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PACES-CVM > STN 5 > Flashcards

STN 5 Flashcards

1
Q

ACUTE MONOARTHRITIS

A 
INFECTIVE (MORE MIGRATORY) - HBV/HCV/PARVOVIRUS/RUBELLA/EBV/RHEUMATIC FEVER
CRYSTALS (MORE EPISODIC ; MALES)
RA & VARIANT (MORE ADDITIVE) - MONOARTICULAR ONSET ; exception: palindromic (more episodic)
SPONDYLOARTHRITIS - MONOARTICULAR ONSET
CTD (FEMALES)- MONOARTICULAR ONSET
SYSTEMIC DISEASE - SARCOIDOSIS
OA
NEOPLASM, NEUROPATHIC JOINT 
TRAUMATIC
HEMARTHROSIS
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2
Q

CHRONIC MONOARTHRITIS

A 
MYCOBACTERIAL - INFECTION
CRYSTALS 
RA & VARIANTS, CTD, SPONDYLOARTHRITIS
SYSTEMIC DISEASE
NEOPLASM, NEUROPATHIC JOINT
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3
Q

ACUTE OLIGOARTHRITIS - 1 TO 4 JOINTS

A 
INFECTION - GONOCOCCAL (CERVICITIS IN FEMALE/ URETHRITIS IN MALE); HBV/HCV/PARVOVIRUS/EBV/RUBELLA
CRYSTALS
RA & VARIANTS
SPONDYLOARTHRITIS
CTD
SYSTEMIC DZ - SARCOIDOSIS
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4
Q

CHRONIC OLIGOARTHRITIS - 1 TO 4 JOINTS

A 
SPONDYS
CTD
SYSTEMIC DZ
OA 
INFX
NEUROPATHIC JOINT
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5
Q

ACUTE POLYARTHRITIS

A 
INFX - GONO / VIRAL HBV/HCV/PARVO/RUBELLA/STD
RA & VARIANTS
SPONDY
CTD
CRYSTALS
SYSTEMIC DZ - ACUTE RHEUMATIC FEVER
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6
Q

CHRONIC POLYARTHRITIS

A 
RA
CTD
SPONDYLOARTHRITIS - REACTIVE ARTHRITIS
SYSTEMIC DISEASE - MALIGNANCY
CRYSTALS
INFX - HCV/HBV
OA
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7
Q

DACTYLITIS

A 
INFX - TB
CRYSTALS - GOUT
SPONDYL - PSORIATIC ARTHRITIS
REACTIVE ARTHRITIS
SYSTEMIC DZ - SARCOIDOSIS, SICKLE CELL
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8
Q

polyarthritis + fever

A 
infx
crystals
CTD, vasculitis
RA variants - still's , Juvenile inflamm arthritis
systemic dz, malignancy
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9
Q

polyarthritis + raynauds

A

CTD + vasculitis
RA &variants
cryoglobulinemia

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10
Q

polyarthritis + rash

A 
infx
CTD
RA variants 
spondy
systemic dz - sarcoidosis
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11
Q

polyarthritis + nodules

A 
infx
crystals
RA
CTD - SLE, vasculitis, SSc, Behcet's
spondy
OA (bouchard's heberden)
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12
Q

polyarthritis + lungs

A 
infx
CTD - ILD
RA - rheumatoid nodules in lung ; ILD/bronchiec/pleural eff. / caplan nodules
spondy
systemic - sarcoidosis
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13
Q

polyarthritis + cardiac

A 
infx - rheumatic fever
CTD
RA - pericardial eff. MR/AR
spondy - AR
systemic dz - sarcoidosis (aneurysms)
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14
Q

polyarthritis + renal

A

infx / septic embolus
crystal nephropathy
CTD - lupus
systemic - amyloidosis

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15
Q

polyarthritis + GI

A

whipple’s
spondy - IBD
lupus (mesenteric vasculitis)
systemic - amyloidosis, celiac dz, microscopic colitis

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16
Q

polyarthritis + ocular

A

behcet’s relapsing polychondritis, sarcoidosis, CTD, spondy

infx - TB

17
Q 
RA - neuro
RA - resp
RA - cardiac
RA - ocular
RA - hematologic
RA - mucocutaneous
RA - ass'd conditions
A

carpal tunnel / AA subluxation/cervical myelopathy ; peripheral neuropathy / mononeuritis multiplex

bronch/ILD ; nodules ; eff. ; bronchiolitis obliterans

pericardial eff ; MR/AR

ocular - mononeuritis multiplex; episcleritis ; keratitis ; lens - cataract/glaucoma ; fundus - retinal vasculitis ; bull’s eye maculopathy 2’ HCQ use

hematologic - cytopenias

rheumatoid nodules ; secondary sjogrens ; rheumatoid vasculitis of skin

osteoporosis ; IHD / HLD / HTN ; amyloidosis

18
Q

psoriatic arthritis - ass’d illness

A 
osteoporosis ; gout
IBD ; NASH
IHD ; DM
skin ca
depression
19
Q

PA - PHYSICAL EXAMINATION / INX / TX

A

DIPJ - OA, PA, SPONDY unlike RA - PIPJ only
plaques over gluteal cleft ; umbilicus ; hairline
XR new bone formation - unlike RA - periarticular osteopenia
asymmetric sacroilitis

20
Q

SLE

A

ALL SHOULD GET HCQ unless heart blocks or retinopathy

warfarin for all APS - DOAC not efficacious

PACES-CVM (6 decks)

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