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Chapter 78
Approach to Patients with Rheumatic Disaease
22
Pathology
Professional
04/01/2012

Additional Pathology Flashcards

 


 

Cards

Term
Gout
Definition
Join disease of middle aged men and postmenopausal women

Monoarticular or polyarticular
Term
Gout
Definition
Podagra, Rapid Onset, tophi
Term
Gout
Definition
Crystals, high WBC, >80% PMN
Term
Septic Arthritis
Definition
Joint disease of any age

Usually large joints: monoariticular
Term
Septic Arthritis
Definition
Fever, chills

High WBC's with >90% PMN
Term
Osteoarthritis
Definition
Joint disease that increases with age

Weight bearing, hands (DIPS, PIPS, and MCP)

No wrist, elbow, shoulder, or ankle involvement
Term
Osteoarthritis
Definition
Pain not present at rest

Stiff after prolonged periods of rest

Pain after moving
Term
Rheumatoid Arthritis
Definition
Any age, predominantly women ages 20-50 yrs

SYMMETRICAL, small joint disease (wrist and MCP)
Term
Rheumatoid Arthritis
Definition
Nodules and extra-articular

High WBC's with >70% PMN
Term
Reactive Arthritis (Reiters)
Definition
Young males Aoligoarticular

ASYMMETRICAL
Term
Reactive Arthritis (Reiters)
Definition
Urethritis, conjunctivitis, skin and mucous membranes

Moderate WBC's with >50% PMN
Term
Spondyloarthropathy
Definition
Young to middle aged men

AXIAL SKELETON, PELVIS (SACROILIAC)
Term
Spondyloarthropathy
Definition
Uveitis, aortic insufficiency, enthesopathy
Term
Systemic Lupus Erythematosus
Definition
Women in childbearing years

Hands, knees, and polyarthritic
Term
Systemic Lupus Erythematosus
Definition
Nonerosive joint disease, autoantibodies, mostly mononuclear, multi-organ

Low-to moderate WBC's with almost 100% ANA's
Term
Systemic Lupus Erythematosus
(Synovial Fluid)
Definition
Clear to slightly turbid

100-9000 WBC count with <20% PMN
Term
Osteoarthritis and trauma
(Synovial Fluid)
Definition
Clear to slightly turbid

50-2000 WBC count with <30% PMN
Term
Gout
(Synovial Fluid)
Definition
Turbid

2000-160,000 WBC count with ~70% PMN
Term
Pseudogout
(Synovial Fluid)
Definition
Turbid

500-75000 WBC count with ~70% PMN
Term
Rheumatoid Arthritis
(Synovial Fluid)
Definition
Turbid

2000-80000 WBC count with ~70% PMN
Term
Bacterial Infection/Septic Gout
(Synovial Fluid)
Definition
Very turbid

5000-250,000 WBC count with ~90% PMN
Term
Tuberculosis (Joint)
(Synovial Fluid)
Definition
Turbid

2500-100,000 WBC count with ~60% PMN
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