Term
| the best way to diagnose a patient with joint complaints |
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Definition
| the rheumatologic evaluation |
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Term
| ____ and ____ should lead to correct diagnosis in 85% of cases |
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Definition
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|
Term
| a ______ approach will help in the eventual diagnosis of most patients |
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Definition
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Term
| _______ can help with the diagnosis of arthritis when ordered in the corret setting |
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Definition
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Term
|
Definition
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Term
|
Definition
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Term
|
Definition
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Term
|
Definition
|
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Term
|
Definition
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Term
| synovitis, fusiform swelling |
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Definition
|
|
Term
| erythema, soft tissue swelling, 'sausage' digits, nail changes |
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Definition
|
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Term
|
Definition
|
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Term
| chronic, tophi nodules deposited anywhere in body (most commonly in hand around fingers) |
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Definition
|
|
Term
| vesiles and pustules, gonococcal arthritis |
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Definition
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Term
|
Definition
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Term
|
Definition
|
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Term
|
Definition
| extra-articular, bursitis, tendinitis, intra-articular, inflamm./non inflamm., metabolic/traumatic bone disorders |
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Term
| non inflammatory arthritis |
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Definition
|
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Term
|
Definition
| RA, SLE, Psoriatic arthritis |
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|
Term
| arthritis characteristics |
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Definition
inflammation (varying degrees)
all motion (passive/active) causes pain
pain generalized around joint
decreased ROM |
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|
Term
| Routine arthritis screening tests |
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Definition
Acute phase reactants (ESR, CRP)
RF
ANA |
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|
Term
|
Definition
complement levels (CH 50, C3/C4)
HLA testing: B27; D locus alleles
ANCA
Cryoglobulins
Lyme titers |
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|
Term
|
Definition
| arthrocentesis, arthroscopy (synovial biopsy, bone biopsy) |
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|
Term
| examination of synovial fluid (naked eye) |
|
Definition
| color, viscosity, turbidity (cloudiness) |
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|
Term
| examination of synovial fluid (bacteriology) |
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Definition
|
|
Term
| examination of synovial fluid (microscopy) |
|
Definition
| wet films, cell stains, polarized light |
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Term
|
Definition
| bleeding into joint spaces |
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|
Term
|
Definition
| trauma, bleeding disorders, villonodular synovitis, pyrophosphate arthropathy, charcot joint, resolving infection, contamination during aspiration |
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|
Term
| synovial effusion classifications |
|
Definition
| normal, noninflamm., inflamm., septic |
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|
Term
|
Definition
clear, colorless, viscous
<200 leaukocytes/mm3 (<25% PMNs) |
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|
Term
|
Definition
clear, yellow, viscous
200-20000 leukocytes/mm3 (<25% PMNs) |
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|
Term
|
Definition
cloudy, yellow, watery, low glucose
2000-100000 (>50% PMNs) |
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|
Term
|
Definition
purulent very low glucose
>80000 (>75% PMNs) |
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|
Term
| goup 1 synovial effusions |
|
Definition
|
|
Term
| group 2 synovial effusions |
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Definition
|
|
Term
| group 3 synovial effusions |
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Definition
|
|
Term
| type of synovial effusion: OA |
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Definition
|
|
Term
| type of synovial effusion: Early RA |
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Definition
|
|
Term
| type of synovial effusion: trauma |
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Definition
|
|
Term
| type of synovial effusion: Osteochondritis dissecans |
|
Definition
|
|
Term
| type of synovial effusion: osteonecrosis |
|
Definition
|
|
Term
| type of synovial effusion: sickle cell disease |
|
Definition
|
|
Term
| type of synovial effusion: chronic/subsiding crystal synovitis |
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Definition
|
|
Term
| type of synovial effusion: lupus |
|
Definition
|
|
Term
| type of synovial effusion: vasculitis |
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Definition
|
|
Term
| type of synovial effusion: scleroderma |
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Definition
|
|
Term
| type of synovial effusion: amyloidosis |
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Definition
|
|
Term
| type of synovial effusion: hypothyroidism |
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Definition
|
|
Term
| type of synovial effusion: RA |
|
Definition
|
|
Term
| type of synovial effusion: Reiters syndrome |
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Definition
|
|
Term
| type of synovial effusion: Acute crystal synovitis |
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Definition
|
|
Term
| type of synovial effusion: psoriatic arthritis |
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Definition
|
|
Term
| type of synovial effusion: arthritis of IBD |
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Definition
|
|
Term
| type of synovial effusion: ankylosing spondylitis |
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Definition
|
|
Term
| type of synovial effusion: viral arthritis |
|
Definition
|
|
Term
| type of synovial effusion: rheumatic fever |
|
Definition
|
|
Term
| type of synovial effusion: juvenile chronic arthritis |
|
Definition
|
|
Term
| type of synovial effusion: behcet's syndrome |
|
Definition
|
|
Term
| type of synovial effusion: mycobacterial infection |
|
Definition
|
|
Term
| type of synovial effusion: bacterial infection |
|
Definition
|
|
Term
| type of synovial effusion: fungal infection |
|
Definition
|
|
Term
| type of synovial effusion: Actue crystal synovitis |
|
Definition
|
|
Term
| monosodium urate monohydrate crystals |
|
Definition
| acute gout, tophaceous gout, asymptomatic |
|
|
Term
| calcium pyrophosphate dihydrate crystals |
|
Definition
| actue pseudogout, destructive arthropathy, asymptomatic |
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|
Term
| Basic calcium phosphate crystals |
|
Definition
| acute calcific periarthritis, acute arhtritis, destructive arthropathy (milwauee shoulder/knee) |
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Term
|
Definition
| acute, subacute arthritis, asymptomatic |
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Term
|
Definition
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|
Term
|
Definition
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|
Term
| negative birefringence polarized light microscopy |
|
Definition
|
|
Term
|
Definition
| calcium pyrophosphate crystals (pseudogout) |
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