Msk Derm - Articular Vs Nonarticular

Front 1

What questions should we ask when presented with MSK pain?

Back 1

-articular or non-articular
-inflammatory or non-inflammatory
-acute or chronic
-number of joints
-pattern of joint involvement

Front 2

What are the non-articular causes of MSK pain?

Back 2

-peri-articular (tendon, bursa, ligament, bone, muscle)
-referred visceral pain
-nerve (neuropathic)

Front 3

What questions do you ask on Hx to differentiate articular from non-articular pain?

Back 3

-location (at a joint)
-nature (deep/diffuse or point/focal)
-aggregated by movement/independent of movement

Front 4

Deep and/or diffuse pain is ________ (articular/non-articular) whereas point/focal pain is (articular/non-articular)

Back 4

-articular
-non-articular

Front 5

The patient has pain that is aggravated by movement of the joint. This is typically ______________ (articular/non-articular) pain.

Back 5

articular

Front 6

What things do we look for on physical exam to differentiate articular from non-articular pain?

Back 6

-range of motion
-swelling
-crepitus, instability, deformity

Front 7

In articular disease, the __________ (active/passive) range of motion is limited.

Back 7

-BOTH active and passive

Front 8

In non-articular disease, the __________ (active/passive) range of motion is limited.

Back 8

-active

Front 9

A patient presents with joint pain and swelling. This is typically seen in _________ (articular/non-articular) disease

Back 9

-articular

Front 10

What are the causes of inflammatory arthritis?

Back 10

-infectious
-crystal-induced
-immune-related
-reactive
-idiopathic

Front 11

What are the causes of non-inflammatory arthritis?

Back 11

-osteoarthritis
-internal joint derangement: loose body, ligament injury, meniscal tear

Front 12

What things might you find on history that point you in the direction of inflammatory arthritis?

Back 12

-young female
-inflammation signs
-systemic symptoms

Front 13

What are the four cardinal signs of inflammation?

Back 13

-erythema
-warmth
-pain
-swelling

Front 14

What are the systemic symptoms pointing to systemic disease?

Back 14

-fatigue
-fever
-rash
-weight loss

Front 15

Inflammatory arthritis is ____________ (relieved/aggravated) by rest and gets ______________ (better/stays the same) after about 45 minutes from waking up

Back 15

-aggravated
-stays the same

Front 16

A joint appears swollen. You examine it and it feels boney hard. This suggests _________ (inflammatory/non-inflammatory) arthritis

Back 16

-non-inflammatory

Front 17

What are the key variables used to distinguish inflammatory from non-inflammatory arthritis?

Back 17

-age, sex, morning stiffness, aggravating factors, relieving factors, extra-articular features

Front 18

If a patient presents with joint pain that has lasted longer than 6 weeks, you would begin to suspect what kinds of diseases?

Back 18

-rheumatoid or psoriatic arthritis

Front 19

If a patient presents with joint pain that has lasted longer than 6 weeks, you would begin to suspect what kinds of diseases?

Back 19

-gout, pseudogout, infection, transient viral infection

Front 20

Oligoarthritis has _____ joints involved while polyarthritis has ______ joints involved

Back 20

-1 to 4
-more than 4

Front 21

What are the categories for pattern of involvement in arthritis?

Back 21

-additive
-intermittent
-migratory

Front 22

"Additive arthritis" has ________ involvement of joints and is seen in ________ arthritis and ______-arthritis

Back 22

-progressive
-rheumatoid
-osteo

Front 23

When symptoms completely resolve between episodes, it is called an ________ pattern of involvement. It is seen in things like ________ arthritis and what other diseases?

Back 23

-intermittent
-crystalline
-SLE, palindromic rheumatism

Front 24

A migratory pattern of involvement is seen in what diseases?

Back 24

-disseminated gonnococcal infection
-rheumatic fever