Classic artheritis - meduploader

[ArchivalUser]

1. MCPs, PIPs, and wrists. AM stiffness> 1hr. = RA
2. PIPs, DIPs, and low back. AM stiffness - 45 min. Improved with mild exercise. = seronegative
3. PIPs, DIPs, and low back. AM stiffness < 20 minutes. Worsened with exercise. = OA
4. Isolated midline low back pain with AM stiffness 10 minutes. Recurs at end of day. = OA
5. Isolated midline and buttock pain into posterior thighs. 1 hour of AM stiffness and exacerbation at night. = Sacroiliitis

[ArchivalUser]

Classic Arthritis: Top 10
1) Biologic therapy is associated with reactivation of TB, not with increased rates of primary infection.
2) Indolent onset of symptoms predicts a worse prognosis in RA than explosive onset.
3) LS spine involvement is never a primary event in rheumatoid arthritis.
4) COX-2 NSAID therapy does not reduce risk of NSAID-induced renal disease.
5) Involvement of the DIP joints should make you think of OA or psoriatic arthritis.
6) HLA-B27 testing is not useful in confirming a
diagnosis in seronegative arthritis. (Don't order!)
7) Peripheral joint involvement can parallel inflammatory bowel disease activity.
Axial involvement does not!
8) Sausage digits and nail bed pitting indicate psoriatic arthritis.
9) Extraarticular features of AS include uveitis, aortitis, and apical pulmonary fibrosis.
10) Methotrexate remains the initial DMARD of choice for treatment of aggressive RA.