Card Set Information
what are gottron's papules a sign of and how do they look?
dermatomyositis - over PIP joints and nails
what are specific signs of dermatomyositis?
gotton's papules, telangectasia, heliotrope rash, gottron's sign (over patellae)
at which points must you check for light touch?
radial border of indec (med, C6), ulnar border of little (ulnar, c8), middle finger pulp (c7), first dorsal interosseous (radial)
which two specific tests can be used for carpal tunnel?
tinel's (tap to reproduce), phalen's (inverse prayer to reproduce)
at which points must you check for motor neurology?
abd/add fingers (ulnar T1), abd thumb (median T1), ext wrist (radial C6/7), hook grip (c8)
what are the main causes of polyarticular arthritis?
RA, SLE, seronegative arthropathy, gout, pseudogout
what are the main causes of monoarticular arthritis?
sepsis, crystals, reactive
what other areas would you examine if someone had dupuytren's contracture?
soles of feet, liver, dorsal knuckle pads (garrod's), penis (peyronie's disease)
what are the causes of dupuytren's contracture?
FATE PAD (family history, alcohol, trauma, epilepsy, peyronie's, idiopathic, diabetes)
which muscles are supplied by the median nerve?
LOAF: lateral 2 lumbricals, opponens pollicis, abductor pollicis brevis.
causes of carpal tunnel syndrome
idiopathic, anatomical (bone, agromegaly, lipoma, ganglion), physiological (RA, gout, pregnancy, menopause, hypothyroid, obesity, amyloid, CKD, neuropathy (DM, alcohol))
what are the causes of a pericardia lrub
pericardial effusion, pericarditis
which areas are most affected by RA?
joints (hands, feet, c-spine) lungs, pericardium, sclera
Diagnostic criteria for RA
(4/7) morning stiffness, polyarthritis, symmetrical, hand, nodules, factor, radiography
what are complications of ankylosing spondylitis?
UC. 7 A's: anterior uveitis, apical lung fibrosis, aortic regurg, aortitis, achilles tendonitis, anaemia, amyloidosis
what are the complications of psoriatic arthropathy?
erythrodermic psoriasis with skin failure,pustular psoriasis, arthropathy
what are drug causes of SLE?
procainamide, hydralazine, isoniazid (you will always find anti-histone Abs)