Joint Pain Flashcards
1
Q
Monoarthritis
A
Septic Arthritis Gout Pseudogout (CPPD) Osteoarthritis Trauma Charcot's Joint
2
Q
RF Septic Arthritis
A
Recent trauma/operation Prosthetic Joint Joint disease (RA) Immunosupression Renal Failure
3
Q
Oligoarthritis (<5)
A
Psoriatic Arthritis
Reactive Arthritis
Ank. spondylitis
4
Q
Symmetrical Polyarthritis (>5)
A
Rheumatoid arthritis
Polymyositis
5
Q
General Polyarthritis (>5)
A
SLE
Systemic Sclerosis
GPA (wegeners)
6
Q
Bedside Ix
A
Joint aspiration (mono-arthropathy)
Urine NAAT for chlamydia
7
Q
Bloods
A
FBC, UEs, LFTs, CRP, ESR, Urate
Blood cultures if SA
Autoantibody:
- RF, anti CCP
- ANA, andi dsDNA, Ro, La
- Anti centromere
- cANCA
8
Q
Imaging
A
CXR - RA nodules in lungs, vasculitis
USS joint - look for inflammation
XRay joint if mon-arthropathy
MRI/CT
9
Q
Systems R/v
A
Eye changes Skin changes Upper airway problems Haematuria GUM issues CVD if suspect RA disease
Any Trauma?
10
Q
Social
A
Smoking Travel Sexual Hx, risky behaviours IVDU Occupation
11
Q
Fam Hx
A
Autoimmune disease Skin conditions (psoriasis) Joint problems
