Rheumatology Flashcards
(13 cards)
Characteristics of hypermobile EDS
joint hypermobility
soft and stretchy skin
most common
least severe
classical EDS characteristics
stretchy smooth and velvety skin
joint hypermobility and pain
abnormal wound healing
lumps over pressure points
what conditions is classical EDS associated with?
hernias
prolapses
mitral regurgitation
aortic root dilatation
vascular EDS characteristics
most severe
blood vessels prone to rupture
thin translucent skin
What conditions is vascular EDS associated with?
spontaneous pneumothorax, GI perforation
vascular EDS monitoring
vascular abnormalities
kyphoscoliotic EDS characteristics
poor muscle tone as baby
kyphoscoliosis
joint hypermobility and dislocation
hypermobile EDS presentations
joint pain, hypermobility, dislocations
soft, stretchy skin and striae
easy bruising, bleeding
poor healing
chronic pain and fatigue
headaches
dysautonomia (eg POTS)
GORD
abdo pain, IBS
menorrhagia, dysmenorrhea
premature rupture of membranes in pregnancy
urinary incontinence
pelvic organ prolapse
temporomandibular joint dysfunction
hypermobility assessment
Beighton score
- max 9 points
- 1 point for each side of the body
- place palms on floor with straight legs
- elbow hyperextension
- knee hyperextension
bend thumb to forearm
- little finger bends past 90 degrees
bone mineral density is best measure how and where?
DEXA scan at femoral neck
Z-score
number of standard deviations the patient is fro the average for their age, sex and ethnicity
T-score
the number of standard deviations the patient is from an average healthy young adult
risk factors for osteoporosis
old
post menopause
reduced mobility
low BMI
low Ca/vit D
alcohol and smoking
FHx of fx
chronic disease (CKD, RA, hyperthyroidism)
corticosteroids
SSRIs, PPIs, anti-epileptics, anti-oestrogens (not tamoxifen as it stimulates ERs in uterus and bones)
