Rheumatology Flashcards
(21 cards)
Young woman w/ joint pain of PIP, MCP, wrist joints
Rheumatoid arthritis
Heberden nodes
Visible and palpable DIP joint osteophytes in osteoarthritis
Bouchard nodes
Proximal interphalangeal PIP joint osteophytes in osteoarthritis
Swan neck and boutonniere deformities seen w/?
Rheumatoid arthritis
Needle-shaped crystals with negative birefringence (yellow in parallel light) in joint fluid
Gout
Tx of acute gout attacks
Colchicine or NSAIDs (NEVER ASA)
Tx of gout maintenance
Allopurinol or probenecid (only in those with goof renal function)
Contra-indications of NSAIDs
Peptic ulcer disease
Renal failure
Calcium pyrophosphate crystals in joints
Pseudogout
Rhomboid crystals with weakly positive bifringence
Pseudogout
Which joints are commonly affect by Pseudogout?
Large joints (classically knee, elbows)
Erythema chronicum migrans
Lyme disease
Tx of Lyme in children younger than age 8 and in a pregnant/lactating woman
Amoxicillin or cefuroxime
Erythema marginatum, carditis, migratory polyarthritis, subcutaneous nodules
Jones criteria for Rheumatic fever 2/2 Group A strep
Charcot joint
Most commonly seen in diabetes and other neuropathies 2/2 lack of sensation causing pt to overuse or misuse joints that become deformed and painful
Heliotrope rash
Dermatomyositis
Vasculitis associated with Hepatitis B
Polyarthritis nodosa (spares pulmonary arteries)
Asian females
Takayasu arteritis
Behcet syndrome
Young men ~20yo with painful oral and genital ulcers, uveitis, arthritis, erythema nodosum
Tx: Steroids
Paget disease
bone is broken down and regenerated, p/w: bone pain, arthritis, hearing loss, Alk phos very high with normal calcium and phosphorous levels; Tx: bisphosphenate
If pediatric patient has uveitis and inflammatory arthritis, but negative RF, what’s the dx?
Still RA since RF is negative in the pauciarticular variant
