Week 5 Rheumatology - Fernandez Flashcards
1
Q
How do you differentiate inflammatory from non-inflammatory arthritis?
A
Inflammatory = morning stiffness for 2-3 hours, swelling is symmetric and soft Non-inflammatory = less than that, swollen joints that are hard and bony
2
Q
Clinical manifestations: Butterfly rash photosensitivity Positive ANA (anti-nuclear antibody) Young Woman
A
Systemic Lupus
3
Q
Clinical manifestations: Older than 50 Morning stiffness < 30 mins Bony enlargements = osteophytes Joint space narrowing
A
Osteoarthritis
4
Q
Clinical manifestations:
Morning stiffness at least 1 hour
Symmetric joint swelling
Soft and spongy joints
A
Rheumatoid Arthritis
Serologies:
Rheumatoid Factor
Positive Anti CCP antibody
5
Q
Risk factors for rheumatoid arthritis?
A
smoking
periodontal disease
6
Q
Clinical manifestations:
Middle aged men
abrupt onset inflammatory arthritis
Pain escalates
A
Rule out cellulitis
Need to aspirate to differentiate- gout looks like white chalky material
Diagnosis- serum uric acid levels, want to be less than 6
7
Q
What are tophi a sign of?
A
Chronic tophaceous gout
