ANKYLOSING SPONDYLITIS

Question 1

SERONEGATIVE SPONDYLOARTHROPATHY

Answer 1

@ SAPHO Eat PRAWn at BAR
SAPHO SYNDROME
ENTEROPATHIC ARTHRITIS
PSORIATIC ARTHRITIS
REACTIVE ARTHRITIS
WHIPPLE DISEASE
BEHCET SYNDROME
ANKYLOSING SPONDYLITIS
REITERS SYNDROME

Question 2

DEFINE ANKYLOSING SPONDYLITIS

Answer 2

GENETICALLY DETERMINED CHRONIC PROGRESSIVE INFLAMMATORY DISEASE CHARACTERISED BY STIFFENING OOF JOINTS OF AXIAL SKELETON ESP. SPINE AND SACROIILIAC JOINT AND EVENTUALLY FUSION OF THE JOINT.

Question 3

AGE

Answer 3

15 TO 25 YEARS

Question 4

SEX

Answer 4

MALE

Question 5

CLINICAL FEATURES

Answer 5

INFLAMMATORY BACK PAIN - MORNING STIFFNESS MORE THAN 30 MINUTES FOR MORE THAN 3 MONTHS
LOSS OF SPINAL MOBILITY
KYPHOTIC DEFORMITY
QUESTION MARK POSTURE

Question 6

ON EXAMINATION

Answer 6

STRAIGHT STIFF BACK
LOSS OF LUMBAR LORDOSIS
INCREASE THORACIC KYPHOSIS
TEST FOR DETECTING SACROILLIAC JOINT INVOLVEMENT -
TENDERNESS LOCALISED TO PSIS
SACROILLIAC COMPRESSION CAUSES PAIN
SLRT
PUMP HANDLE TEST
FOR CERVICAL SPINE- FLECHE TEST
FOR THORACIC SPINE - CHEST EXPANSION

Question 7

INVESTIGATION

Answer 7

X RAY
INCREASE ESR , CRP
RF AND ANTI CCP NEGATIVE
HLA B27 POSITIVE
MILD ANEMIC

Question 8

X RAY

Answer 8

HAZINESS AND SUBCHONRAL EROSION OF SACROILLIAC JOINT
BONY ANKYLOSIS OF SI JOINT
CALCIFICATION OF SACROILLIAC LIGAMENT
WIDENING OF SACROILLIAC JOINT SPACE
ENTHESOPATHY
VERTEBRAE = SQUARING OF VERTEBRAE
BRIDGING OSTEOPHYTES
LOSS OF LUMABAR LORDOSIS
BAMBOO SPINE APPEARANCE

Question 9

COMPLICATION

Answer 9

SPINAL FRACTURE
HYPERKYPHOSIS
NERVE COMPRESSION

Question 9

TT

Answer 9

GENERAL - NO REST
POSTURE MAINTAIN
PHYSIOTHERAPY
YOGA THERAPY
NSAIDS
TNF ALPHA INHIBITOR
RADIOTHERAPY
SURGERY