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31 Cards in this Set
- Front
- Back
OA or RA? Which joints? |
OA - PIP DIP wrist NOT MCP |
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OA or RA? Which joints? |
RA - MCP PIP wrist NOT DIP |
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OA or RA? |
OA - PIP and DIP |
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OA or RA? What causes? |
OA - squaring of the thumb caused by the MCP joint subluxing radially |
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OA or RA? What causes? |
OA - synovial fluid hypertrophy creates subchondular cysts |
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OA or RA? |
RA - MCP and PIP |
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OA or RA? |
RA - MCP and PIP |
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OA or RA? |
RA - MCP involvement |
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Name and describe this deformity - what disease is it seen in? |
Boutonniere in RA = PIP flexion and DIP hyperextension Note - this is non-reducible because it is a product of erosion |
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Name and describe this deformity - what disease is it seen in? |
Swan Neck in RA = PIP hyperextension and DIP flexion Note - this is non-reducible because it is a product of erosion |
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MCP subluxation seen in? Describe |
RA - ulnar finger deviation, Z-thumb |
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What happened? Commonly seen in... |
MCP subluxation seen in RA |
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Symmetric polyarthritis - disease? Clues?
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Psoriatic arthritis (seen in 25%) - note rash and DIP involvement |
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Seen in 15% of Psoriatic arthritis - what is this? |
DIP disease (distal arthritis) |
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Seen in 40% of Psoriatic arthritis - how do you describe this? |
Asymmetric oligoarthritis (<5 joints) |
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Seen in 5% of Psoriatic arthritis - what is this called? |
Arthritis mutilans - deforming and destructive |
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What is this characteristic of arthritis mutilans called, how does it happen and when is it seen? |
Telescoping digits seen in advanced psoriatic arthritis - collapsing of soft tissue secondary to bone resorption |
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Three nail deformities seen in PsA? |
Pitting nails, onycholysis, hyperkeratotic nailbeds |
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When and why does this happen? What is the early sign? |
MTP subluxation in RA - happens at all the toes (not just big toe) creating callouses as a protective mechanism Early sign is toes spread apart due to swelling of MTP joints |
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What is this extra-articular manifestation of RA - where are they commonly seen |
Rheumatoid nodules (starts from an inflammed vessel) - palpable, rubbery to firm nodules on extensor surfaces (those exposed to repetitive trauma) that can be painful with pressure |
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What are these extra-articular manifestations of RA |
Scleritis Scleromalacia perforans (thinning of the sclera) |
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What is this pattern called and when is it seen? |
Ray = multiple joints in a linear distribution Think spondyloarthropathies (psoriatic and reactive arthritis) |
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What is this pattern called and when is it seen? |
Ray = multiple joints in a linear distribution Think spondyloarthropathies (psoriatic and reactive arthritis) |
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What is this puffy finger pattern called and when is it seen? |
Sausage digit = dactylitis Think spondyloarthropathies, sarcoid, sickle cell, TB |
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What is this puffy finger pattern called and when is it seen? How do you know which this image is of? |
Sausage digit = dactylitis Think spondyloarthropathies, sarcoid, sickle cell, TB This image is of sarcoid because of the small skin nodules |
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Puffy fingers of scleroderma - which phase is this? |
Early, edematous phase |
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Puffy fingers of scleroderma - which phase is this? |
Late, indurated phase |
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Puffy fingers - prayer sign indicates what? |
Diabetic stiff hand syndrome (cheiroarthropathy) caused by flexion contractions Long standing DM1 and DM2 |
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Two diseases present here... |
Gout with inflammatory arthritis |
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Skin pattern - what disease? |
Calcinosis associated with scleroderma |
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Skin pattern - what disease? |
Fingerpad tophi in Gout |