2-13-12 - Introduction To Arthritis And Synovial Fluid Analysis- Dr. Humphrey

Front 1

Compare Inflammatory and Non-Inflammatory Arthralgea in terms of morning stiffness, morning vs. evening, rest, and exercise

Back 1

Inflammatory
1. Morning stiffness > 1 hour
2. Pain worse in the morning
3. Pain worse with rest
4. Pain better with exercise

Non-Inflammatory
1. No morning stiffness (or < 30 minutes)
2. Pain worse in the evening
3. Pain worse with exercise
4. Pain better with rest

Front 2

What are the 7 physical signs of arthritis?

Back 2

1. Hotness
2. Redneses
3. Tenderness
4. Swelling
5. Loss of movement
6. Deformity
7. Crepitus

Front 3

What are the 3 "D"s in the diagnosis of arthritis?

Back 3

1. Distribution
2. Duration
3. Disease in other organs

Front 4

Which 2 types of arthritis are acute (< 6 weeks)?

Back 4

1. Septic Arthritis
2. Crystal Disease

Front 5

Which 3 types of arthritis are chronic (> 6 weeks)?

Back 5

1. Osteoarthritis
2. Rheumatoid Arthritis
3. Spondyloarthritis

Front 6

What is the classification of synovial fluid that is colorless, clear, and viscous?

Back 6

Non-inflammatory

Front 7

What is the classification of synovial fluid that is yellowish and turbid?

Back 7

Inflammatory

Front 8

What is the classification of synovial fluid that contains pus or blood?

Back 8

Septic or Hemorrhagic

Front 9

What is the most common cause of pyarthrosis?

Back 9

Septic Arthritis

Front 10

What is the classification of synovial fluid with <200 cells/mm3, mostly mononuclear?

Back 10

Normal Fluid

Front 11

What is the classification of synovial fluid with <2000 cells/mm3, mostly mononuclear?

Back 11

Non-Inflammatory Fluid

Front 12

What is the classification of synovial fluid with 2000-50,000 cells/mm3, mostly neutrophils?

Back 12

Inflammatory Fluid

Front 13

What is the classification of synovial fluid with > 50,000 cells/mm3, all neutrophils?

Back 13

Purulent Fluid

Front 14

Which joints of the hand are affected in osteoarthritis?

Back 14

Distal Interphalangeal (DIP) Joints
- Heberden Nodes

Proximal Interphalangeal (PIP) Joints
- Bouchard Nodes

Front 15

Involvement of DIPs and PIPs is associated with which type of arthritis?

Back 15

Osteoarthritis

Front 16

Which joints of the hand are affected in rheumatoid arthritis?

Back 16

Proximal Interphalangeal (PIP) Joints

Metacarpophalangeal (MCP) Joints

Front 17

Involvement of PIPs and MCPs are associated with which type of arthritis?

Back 17

Rheumatoid Arthritis

Front 18

Which type of arthritis is associated with chronicity, asymmetry, non-inflammatory, no morning stiffness, and no extraarticular features?

Back 18

Osteoarthritis

Front 19

Involvement of the axial skeleton and sacroiliitis is associated with which type of arthritis?

Back 19

Spondyloarthritis

Front 20

Chronicity, asymmetry, non-inflammatory, no morning stiffness, and no extra-articular features are diagnostic for which type of arthritis?

Back 20

Osteoarthritis

Front 21

What are Heberden Nodes? Associated with which type of arthritis?

Back 21

Heberden Nodes: enlargement of the DIPs

Osteoarthritis

Front 22

What are Bouchard Nodes?
Associated with which type of arthritis?

Back 22

Bouchard Nodes: enlargement of the PIPs

Osteoarthritis

Front 23

Chronicity, symmetric polyarticular, inflammatory, morning stiffness, nodules, and RF are diagnostic for which type of arthritis?

Back 23

Rheumatoid Arthritis

Front 24

Bilateral ulnar deviation is associated with which type of arthritis?

Back 24

Rheumatoid Arthritis

Front 25

What is the Swan Neck Deformity? Associated with which type of arthritis?

Back 25

Swan Neck Deformity
- Flexion of DIP
- Extension of PIP

Associated with RA

Front 26

What is the Boutonnier Deformity? Associated with which type of arthritis?

Back 26

Boutonneire Deformity
- Extension of DIP
- Flexion of PIP

Associated with RA

Front 27

Nodules on the extensor surface of the forearms and lungs are associated with which type of arthritis?

Back 27

Rheumatoid Arthritis

Front 28

What is Felty's Syndrome?

Back 28

Felty's Syndrome = RA + Neutropenia + Splenomegaly

Front 29

Skin fibrosis, telangiectasia, and tightened facial features are associated with which rheumatic disease?

Back 29

Systemic Sclerosis (Scleroderma)

Front 30

What is the term for tapered, claw-like fingers? Associated with which rheumatic disease?

Back 30

Sclerodactyly

Systemic Sclerosis (Scleroderma)

Front 31

Malar rash is associated with which rheumatic disease?

Back 31

SLE

Front 32

What are the 3 different skin manifestations of SLE?

Back 32

1. Malar Rash
2. Subacute cutaneous lupus (psoriasis or annular form)
3. Discoid Rash

Front 33

Discoid Rash is associated with which rheumatic disease?

Back 33

SLE

Front 34

Nail pitting is associated with which rheumatic disease?

Back 34

Psoriasis

Front 35

Erythema nodosum is associated with with diagnosis?

Back 35

Sarcoidosis

Front 36

Erythema marginatum is associated with which diagnosis?

Back 36

Rheumatic Fever

Front 37

Painful, palpable, purpura is associated with which diagnosis?

Back 37

Vasculitis

Front 38

Involvement of hand DIP, PIP, and 1st MCP is associated with which rheumatic disease?

Back 38

Osteoarthritis

Front 39

Involvement of hand PIPs and MCPs and foot MTPs and PIPs is associated with rheumatic disease?

Back 39

Rheumatoid Arthritis

Front 40

Monoarticular involvement of the knee is associated with which rheumatic disease?

Back 40

Septic Arthritis

Front 41

Involvement of the 1st MTP is associated with which rheumatic disease?

Back 41

Gout