Podcast
Questions and Answers
What is the study of autoimmune diseases and connective tissue disease included in?
What is the study of autoimmune diseases and connective tissue disease included in?
- Cardiology
- Dermatology
- Rheumatology (correct)
- Orthopedics
Which of the following is a characteristic of inflammatory arthritis?
Which of the following is a characteristic of inflammatory arthritis?
- Prolonged stiffness after rest
- Improves with activity
- Pain, swelling, warmth, and redness (correct)
- Absence of systemic signs
What is the term for stiffness after brief periods of rest?
What is the term for stiffness after brief periods of rest?
- Morning stiffness
- Gelling
- Stiffness after brief periods of rest (correct)
- Prolonged stiffness
What is the term for a degenerative disorder that worsens with activity?
What is the term for a degenerative disorder that worsens with activity?
What is the term for a joint pattern that affects one joint?
What is the term for a joint pattern that affects one joint?
What is the term for a type of arthritis that is characterized by the presence of rheumatoid factor?
What is the term for a type of arthritis that is characterized by the presence of rheumatoid factor?
What is the term for nodes found in osteoarthritis?
What is the term for nodes found in osteoarthritis?
What is the primary goal of the differential diagnosis in rheumatology?
What is the primary goal of the differential diagnosis in rheumatology?
Study Notes
Rheumatology
- Study of rheumatic diseases and musculoskeletal disorders
- Includes autoimmune diseases, connective tissue disease, and more
Musculoskeletal System
- The skeleton proper (bones & joints)
- Skeletal muscles
- Tendons
- Ligaments
Inflammatory vs Non-inflammatory
- Inflammatory characteristics:
- Erythema
- Warmth
- Pain
- Swelling
- Prolonged stiffness
- Systemic symptoms
- Laboratory abnormalities
- Non-inflammatory characteristics:
- Mechanical pain (worse with activity)
- Degenerative disorder /metabolic dis /endocrine dis
- Improves with rest
- Stiffness after brief periods of rest (not prolonged)
- Absence of systemic signs
Differential Diagnosis for Joint Pattern
- Monoarticular (single joint):
- Trauma
- Hemarthrosis
- Spondyloarthropathy
- Septic arthritis
- Crystal-induced
- Oligoarticular (2-4 joints):
- Spondyloarthropathy
- Crystal-induced
- Infection-related
- Polyarticular (5 or more joints):
- RA
- SLE
- Crystal-induced
- Infectious
Rheumatologic Diseases
- Osteoarthritis
- Rheumatoid Arthritis
- Seronegative spondyloarthropathy
- Crystal-induced arthritis
- Systemic lupus erythematosus
- Vasculitis
- Scleroderma
- Inflammatory Myopathy
Duration of Disease
- Acute: less than 6 weeks
- Subacute: 6 weeks to 6 months
- Chronic: more than 6 months
Clinical Features
- Pain
- Swelling
- Power loss
- Tenderness
- Extra-articular symptoms (e.g. rash, cough, fever, ulcers)
- Low platelet count and anemia
Differential Diagnoses
- Fracture
- Sprain
- Dislocation or subluxation
- Joint or muscle inflammation
- Age-specific abnormality
- Systemic illness (e.g. neuropathy, myopathy, connective tissue disease)
Additional Factors
- Type of joint involved
- Muscle power affected
- Other systems involved (e.g. lung, eye, CNS)
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Description
Test your knowledge of rheumatic diseases, musculoskeletal disorders, and connective tissue diseases. Covers symptoms, laboratory abnormalities, and more.
