Shared Flashcard Set

Details

Joint Pain disease Summary
NMS Diagnosis
43
Health Care
Professional
04/17/2013

Additional Health Care Flashcards

 


 

Cards

Term
Chronic inflammatory condition involving the sacroiliac joints and the axial skeleton marked by bone formation at ligament and tendon attachments, 90% are HLA B27 positive,
Definition
Ankylosing Spondylitis:
Term
presents with low backache > 3 months duration, better with exercise not with rest, limitation of lumbar spine movement in sagittal and coronal planes, bilateral sacroiliac tenderness and decreased chest expansion with inspiration,
Definition
Ankylosing Spondylitis:
Term
x-rays may show blurring of the SI joints, shiny corners, marginal syndesmophytes, dagger sign and bamboo spine; ESR and alkaline phosphatase may be elevated in the active phase.
Definition
Ankylosing Spondylitis:
Term
joint disease caused by deposition of calcium pyrophosphate in joint cartilage, may be seen on patients with diabetes mellitus, hemachromatosis and hyperparathyroidism;
Definition
CPPD:
Term
may be asymptomatic or present with painful joints usually the knee, wrist, shoulder or hip;
Definition
CPPD:
Term
x-ray will show linear calcification in the articular cartilage, joint aspiration will show positive birefringent rhomboid crystals.
Definition
CPPD:
Term
joint disease associated with specific gastrointestinal diseases such as Crohn’s disease and ulcerative colitis;
Definition
Enteropathic arthritis:
Term
presents with painful knees, ankles or SI joints associated with recurrent diarrhea; ESR will be elevated and HLA B27 is often positive.
Definition
Enteropathic arthritis:
Term
monoarthritis caused by Neisseria gonorrhea; presents with a hot swollen painful joint shortly after developing a thick purulent urethral discharge;
Definition
Gonococcal arthritis:
Term
leukocytosis and elevated neutrophils, aspirated joint fluid will show lots of white blood cells and numerous Gram negative intracellular diplococcic.
Definition
Gonococcal arthritis:
Term
metabolic condition characterized by deposition of uric acid crystals in joints;
Definition
Gout:
Term
may present with sudden onset of severe joint pain and swelling in the big toe, tophi may be found in the skin or ear in chronic gout;
Definition
Gout:
Term
x-ray may show soft tissue swelling and then bony erosions with overhanging edges; finding negative birefringent needle crystals on examination of aspirated synovial fluid with polarized light is diagnostic.
Definition
Gout:
Term
infection of skin, nerves, muscles and joints caused by Borrelia burgdorferi transmitted by the deer tick Ixodes scapularis;
Definition
Lyme disease:
Term
presents with a flu-like illness with a bull’s eye rash [erythema migrans] in Stage 1; Bell’s palsy and peripheral neuropathy in Stage 2 and chronic arthritis and muscle pains in Stage 3; Lyme-ELISA is confirmatory.
Definition
Lyme disease:
Term
hereditary condition resulting in defective fibrillin production; presents with tall, thin body habitus, hypermobile joints, lens dislocation, aortic incompetence, mitral valve prolapsed, dissecting thoracic aorta
Definition
Marfan’s disease:
Term
progressive degeneration of articular cartilage, presents with pain in the weight-bearing joints: knee, hip and spine, morning stiffness lasting less than 1 hour, pain worsens with use and towards the end of the day;
Definition
Osteoarthritis:
Term
x-ray will show narrowing of the joint space, subchondral sclerosis, marginal osteophytes and subchondral cysts.
Definition
Osteoarthritis:
Term
bacterial infection of bones; commonly associated with IV drug use and Staph aureus;
Definition
Osteomyelitis:
Term
presents with fever, nearby joint is swollen, affected area is swollen, warm and red; CBC will show leukocytosis with elevated neutrophils;
Definition
Osteomyelitis:
Term
x-ray will show soft tissue swelling initially with Brodie’s abscess, involucrum and sequestrated bone later.
Definition
Osteomyelitis:
Term
chronic scaly skin disorder with genetic predisposition aggravated by stress and physical trauma;
Definition
Psoriasis
Term
presents with plaques of silvery scales over the extensor aspects of the elbows, knees and sacrum, may also present with pains in the small joints;
Definition
Psoriasis
Term
x-ray of affected hands cup and pencil deformities and sausage fingers, biopsy is diagnostic.
Definition
Psoriasis
Term
systemic disease caused by a reaction to certain bacteria, often associated with chlamydia and shigella ;
Definition
Reiter’s syndrome:
Term
presents with joint pains especially in the heel, painful red eyes and a painful urethral discharge ; HLA B27 is positive but not necessary for the diagnosis.
Definition
Reiter’s syndrome:
Term
autoimmune disease triggers by recent Strep. pyogenes infection affecting the heart, skin and joints;
Definition
Rheumatic fever:
Term
presents with eyethema marginatum, heart murmurs, migratory joint pains, subcutaneous nodules and Sydenham’s chorea;
Definition
Rheumatic fever:
Term
ASOT will be elevated, PR interval is prolonged and the ESR will be raised.
Definition
Rheumatic fever:
Term
chronic autoimmune disorder of joints seen more commonly in middle-aged females;
Definition
Rheumatoid Arthritis:
Term
presents with bilateral PIP, MCP and wrist pain with morning stiffness lasting more than 1 hour; Rheumatoid Factor is raised in 70% of patients, ESR is raised along with Anti-CCP,
Definition
Rheumatoid Arthritis:
Term
x-rays may show symmetrical bilateral intra-articular erosions, periarticular osteoporosis with ulnar deviation of the MCP joints.
Definition
Rheumatoid Arthritis:
Term
chronic systemic granulomatous disease of skin and reticulo-endothelial tissue seen more commonly in black females;
Definition
Sarcoidosis:
Term
presents with erythema nodosum, night sweats, fatigue and insidious shortness of breath with peripheral neuropathy and splenomegaly; leucopenia and hypercalcemia is present,
Definition
Sarcoidosis:
Term
x-ray of the chest will show bilateral hilar lymphadenopathy or diffuse reticular infiltrate of the lungs, biopsy will show the typical non-caseous granulomas.
Definition
Sarcoidosis:
Term
chronic autonomic connective tissue disorder characterized by fibrosis, more common in females;
Definition
Scleroderma:
Term
presents with thickened shin skin over the fingers, sensitivity to cold, joint pains with tendon crepitus, shortness of breath, fatigue and dysphagia; associated with CREST [calcinosis cutis, Reynaud’s phenomenon, Esophageal hypomotility, Sclerodactyly and Telangiectasia] syndrome.
Definition
Scleroderma:
Term
acute non-gonococcal infection of one joint caused by bacterial infection often seen in IV drug use; Staph. aureus is most common;
Definition
Septic arthritis:
Term
presents with fever and severe acute joint pain with swelling and marked decrease in ROM; leukocytosis and high neutrophils are present,
Definition
Septic arthritis:
Term
diagnosis is confirmed by joint aspiration with the fluid showing numerous white blood cells and bacteria.
Definition
Septic arthritis:
Term
multisystem chronic autoimmune disease affecting connective tissue, seen more commonly in young female adults;
Definition
SLE:
Term
presents with multiple joint pains, butterfly rash and fatigue; CBC may show a normocytic normochromic anemia with a leucopenia, ANA and anti-ds DNA antibodies will be present.
Definition
SLE:
Term
Injury to ligament or muscle; presents with swelling, pain and decreased range of movement, active movement aggravates muscle strain while passive movement with aggravate ligament sprain.
Definition
Sprain/strain:
Supporting users have an ad free experience!