Extra-articular features + Bacterial Joint infection

Question 1

Anterior Uveitis (HLA B27 - ? ?/ ? Arthritis);

Acute ? & ?.
? pupil, possibly irregular due to anterior/ posterior synechiae.
Circumcorneal ?.

Treat with ? eye drops and topical ?

Answer 1

as
psor
pain
photophobia
constricted
redness
dilating
steroids

Question 2

Scleritiss / Episcleritis (?Arthritis);

• ? congestion.
  o With ?: more likely to be episcleritis.
  0 With ? pain: more likely to be scleritis - patients classically ? at ? due to the pain.
  Treatment is with ? eye drops

Answer 2

rh
conjunctival
tenderness
severe
wake at night
anti-inflam

Question 3

Septic arthritis

Septic arthritis is a ?emergency, with a mortality rate of ?%.
o Morbidity also high as infection is rapidly ? to the joint.
Patients with septic arthritis invariably also have a ?, as spread is generally ?, most commonly from the ?/ ? tract .
o Direct infection following joint ? is uncommon.

Answer 3

surgical
10
destructive
bacteraemia
haematogenous
skin
resp
aspiration

Question 4

Septic arthritis

Risk factors for septic arthritis;
o Extremes of ?.
o ? joint disease (principally ?).
o ????.
o ?? / immunosuppression.
o Recent ?/? procedures on the joints.

Answer 4

age
pre-existing
RA
IVDU
DM
operative/injective

Question 5

Septic arthritis

The most likely organism is ? ?, although in young adults a disseminated ? infection is an important cause.
? ? or ? ? may be the causative organism in children

Answer 5

staph aur
gonococcal
strep pneu
h.infl

Question 6

? is infection of the bone, and generally carries the same risk factors and organisms.
Common target sites for acute infection are the ? ? of ? bones in children, or the spine in ? adults.
Chronic infection in adults or children can occur following ? fractures or
? procedures.

Answer 6

osteomyelitis
metaphyseal plates
long
immunocompromised
open
operative