Flashcards in Rheumatoid Arthritis & Lupus Deck (62)
What is the most common inflammatory arthritis?
RA (1-2% of the population)
Is RA positive or negative for RF?
RA specifically impacts what part of the joint?
What is the term for the hyperplastic synovitis seen with RA?
What is the gender bias associated with RA?
Females more likely (3:1)
What is the age range for RA?
At what point are men just as likely to develop RA as females?
After age 60
Is enthesopathy more frequent with RA or DJD?
What are the lab findings associated with RA?
2 Elevated ESR
What is the characteristic distribution of RA?
Bilateral symmetry (and PROGRESSIVE)
What is the mechanism in which RA destroys synovial tissue?
Pannus (hardened tissue that grinds away synovial tissue)
What is the term for the enlargement of the gastrocnemius bursa which is commonly seen with RA?
What is Boutonniere's deformity?
PIP flexion, DIP extension
What is swan neck deformity?
PIP extension, DIP flexion
What is the term for the soft tissue nodes seen at the MCP commonly with RA?
What is the number one location in the body for RA to target?
Hands (second would be wrist)
What is the term for the area between the end of the cartilage and the end of the synovium/joint capsule?
What is the jelling phenomenon?
Stiff joints following inactivity
What is the term for the accumulation of inflammatory cells with necrotic area and fibrosis seen on extensor surfaces with RA?
What is the intermittent absence of the articular codex due to erosion with RA called?
What is it called when RA gets so bad that it leads to the most severe case of joint deformity and destruction?
What is the condition that includes leukopenia, splenomegaly, and RA?
What is different about the loss of joint space with RA compared to DJD?
RA = UNIFORM
DJD = NONUNIFORM
RA symptoms are most prevalent during what time of the day due to the jelling phenomenon?
Morning (due to inactivity)
What is the most common location in the hand for the effects of RA to take place?
MCPs (and PIPs) then proceed proximally
What is RF?
Rheumatoid factor: measurement of the reactive IgM antibodies seen in the synovial membrane
What time table is used to assess the diagnosis of RA?
At least 6 week with morning stiffness, pain upon joint motion, swelling of at least 1 joint, and swelling in at least another joint
What aspect of the wrist does RA tend to target?
Ulnar styloid area
What are all the common locations for RA?
Hands, wrist, knees, foot, cervical spine