Rheumatoid arthritis is often associated with morning stiffness lasting for what length of time?
Which other conditons can be related to rheumatoid arthritis?
- Inflammatory bowel disease
What is reactive arthritis?
A reaction to a previous infection
(normally STIs e.g. chlamydia or gonorrhoea or bacterial gastoenteritis e.g. campylobacter or salmonella)
Joint aspirate is clear
Which conditions can be associated with polyarthritis?
- Rheumatoid arthritis
- Psoriatic arthritis (can also be monarthritic)
What is the term given to arthritis which comes on, completely recovers and comes on again?
What are the main risk factors for gout?
- Alcohol (especially beer)
- Being male
- High protein intake
- Diuretic use (loop diuretics are worse)
Septic arthritis is most often caused by what?
Gram +ve bacteria due to a skin break
How may rheumatoid arthritis affect the respiratory system?
- Pneumonitis (methotrexate use)
- Pulmonary fibrosis
- Pleural effusions (associated cough and SOB)
How can rheumatoid arthritis affect the eyes?
- Anterior uveitis
- Dry eyes
How can rheumatoid arthritis affect the renal system?
(Often presents with no symptoms)
How can rheumatoid arthritis affect the mucocutaneous system?
- Oral/nasal ulceration
- Malar rash
- Photosensitive rash
- Systemic sclerosis (includes thickening and tightening of skin of fingers)
How can rheumatoid arthritis affect the cardiovascular system?
- Vasoconstriction of arteries e.g. Secondary Raynaud's
- Increased risk of atherosclerosis, MI and stroke
Which conditions may be associated with monoarthritis?
- Palindromic rheumatism
- Reactive arthritis
- Septic arthritis
Which two nail changes are a good indication of psoriatic arthritis?
- Nail pitting
What are "tophi"
Urate crystal deposition in the skin
How could the crystals deposited in gout be described?
Needle-shaped birefringent crystals
What is usually the first line pain management for gout?
(colchicine can also be used bu can cause diarrhoea)
Why is allopurinol given 2 weeks after a gout attack?
It can provoke a flare