Rheumatoid Flashcards
1
Q
Linked with what antibody?
A
HLA DR4 mediated
Anti CCP and RF
2
Q
WHat joints affected?
A
Small joints of hands and feet (DIPs spared)
Wrist and ankle
Cetbvical spine.
Rheumatoid nodules.
3
Q
How does it present?
A
Quick onset symmetrical arthritis.
4
Q
What joint deformities are seen late in disease?
A
Ulnar deviaiton.
Swan neck, boutonnière and z thumb,
5
Q
What do u see on x ray?
A
You see loss of joint space.
- Soft tissue welling
- Periarticular erosions.
6
Q
What is the management ?
A
NSAIDS and early dmards.
1) Methotrexate.
7
Q
What score is used to indicate disease activity?
A
DAS 28
8
Q
What DAS 28 score can u use biologiic?
A
If >5.1 and 2 trials of DMARDs.
