Flashcards in Acute Monoarthritis and Spondyloarthropathies Deck (19):
WHat bacterial usually goes to a synovial joint?
What are the mechanisms of Joint infection?
-IV Drugs, Catheters, Immcomp
Extension of Bony infection
What joint is most commonly infected?
Knee, Wrist, hip
How is Septic Arthritis Dx?
Fluid Aspirate: Gram stain, culture, Cell count (50-150k WBCs), Crystal analysis
Acute Phase Reactants
What are the traits of Gonococcal infection of a joint?
-Triad: Tenosynovitis, vesiculopustular skin lesions, polyarthralgia
What are Causes of Nongonococcal Joint infections?
Staph aureus, Strep Pneumo, G-, Bucellosis
What are Fungal causes of Non-Bacterial Septic Arthritis?
What is the Tx of Septic Arthritis?
What is micro appearance of in gout?
Negative Birefringent needle-like crystals under Polarized light
At what point will Uric Acid Precipitate?
over 7 mg/dl
Get levels below 6 in order to mobilize crystals in joints
What meds are given for Gout?
NSAIDS: Naproxen, Indomethacin
What is the cause of Pseudogout?
Calcium Pyrophosphate Crystal Deposition disease
What is the Tx of Pseudogout?
Oligoarticular- Joint injection- steroids
Polyarticular- NSAIDS, Colchicine, Oral Steroids
What is Spondyloarthritis?
Inflammation of the axial joints, asymmetrical oligoarthritis, dactylitis, enesthopathy
What Labs are used to diagnose Spondylo-arthropathies?
What is the Non Pharm Tx of SpA?
Stop Smoking, Exercise, Education
What is the Pharm Tx of SpA?
What is the difference in distribution between SpA and Reactive Arthritis?
SpA: Starts at Sacrum and Ascends
Reactive Arthritis: Spotty distribution (unpredictable)