Diagnostic Imaging II > Untitled Deck > Flashcards

Untitled Deck Flashcards

(219 cards)

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1
Q

Rheumatoid arthritis

A

Generalized connective tissue disorder

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2
Q

Unknown

A

What is the cause of rheumatoid arthritis?

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3
Q

Synovium

A

Rheumatoid arthritis targets the _____

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4
Q

Synovial membrane

A

With rheumatoid arthritis, there is a cellular immune response to an antigen present in the _____

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5
Q

Erosive pannus

A

The cellular immune response in rheumatoid arthritis leads to production and formation of an _____

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6
Q
  • Age of onset: 20-60 y.o.
A
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7
Q
  • F:M → 2/3:1
A
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8
Q
  • Stiffness in the morning lasting over 2 hours
A
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9
Q
  • Bilateral symmetric
A
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10
Q
  • Synovial inflammation
A
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11
Q
  • Severe destructive arthropathy
A
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12
Q
  • Systemic findings
A

State the clinical features of rheumatoid arthritis

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13
Q

Juvenile rheumatoid arthritis

A

Onset of rheumatoid arthritis before age 16

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14
Q
  • RF + 70%
A
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15
Q
  • Rheumatoid Factor - not specific
A
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16
Q
  • Anemia
A
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17
Q
  • Elevated ESR and CRP
A

