7 articles Rheumatology

Gout

      Diagnostic Criteria for Gout: Diagnosis of gout can be made clinically with the presence of at least 6 of these 12 features: ·         Recurrent arthritic attack ·         Maximal inflammation develops within 24 h ·         Monarticular arthritis ·         Joint redness ·         Pain or swelling in the first MTP joint ·         Unilateral attack involving…

Osteoporosis

Osteoporosis: DEXA scan: Screen all women (post-menopausal) +65 years old at least once! T-score compares a patient’s bone mineral density to that of a healthy young adult WHO criteria: T-score within 1 standard deviation (SD) or better is NORMAL. T-score of -1 to -2.5 SD is defined as OSTEOPENIA. T-score of less than -2.5 SD…

Reactive arthritis (Reiter’s syndrome)

Reactive arthritis (Reiter’s syndrome): Presents after a GI or GU infection*** Diarrhea, N/V -> arthritis! Stool culture: + Shigella “Can’t see (conjunctivitis), can’t pee (urethritis), can’t climb a tree (arthritis).” Circinate balanitis: inflamed glans penis Keratoderma blennorrhagicum: rash on bottom of feet. Affects young adults Asymmetric arthritis: pain, swelling in 1 knee! Enthesitis: pain at…

Rheumatoid Arthritis

Rheumatoid Arthritis: Sx: Morning stiffness*** Associated systemic Sx: myalgia, fatigue, low-grade fever, weight loss PE: Symmetric tenderness of multiple small joints in the hands and a small effusion of a knee 2010 American College of Rheumatology/European League Against Rheumatism classification criteria for RA Requires ALL of the following for diagnosis: Symptoms > 6 weeks Inflammatory…

DEXA scan – screen for Osteoporosis

DEXA scans: (Dual-energy x-ray absorptiometry) Screen for osteoporosis – test bone density T-score compares a patient’s bone mineral density to that of a healthy young adult WHO criteria: T-score within 1 standard deviation (SD) or better is NORMAL. T-score of -1 to -2.5 SD is defined as OSTEOPENIA. T-score of less than -2.5 SD is…