Introduction to Rheumatology Flashcards Preview

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Flashcards in Introduction to Rheumatology Deck (16)
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1

Explain what rheumatology is and the types of disorders rheumatologists specialize in managing.

To deal with pain and inflammation of the musculoskeletal system and autoimmune disease

2

Recognize how rheumatologists evaluate patients.

Patient history
Lab testing
Monoarticular vs. Polyarticular
Joint distribution
Demographic history
Synovial fluid analysis

3

Recognize the major sub-groups of rheumatic diseases.

Degenerative Joint Disease, Inflammatory Joint Disease, Metabolic Joint Disease, Autoimmune disease

4

Periarticular pain

Pain arising from structures around the joint

5

Soft tissue pain

Pain perceived as coming from the joint but has another source

6

Some Lab tests

ESR (erythrocyte sed rate), C-reactive protein, Autoantibodies, albumin, hematocrit, fer-Inflammatory Diseaseitin, platelets

7

Non-inflammatory disease

Osteoarthritis, Secondary OA, avascular necrosis, fibromyalgia,

8

Bouchard

MIP

9

Heberden

DIP

10

Inflammatory Diseases

RA, crystals, spondyloarthropathies, SLE,

11

Rheumatoid Arthritis

Small joints except DIP, no spine
Inflamed synovial tissue

12

Gout

Intermittent
Redness and warmth
Smaller joints
High uric acid level in blood

13

Pseudogout

Larger joints
Inflammatory with calcium pyrophosphate crystals
No correlate to blood serum levels

14

Spondyloarthopathis

Spinal arthritis and enthesitis (inflammation of ligamentous osseus junctions)
Insidious onset
Prolonged morning stiffness

15

Vasculitis

Based on size of blood vessels

16

Evaluation

Non-inflam vs. inflam
> Systemic or local?