more joints

A 
OA
RA
PA
Viral arthritis
serum sickness
Juvenile arthritis 
SLE/PSS/MCTD
27
Q

conditions that affect the young

A

JRA, SLE, Reiter’s, GC arthritis

28
Q

Conditions that affect the middle aged

A

fibromyalgia, tendinitis, bursitis, LBP, RA

29
Q

conditions that affect the elderly

A

OA, crystal , PMR, Septic, osteoporosis

30
Q

conditions that affect males

A

gout, AS, reiter’s

31
Q

conditions that affect females

A

fibrositis, RA, SLE, OA

32
Q

conditions that affects whites

A

PMR< GCA and wegener’s

33
Q

Conditions that affect black

A

SLE, sarcoidosis

34
Q

Conditions that affect asians

A

RA< SLE, takayasu’s arteritis, Behcet’s

35
Q

constitutional conditions

A

fever, wt loss, fatigue

36
Q

conditions that affect ocular senses

A

blurred vision, diplopia, conjunctivitis, dry eyes

37
Q

oral conditions

A

dental caries, ulcers, dysphagia, dry mouth

38
Q

GI conditions

A

Hx ulcers, abd pain, change in BM, melena, jaundice

39
Q

Pulmonary conditions

A

SOB, DOE, hemoptysis, wheezing

40
Q

Skin conditions

A

photosensitivity

alopecia, nails, rash

41
Q

CNS conditions

A

HA, weakness, paraesthesia

42
Q

Reproductive conditions

A

sexual dysfunction, promiscuity, genital lesions, miscarriages, impotence

43
Q

MSK conditions

A

joint pain/swelling, stiffness, ROM/function, nodules

44
Q

Acute conditions

A

fracture, septic arthritis, gout, rheumatic fever, Reiter’s syndrome

45
Q

Chronic conditions

A

OA, RA, SLE, Psoriatic arthritis, fibromyalgia

46
Q

Intermittent conditions

A

gout, pseudogout, lyme, palindromic, rheumatism, behcet’s

47
Q

Addictive conditions

A

OA, RA, Reiter’s syndrome, psoriatic

48
Q

Migratory conditions

A

viral arthritis (Hep B) Rheumatic fever, GC arthritis, SLE

49
Q

OA

A

affects distal interphalangeal joints

may or may not be symmetrical

50
Q

RA

A

symmetrical both sides

affects proximal interphalangeal joints and metacarpal phalangeal joints

51
Q

Bouchard’s nodes at PIP joints
herbenden’s nodes at DIP
indicate

A

OA

52
Q

Synovitis and volar subluxation at the MCP
synovitis at the wrists
indicates

A

RA

53
Q

Jaccoud’s deformity

indicates

A

SLE

54
Q

Butterfly/malar rash that spares nasolabial fold

indicates

A

systemic lupus erythematosus SLE

Musculoskeletal Physiotherapy 3 (9 decks)

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