Rheumatology

Question	Answer
Seronegative spondylarthopathies?	PsA/RA/Enteropathic/AS
PMR commonly associated condition?	GCA
How do you divide any treatment plan?	Conservative-Physio/OT Medical-Drugs Surgical-ORIF/replacement
Presentation of RA?	Symmetrical polyarthritis Small joints of the hand apart from DIPs swelling Relieved by activity and NSAIDs Worse in mornings (morning stiffness) female>males
Gene strongly associated with RA?	HLA-DRB1
Hand features of RA?	Z thumb/swan neck/bouchienne deformity ulnar deviation (pronounced ulnar styloid)
Investigations for RA?	FBC,ESR,CRP,RF,anti-CCP DAS-28 score-measures disease severity X-rays
Medical management?	NSAIDS/steroids DMARDs Biologics using DAS28 score for reference
Presentation of Crystal arthopathy?	hot swollen painful joint acute onset (within hours)
Investigations	Routine bloods INR/septic screen inc. cultures urine dip xray Aspirate the joint
Acute monoarthritis DDx?	Septic/Crystal/Haemarthosis
Treatment for Crystal arthopathy?	Rehydrate NSAIDs steroids oral/injection aspirate joint to dryness
How can u tell if CPPD vs Gout?	Plane light microscopy
Management of SNA?	NSAIDS/pain killers steroids/pt/ot
Investigations for reactive arthritis?	Bloods/urine stool culture joint effusion urogenital exam eye exam
Urogenital trigger for arthritis treatment?	Doxycycline/ofloxacin

Resource summary

	Created by James Murdoch about 7 years ago