Week 9 - Rheumatology And Connective Tissue Disorders Flashcards
Sx of ankylosising spondylitis
Constant Pain and Stiffness in the low back >3 months
Morning stiffness >30 minutes improved with exercise, not with rest. Alternating buttock pain. Awakening in 2nd half of the night d/t pain
Age <40 yo
Insidious onset
What gene is associated with ankylosising spondylitis?
HLA-B27
Dx of Ankylosing spondilytis
Physical exam including Schober’s test and Respiratory excursion (normal for both is at least 5 cm)
X-rays
HLA B27
What is a CT disorder characterized by recurring mouth and genital ulcers, uveitis and arthritis?
Behçet’s disease
Sx of Behçet’s disease
Mouth ulcers Skin lesions Sores on genitals Uveitis Joint swelling Inflammation
What tests make Dx of Behçet’s disease
None.
Signs and symptoms
An inflammatory CT disorder that affects skin, muscles, joints, esophagus, lungs, and heart
Purple or dark red rash may occur anywhere
Calcinosis
Dermatomyositis
Dermatomyositis Sx
Dark red or purple skin rash Dysphagia Fatigue Fever Muscle pain, weakness Unintentional weight loss
Dx of Dermatomyositis
None. Signs and symptoms.
Causes of fibromyalgia
Not known, but possibly:
Serotonin deficiency
Hypometabolism
Sx of fibromyalgia
Fatigue Stiffness Headache Sleep disturbance Anxiety Coldness Exercise intolerance Dysmenorrhea
How to Dx fibromyalgia
Symptoms and Abnormal tenderness at 11 or more of 18 specific anatomical tender point sites
Increased ____ can cause gout
Uric acid
Elevated uric acid levels due to
Increased uric acid
Not eliminating uric acid
Or both: overproduction and underexcretion of uric acid
Primary gout is __% of all cases of gout
90%
Causes of secondary gout
Diuretics
Low-dose aspirin