Week 5 Rheumatology - Fernandez Flashcards Preview

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Flashcards in Week 5 Rheumatology - Fernandez Deck (7)
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1

How do you differentiate inflammatory from non-inflammatory arthritis?

Inflammatory = morning stiffness for 2-3 hours, swelling is symmetric and soft
Non-inflammatory = less than that, swollen joints that are hard and bony

2

Clinical manifestations:
Butterfly rash
photosensitivity
Positive ANA (anti-nuclear antibody)
Young Woman

Systemic Lupus

3

Clinical manifestations:
Older than 50
Morning stiffness < 30 mins
Bony enlargements = osteophytes
Joint space narrowing

Osteoarthritis

4

Clinical manifestations:
Morning stiffness at least 1 hour
Symmetric joint swelling
Soft and spongy joints

Rheumatoid Arthritis

Serologies:
Rheumatoid Factor
Positive Anti CCP antibody

5

Risk factors for rheumatoid arthritis?

smoking
periodontal disease

6

Clinical manifestations:
Middle aged men
abrupt onset inflammatory arthritis
Pain escalates

Rule out cellulitis
Need to aspirate to differentiate- gout looks like white chalky material

Diagnosis- serum uric acid levels, want to be less than 6

7

What are tophi a sign of?

Chronic tophaceous gout