State the lab findings of rheumatoid arthritis

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18
Q
  • Hand/wrist
A
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19
Q
  • Foot
A
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20
Q
  • Cervical spine
A
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21
Q
  • Hip
A
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22
Q
  • Knee
A
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23
Q
  • Glenohumeral joint
A
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24
Q
  • Acromioclavicular joint
A
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25
- Elbow
26
- SI joint (rare)
State the target sites of rheumatoid arthritis
27
- Bilateral symmetry
28
- Uniform loss of joint space
29
- Marginal Erosions
30
- Juxta-articular osteoporosis
31
- Joint deformity
State the radiographic features of rheumatoid arthritis
32
Marginal erosionss
ID radiographic feature of rheumatoid arthritis
33
Rat bite erosion
ID radiographic feature of rheumatoid arthritis
34
- MCP
35
- PIP
36
- Marginal erosions
37
- Periarticular osteoporosis
38
- Deformities
39
• Swan neck
40
• Boutonniere
41
• Ulnar deviation
State the radiographic features of rheumatoid arthritis in the hand
42
Boutonniere
ID radiographic feature of rheumatoid arthritis in the hand
43
Swan-neck
ID radiographic feature of rheumatoid arthritis in the hand
44
Joint deformity
ID radiographic feature of rheumatoid arthritis in the hand
45
- Ulnar styloid erosion
46
- Carpal erosions
47
- Bony ankylosis
48
- Carpal deformities
State the radiographic features of rheumatoid arthritis in the wrist
49
- MTP joints
50
- Same as hand
51
- Erosions
52
- Lanois deformity
53
• Dorsal MTP subluxation
54
• Fibular deviation
State the radiographic features of rheumatoid arthritis in the feet
55
- Atlantoaxial instability
56
- Odontoid erosion
57
- Odontoid fracture
58
- Facet joint erosion
59
- Facet joint fusion
60
- Disc narrowing
61
- Absence of osteophytes
62
- Subluxation
State the radiographic features of rheumatoid arthritis in the cervical spine
63
- Uniform loss of joint space
64
- Erosions
65
- Femoral head destruction
66
- Bilateral acetabular protrusion
State the radiographic features of rheumatoid arthritis in the hip joint
67
State the radiographic features of rheumatoid arthritis in the knee
68
- Uniform loss of glenohumeral joint space
69
- Marginal erosions
70
- Cuff tear
71
- Tapered distal clavicle
72
- Clavicular erosions
State the radiographic features of rheumatoid arthritis in the shoulder
73
- F>M
74
- Peaks at 2-5 and 9-12 years of age
75
- Several sub-types
76
- Fever
77
- Rash
78
- Lymphadenopathy
79
- Iridocyclitis
80
- Growth disturbance (hyperemia)
81
- Absence of RA factor (except adult onset form)
State the clinical features of juvenile rheumatoid arthritis
82
- Cervical spine
83
- Hands
84
- Feet
85
- Knees
86
- Hips
State the target sites of juvenile rheumatoid arthritis
87
State the radiographic features of juvenile rheumatoid arthritis in the cervical spine
88
State the radiographic features of juvenile rheumatoid arthritis in the extremities
89
Seronegative spondyloarthropathies
_____:
90
- Ankylosing spondylitis (MC)
91
- Enteropathic arthritis
92
- Psoriatic arthropathy
93
- Reactive arthritis (Reiter syndrome)
94
Rheumatoid factor
Seronegative spondyloarthropathies are negative for _____
95
- 15–35 y.o.
96
- M:F → 4:1 to 10:1
97
- Bilateral symmetric
98
- Synovial inflammation
State the clinical features of ankylosing spondylitis
99
- Sharpey's fibers
100
- Entheses (primarily within the trunk)
101
- Fibrous joints (SI joints in particular)
102
- Synovial joints (primarily facets and root joints)
103
- Fibrocartilaginous Joints (IVD, Symphysis pubis, sternomanubrial joints)
State the target sites of ankylosing spondylitis
104
State the radiographic features of ankylosing spondylitis in the SI joints
105
State the radiographic features of ankylosing spondylitis in the thoracic spien and costovertebral joints
106
State the radiographic features of ankylosing spondylitis in the lumbar spine
107
State the radiographic features of ankylosing spondylitis in the cervical spine
108
State the radiographic features of ankylosing spondylitis in the hip joints
109
State the radiographic features of ankylosing spondylitis in the pubic symphysis
110
Bamboo spine
Fusion from marginal syndesmophytes
111
Trolley track sign
Ossification within the facet joint capsules and ligamentum flavum bilaterally
112
Dagger sign
Isolated ossification of the supraspinous and interspinous ligaments
113
- Left: DISH
114
- Middle: Ankylosing spondylitis
115
- Right: Degenerative disc disease
Complete a DDx
116
- SI joint
117
- Thoracolumbar
State the target sites of enteropathic arthritis
118
- Same findings as AS
119
- Inflammatory bowel disease (IBD)
120
- 5% of:
121
• Crohn's disease
122
• Ulcerative colitis
State the clinical features of enteropathic arthritis
123
- Hand
124
- Foot
125
- SI joint
126
- Thoracolumbar
127
- Cervical
State the target sites of psoriatic spondyloarthropathy
128
- 15% of patients have joint disease
129
- 20-50 y.o.
130
- M=F
131
- Asymmetric joint involvement
132
- Scaly, patchy skin lesions
133
- Nail changes
State the clinical features of psoriatic spondyloarthropathy
134
Psoriatic arthritis
Early involvement is characterized by DIP joint redness, swelling, and pain
135
Sausage digit
What is it called when the whole digit is involved in psoriatic arthritis?
136
State the extraspinal manifestations of psoriatic spondyloarthropathy
137
Acro-osteolysis
Tuft resorption present in psoriatic arthritis of the hands
138
Pencil in cup
ID radiographic feature of psoriatic arthritis
139
Opera glass hand
ID radiographic feature of psoriatic arthritis
140
Arthritis mutilans
ID radiographic feature of psoriatic arthritis
141
State the radiographic features of psoriatic spondyloarthropathy in the SI joints
142
State the radiographic features of psoriatic spondyloarthropathy in the cervical spine
143
Non-marginal
_____ psoriatic arthritis/rheumatoid arthritis
144
Marginal
_____ ankylosing spondylitis/enteropathic arthritis
145
- 15-35 y.o.
146
- M:F up to to 50:1
147
- Fever
148
- Weight loss
State the clinical features of reactive arthritis
149
- Urethritis
150
- Conjunctivitis
151
- Arthritis
State the classic triad of reactive arthritis
152
Reiter Syndrome
Another term for reactive arthritis
153
- Venereal
154
- Enteric
What are the 2 modes of reactive arthritis?
155
Chlamydia
What is the most common type of venereal reactive arthritis?
156
- Foot, heel, ankle
157
- Knee
158
- Hip
159
- Sacroiliac
160
- Spine
161
- Hand, elbow, shoulder (rare)
State the target sites of reactive arthritis
162
State the radiographic features of reactive arthritis in the spine
163
State the radiographic features of reactive arthritis in the SI joints
164
State the radiographic features of reactive arthritis in the calcaneus
165
Outgrowth
_____:
166
- Osteophyte
167
- Syndesmophyte
168
• Marginal
169
• Non-marginal
170
- Flowing hyperostosis
171
- Enthesophyte (extremity)
172
Disorder
_____:
173
- Extremity degeneration
174
- Spine degeneration
175
• Ankylosing spondylitis
176
• Enteropathic arthritis
177
• Psoriatic arthritis
178
• Reactive arthritis
179
- DISH
180
- DJD, DISH, AS
181
Osteophyte
ID osseous outgrowth
182
Flowing hyperostosis
ID osseous outgrowth
183
Marginal syndesmophyte
ID osseous outgrowth
184
Non-marginal syndesmophyte
ID osseous outgrowth
185
- Multiple organ systems
186
- Women (childbearing age)
187
- Onset: fever, malaise, skin rash, arthralgia
188
- Lab: elevated ESR, ANF, LE cell
189
- Reversible subluxation in hands
190
- Atlantoaxial instability
191
- Corticosteroid complications
State the clinical features of systemic lupus erythematosus (SLE)
192
Reversible subluxation with no pressure
ID radiographic feature of systemic lupus erythematosus
193
Reversible subluxation with firm pressure
ID radiographic feature of systemic lupus erythematosus
194
Tuft resorption
ID radiographic feature of systemic lupus erythematosus
195
Phalangeal sclerosis
ID radiographic feature of systemic lupus erythematosus
196
- 30-50 y.o.
197
- F:M → 3:1
198
- Subcutaneous calcification
State the clinical features of scleroderma
199
Progressive systemic sclerosis
Another term for scleroderma
200
- Calcinosis
201
- Raynaud's
202
- Esophageal dysmotility
203
- Sclerodactyly
204
- Telangiectasia
CREST syndrome
205
State the radiographic features of scleroderma
206
- F:M → 9:1
207
- 20-40 y.o.
208
- Secondary to mechanical stress such as pregnancy
209
- May simulate seronegative diseases
210
- Bilateral or unilateral
State the clinical features of osteitis condensans illi
211
- Uncommon
212
- Non-suppurative inflammation
213
- Pelvic surgery
214
- Childbirth
215
- Trauma
216
- Athletic pubalgia
217
- Pain, restricted motion
218
- Subchondral sclerosis
219
- Wide joint space
State the clinical features. of osteitis pubis
Diagnostic Imaging II
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