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ICM rhemutology Flashcards

Review pertinent H&P exam findings for non-inflammatory, inflammatory, reactive, and infectious joint pathology Discuss diagnostic work up of joint problems Review well known rheumatologic conditions Develop a differential diagnosis for joint pain (50 cards)

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1
Q

articular findings

A

OA
RA
Psoritic arthritis

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2
Q

per-articular/soft tissue findings

A

tendonitis
bursitis
fibromyalgia

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3
Q

monoarticular findings

A

septic artthritis
gout
bursitis

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4
Q

less than 4 more than 1 joint findins

A

OA
RA
Reiter’s
Psoriatic

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5
Q

more than 4 joint findings

A

SLE

RA

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6
Q

fever ddx

A 
septic athritis
SLE
Vaculitdes
gout
rheumatic fever
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7
Q

non fever findings

A

OA

RA

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8
Q

symettric findings

A

RA

SLE

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9
Q

asymetric findings

A

OA
Gout
psoriatic
reiter’s

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10
Q

acute findings

A 
gout
pseudogout
septic arthritis
SLE
trauma
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11
Q

chronic findins

A

RA
OA
Psoriatic

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12
Q

things to look for on PMX

A

msk injuties, rash or skin changes, prior gout flares, IBD, sleep problems, depression

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13
Q

things to look for on FHX

A

inflamatory, autoimmune, psychological conditions

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14
Q

social hx things to look for

A

employment, activites, sex HX, EtOH

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15
Q

things to look for in ROS

A

fever, weight changes, eye changes, rashes, skin lesions, diarrhea

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16
Q

important dx tool in monoarticular arthristus

A

symovial fluid analysis

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17
Q

dull aching pain, increased by activity, elleviated by rest, crepitus

A

OA

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18
Q

heberden’s nodes/bouchard’s nodes found in

A

OA of hands

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19
Q

xray dx of OA

A

assymeptic narrowing of joint space
sclerosis
osteophytes
no bone washout

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20
Q

chronic symmetric erosive synovitis

A

RA

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21
Q

morning joint stiffness

3 or more joints

Study These Flashcards
A

4 or more for 6 weeks

morning joint stiffness
3 or more joints
hand involvement
symettric arthritis
rheumatoid nodules
serum RF
radiographic chanes in hand/wrist
22
Q

exam findings in RA

Study These Flashcards
A 
synovitis
swan neck deformity
boutinniere deformity
ulnar deviation
nodules
23
Q

labs to test in RA

Study These Flashcards
A

CBC
ESR/CRP
RF
synovial fluid analysis

24
Q

imaing findings in RA

Study These Flashcards
A

bony eruptions near joint capsule
juxta-articular osteopenia
symmetric joint space narrowing

25
erosive arthritis
RA
26
dx criteria of SLE
``` (4) butterfly rash discoid rash phototosensitivity oral ulcers non erosive arthritis in 2 joints serositis renal disorder neural disorder hematologic disorder immunological disorder ```
27
imflammatory disorders affecting multiple joints, spine, peripheral joints and periarticular structures
spondyloarthropathies
28
types of spondyloarthropathies
ankylosing spondylitis psoriatic arthritis reiter's syndrome enteropathic arthritis
29
bilateral sacroiliitis
ankylosing spondylitis
30
movement test for ankylosing spondylitis
schober test (ability to bend over)
31
arthritis associated with HIV
psoriatic arthritis
32
signs of psoriatic arthritis
``` spine stiffness asymmetric large joint involvement dactylitis nail pitting conjuctivitis ```
33
nail pitting found in
psoriatic arthritis
34
arthritis occuring after GU/GI infection
reactive arthritis
35
bugs causin reactive arthritis
chlamydia, campylobacter, yersinia, shigella
36
HLA b27 positive arthritis
reactive arthritis
37
conjunctivitis, urethritis, arthritis
reiter's syndrome
38
urate crystals and negative bifergence
gout
39
calcium pyrophosphate crystals and positive biferengance
psudogout
40
asoociated with hypothyroidism, hyperparathurpidism, amyloidosis
pseudogout
41
seen in the knee
pseudogout
42
chondrocalcinosis
pseudogout
43
bugs that cause septic arthritis
gonorrhea in adults | staph A in kids
44
rapid onset of monoarticular joint pain, erythema, decreased ROM
septic arthritis
45
straw colored synovial fluid
noninflammatory
46
yellow cynovial fluid
inflammatory
47
turbid-yellow fluid
septic
48
young-to middle aged female with headache, neck discomfort, fatigue, sleep problems,
fibromyalgia
49
associated wth IBS, RA, lyme disease, hyperthyroid
fibromyalgia
50
treatments for fibromyalia
sleep, NSAIDS, aerobic exercise

MSK/Skin (18 decks)

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