Difference between revisions of "RHEUMATOID ARTHRITIS-CLINICAL"
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<br/>4. Symptoms of RA may be intermittent (15-30%) or progressive. Intermittent disease has remissions lasting up to 1 year and is considered a variant of RA known as <i>palindromic rheumatism.</i> | <br/>4. Symptoms of RA may be intermittent (15-30%) or progressive. Intermittent disease has remissions lasting up to 1 year and is considered a variant of RA known as <i>palindromic rheumatism.</i> | ||
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<br/>5. General inspection | <br/>5. General inspection: patients appear Cushingoid due to chornic steroid use. | ||
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<br/>6. Associated: carpal tunnel/tarsal tunnel syndrome, atlanto-axial instability, <i>T-L-S spine and sacral joints are always spared.</i> | <br/>6. Associated: carpal tunnel/tarsal tunnel syndrome, atlanto-axial instability, <i>T-L-S spine and sacral joints are always spared.</i> | ||
Latest revision as of 11:07, 20 March 2023
SUMMARY
1. Causes symmetric polyarteritis with specific involvement of the hands.
2. Signs and symptoms of RA include > 1 hour of morning stiffness/pain that improves with activity, fatigue, low-grade fever, anorexia, and weight loss.
3. Non-inflammatory joint diseases, such as OA, cause < 30 minutes of stiffness, and pain is worse with activity.
4. Symptoms of RA may be intermittent (15-30%) or progressive. Intermittent disease has remissions lasting up to 1 year and is considered a variant of RA known as palindromic rheumatism.
5. General inspection: patients appear Cushingoid due to chornic steroid use.
6. Associated: carpal tunnel/tarsal tunnel syndrome, atlanto-axial instability, T-L-S spine and sacral joints are always spared.
Reference(s)
Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].
