Rheumatoid Red Flag Flashcards Preview

Jason's MD2 ED/Amb Rotation > Rheumatoid Red Flag > Flashcards

Flashcards in Rheumatoid Red Flag Deck (21):
1

clinical features of vasculitis?

inflammatory
ischaemic/infarction (from vessel stenosis from inflammation)
blood is fine, just narrowed lumen

2

vasculitis usually happens in one or more organs?

multiple organs

3

what can cause shoulder/hip stiffness from malignancy?

paraneoplastic, polymyalgia rheumatica

4

infectious causes of headache in older people 70+?

TB
cryptococcus

5

when to suspect GCA?

new headache
jaw claudication
low-grade fever
Limb girdle stiffness
anyone with PMR with low dose steroids
-sudden monocular blindness

6

what vessel in danger of occlusion in GCA?

anterior ischaemic optic neuropathy/retinal artery occlusion

7

giant cell arteritis affect full vessel?

Nope: patchy

8

relationship between Polymyalgia and GCA?

PMR noted in >50% of GCA patients

9

haemarthrosis blood looks how?

darker, blood mixed with synovial fluid

10

how does needle injection cause septic arthritis?

someone has bacteraemia, you stick a needle through to the joint and it can bleed into the joint.

11

what bacterias cause monoarthritis?

Staph Au
N Gonno
E.Coli
strep

12

polyarticular arthralagia suggests what infective route?

rubella, parvo, hep B
reactive arthritis

13

reactive arthritis cause?

immune complexes

14

septic arthritis features?

fever
pain
heat
erythema
loss of function
rapid joint destructive

15

pitfalls for septic arthritis dx?

gout and joint sepsis
no fever if immunosuppressed
co-existing endocarditis
history of trauma

16

3 usual features of systemic inflammation?

fatigue (disproportionate)
lethargy
insidious onset

17

older ppl in septic arthritis, what bacteria more likely?

gram -ve
E. coli

18

pathophysiology of a purpuric rash from infection?

immune complex deposition

19

most common vasculitis? cause?

cutaneous
leukocytoplastic vasculitis

OCP, drugs etc.

20

small vessel vasculitis most common presentation?

skin: rash, palpable purpura

21

systemic inflammation, FIRST thought? then if all cleared?

infection, infection, infection

vasculitis usu. dx of exclusion