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JOINTS 2
Sero -ve
Spondyloarthritis
Feature
negative RF
sarcoiliac & spine
HLA- B27
Ankylosing spondylitis
Reactive arthritis
Reiter's
Enteropathic
Psoriatic arthritis
Ank.
Spond.
Feature
Chr. inflam. of lumbar & sacroiliac
Patho = HLA B-27
Age = young males
Effect
Perip. arthritis
Uveitis
Aortic incompetence
Reiter's
Feature
Patho = HLA B-27
Patho = autoimmune cond.
Age = young males
Causes
Genitourinary infection
GIT infection
Effect:
Triad
Arthritis at knees, ankles
Urethritis
Conjunctivitis
Enteropat.
Arthritis
Cause = Chr. IDB (Crohn & UC)
Ifxn causes
Salmonella, shigella
Yersinia, campylobact.
Psoriatic
Arthritis
Cause = psoriasis
Patho = HLA B-27
Site = DIP, knees, spine
Infec. Arthritis Patho
Haematogenous
Adjacent infec. foci
DIrect inoculation
trauma
surgical
Suppur.
Arthritis
Causes
Staph. aureus (most common & destructive)
H.Influenza (< 2 yo)
Gonococcus (in young sex. active)
Streptococci
E. coli & pseudomonas
Effect
Acutely painful, swollen joint
Fever
Raised WBC
TB
Arthritis
Patho = adjacent TB osteomyelitis or haematogen.
Site = spine, hip
Destructive arthritis
Typical granulomatous inflammation
Gout
Arthritis
Feature
Epid. = male in 50's
RF = familial, alcohol, obesity
Patho = disorder of purine metab.
Site = metatarsophalangeal joint
Effect = hyperuricaemia
Cause
Primary
undersecretion of uric acid
over production of uric acid
2ndary
excess. brkdown of nuc. acid
renal undersecretion
enzyme deficiency (HGPRT)
Patho
Urate crystal deposition on artic. surface
Interaction with leucocyte -- degen. changes
Deposit. in tissue cause tophus formation
Dx
Synov. aspirate = needle shaped crystal
Synov. biopsy
Tx
Clochicine (anti inflam.)
Allopurinol (inhib. uric acid synthesis)
Hydration (promote renal excretion)
JOINTS 2.mmap - 06/01/2010 - Mindjet

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Joints 2

  • 1. JOINTS 2 Sero -ve Spondyloarthritis Feature negative RF sarcoiliac & spine HLA- B27 Ankylosing spondylitis Reactive arthritis Reiter's Enteropathic Psoriatic arthritis Ank. Spond. Feature Chr. inflam. of lumbar & sacroiliac Patho = HLA B-27 Age = young males Effect Perip. arthritis Uveitis Aortic incompetence Reiter's Feature Patho = HLA B-27 Patho = autoimmune cond. Age = young males Causes Genitourinary infection GIT infection Effect: Triad Arthritis at knees, ankles Urethritis Conjunctivitis Enteropat. Arthritis Cause = Chr. IDB (Crohn & UC) Ifxn causes Salmonella, shigella Yersinia, campylobact. Psoriatic Arthritis Cause = psoriasis Patho = HLA B-27 Site = DIP, knees, spine Infec. Arthritis Patho Haematogenous Adjacent infec. foci DIrect inoculation trauma surgical Suppur. Arthritis Causes Staph. aureus (most common & destructive) H.Influenza (< 2 yo) Gonococcus (in young sex. active) Streptococci E. coli & pseudomonas Effect Acutely painful, swollen joint Fever Raised WBC TB Arthritis Patho = adjacent TB osteomyelitis or haematogen. Site = spine, hip Destructive arthritis Typical granulomatous inflammation Gout Arthritis Feature Epid. = male in 50's RF = familial, alcohol, obesity Patho = disorder of purine metab. Site = metatarsophalangeal joint Effect = hyperuricaemia Cause Primary undersecretion of uric acid over production of uric acid 2ndary excess. brkdown of nuc. acid renal undersecretion enzyme deficiency (HGPRT) Patho Urate crystal deposition on artic. surface Interaction with leucocyte -- degen. changes Deposit. in tissue cause tophus formation Dx Synov. aspirate = needle shaped crystal Synov. biopsy Tx Clochicine (anti inflam.) Allopurinol (inhib. uric acid synthesis) Hydration (promote renal excretion) JOINTS 2.mmap - 06/01/2010 - Mindjet