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Flashcards in Basics Deck (13):
1

What suggests an inflammatory arthritis?

Morning stiffness over 30 mins
Systemic symptoms e.g. fatigue, weight loss
Night pain
Acute/sub-acute onset

2

What suggests a non-inflammatory arthritis?

Pain worst at end of day
Longstanding
No systemic symptoms
No morning stiffness

3

What is in a musculoskeletal history?

Pain, swelling, stiffness
Joints affected
Acute or chronic
Systemic involvement
Affect on function
FH history

4

What are the HLA-B27 associated conditions?

Psoriasis
Ankylosing spondylitis
IBD
Reactive arthritis

5

What is uniform swelling of a joint called?

Dactylitis

6

How should fractures be described on x-ray?

Patient details, penetration, view
Site of fracture
Type of fracture
Simple or comminuted
Displacement
Angulation
Bone consistency

7

What are the x-ray features of osteoarthritis?

Loss of joint space
Osteophytes
Subchondral cysts
Subchondral sclerosis

8

How does septic arthritis present?

Single, hot, red swollen joint
Emergency
Rapid referral to orthopaedics

9

How is septic arthritis managed?

IV flucloxacillin
Joint aspiration --> microscopy and culture

10

How does osteomyelitis present?

Single red, hot, swollen joint
Indolent and subacute
Follows a local infection
Common in diabetic ulcers

11

How is osteomyelitis managed?

MRI is gold standard
Often staph infection - flucloxacillin

12

How is ankylosing spondylitis managed?

NSAIDs + physio
Biologics

13

What should be in a rheumatoid systems review?

Psoriasis, colitis, uveitis
Rash
Dry eyes/mouth
Mouth ulcers
Raynaud's
Hair loss
Breathlessness, bowels, waterworks