Flashcards in Differential Diagnosis Deck (13)
What are the characteristics of gout?
- Sudden onset
- A form of inflammatory arthritis
- High blood levels of uric acid
Gout is found in what types of patients?
Men over 40 years of age
What are the predisposing factors of gout?
- high-purine diet
- habitual alcohol ingestion
What are the clinical signs of gout?
- cutaneous erythema
- severe pain of first MTP
What is Ankylosing Spondylitis?
A chronic rheumatoid disorder in which the the intervertebral disk, thoracic zygapophyseal joints, costovertebral joints and manubriosternal joint become ossified
Ankylosing spondylitis is found in what types of patients?
More commonly in males from the ages of 15 to 40
What are the clinical signs of ankylosing spondylitis?
- night pain
- pain that decreases with activity or exercise
- joint fusion over time
What is vascular claudication?
A type of leg pain caused by narrowing of the blood vessels (atherosclerosis) in the legs
What increases symptoms in vascular claudication?
cycling and walking due to the increased demand for blood supply
What increases symptoms in neurogenic claudication?
Walking, but not cycling
What are the characteristics of hypothyroidism?
- muscle cramps
- cold intolerance
- dryness of the skin
- neck pain
- weight gain
- brittle nails and hair
- delayed relaxation time of the muscle stretch reflexes
- keratinic skin color
- thickening o the tongue
- mental status changes
- diastolic hypertension
What are the characteristics of hyperthyroidism?
- heat intolerance
- increased perspiration
- muscle cramps
- paratracheal neck pain
- increased bowel movements
- weight loss
- fine resting tremors
- moist arm skin with heat radiation