Rheumatoid arthritis - Revision history

Elcatracho: /* Clinical Features */

2021-01-25T01:46:56Z

Clinical Features

← Older revision		Revision as of 01:46, 25 January 2021
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	==Clinical Features==		==Clinical Features==
	[[File:Rheumatoid_nodules.jpg\|thumb\|Rheumatoid nodules on the extensor surfaces can develop in poorly controlled rheumatoid arthritis]]		[[File:Rheumatoid_nodules.jpg\|thumb\|Rheumatoid nodules on the extensor surfaces can develop in poorly controlled rheumatoid arthritis]]
	[[File: swan neck deformity.jpg\|thumb\|Multiple [[swan neck ~~deformities~~\|swan neck ~~deformity~~]] from poorly controlled rheumatoid arthritis]]		[[File: swan neck deformity.jpg\|thumb\|Multiple [[swan neck deformity\|swan neck deformities]] from poorly controlled rheumatoid arthritis]]
	*Morning stiffness		*Morning stiffness
	*[[Polyarthritis]] of MCP and PIP joints		*[[Polyarthritis]] of MCP and PIP joints

2021-01-25T01:46:31Z

Clinical Features

← Older revision		Revision as of 01:46, 25 January 2021
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	==Clinical Features==		==Clinical Features==
	[[File:Rheumatoid_nodules.jpg\|thumb\|Rheumatoid nodules on the extensor surfaces can develop in poorly controlled rheumatoid arthritis]]		[[File:Rheumatoid_nodules.jpg\|thumb\|Rheumatoid nodules on the extensor surfaces can develop in poorly controlled rheumatoid arthritis]]
	[[File: swan neck deformity.jpg\|thumb\|Multiple swan neck deformities from poorly controlled [[rheumatoid arthritis]]]]		[[File: swan neck deformity.jpg\|thumb\|Multiple [[swan neck deformities\|swan neck deformity]] from poorly controlled rheumatoid arthritis]]
	*Morning stiffness		*Morning stiffness
	*[[Polyarthritis]] of MCP and PIP joints		*[[Polyarthritis]] of MCP and PIP joints

2021-01-24T02:27:15Z

Clinical Features

← Older revision		Revision as of 02:27, 24 January 2021
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	==Clinical Features==		==Clinical Features==
			[[File:Rheumatoid_nodules.jpg\|thumb\|Rheumatoid nodules on the extensor surfaces can develop in poorly controlled rheumatoid arthritis]]
			[[File: swan neck deformity.jpg\|thumb\|Multiple swan neck deformities from poorly controlled [[rheumatoid arthritis]]]]
	*Morning stiffness		*Morning stiffness
	*[[Polyarthritis]] of MCP and PIP joints		*[[Polyarthritis]] of MCP and PIP joints

2021-01-24T02:18:30Z

Clinical Features

← Older revision		Revision as of 02:18, 24 January 2021
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	**Does NOT involve DIP joints		**Does NOT involve DIP joints
	**Wrists, elbows, shoulders, ankles, knees also commonly involved		**Wrists, elbows, shoulders, ankles, knees also commonly involved
	*Ulnar deviation at ~~the wrist~~		*Ulnar deviation at MTP joints
			*[[Swan neck deformity]]
	*Rheumatoid nodules		*Rheumatoid nodules
	*Most patients initially diagnosed in the early 50s		*Most patients initially diagnosed in the early 50s

2021-01-13T19:00:44Z

Differential Diagnosis

← Older revision		Revision as of 19:00, 13 January 2021
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	==Differential Diagnosis==		==Differential Diagnosis==
	*[[Septic Arthritis (General)\|Septic arthritis of previously injured joint]]		*[[Septic Arthritis (General)\|Septic arthritis of previously injured joint]]

	{{Differential Diagnosis Polyarthritis}}		{{Differential Diagnosis Polyarthritis}}
			{{Differntial Diagnosis Oligoarthritis}}
			{{Differencial Diagnosis Migratory Arthritis}}

	==Evaluation==		==Evaluation==

2021-01-13T18:58:15Z

Background

← Older revision		Revision as of 18:58, 13 January 2021
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	==Background==		==Background==
	*~~Erosive~~ polyarthritis		*Rheumatoid arthritis is an autoimmune disease. It is an erosive polyarthritis that causes auto-antibodies direct against an individual's own joints and joint spaces.

	==Clinical Features==		==Clinical Features==

2019-10-18T15:51:43Z

← Older revision		Revision as of 15:51, 18 October 2019
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	==Clinical Features==		==Clinical Features==
	*Morning stiffness		*Morning stiffness
	*Polyarthritis of MCP and PIP joints		*[[Polyarthritis]] of MCP and PIP joints
	**Does NOT involve DIP joints		**Does NOT involve DIP joints
	**Wrists, elbows, shoulders, ankles, knees also commonly involved		**Wrists, elbows, shoulders, ankles, knees also commonly involved
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	*Rheumatoid nodules		*Rheumatoid nodules
	*Most patients initially diagnosed in the early 50s		*Most patients initially diagnosed in the early 50s
	*Common associated conditions in severe cases: pleuritis, ~~interstital~~ lung disease, pericarditis, inflammatory eye disease		*Common associated conditions in severe cases: pleuritis, [[interstitial lung disease]], [[pericarditis]], inflammatory eye disease

	==Differential Diagnosis==		==Differential Diagnosis==
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	**Consider intraarticular injection if a single joint is inflammed		**Consider intraarticular injection if a single joint is inflammed
	**Systemic steroids reserved for moderate-severe flairs		**Systemic steroids reserved for moderate-severe flairs
	*[[~~Opiods~~]] have a limited role		*[[Opioids]] have a limited role
	*Disease-modifying antirheumatic drug (DMARD)		*Disease-modifying antirheumatic drug (DMARD)
	**Can be started by primary care provider or rheumatologist after ER visit		**Can be started by primary care provider or rheumatologist after ER visit

2017-07-04T05:30:20Z

← Older revision		Revision as of 05:30, 4 July 2017
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	==Disposition==		==Disposition==
	*~~Refer~~ to ~~primary care provider~~ or ~~rheumatologist~~		*Discharge with referral to PCP or rheumatology

	==See Also==		==See Also==
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	==References==		==References==
			<references/>

	[[Category:Rheumatology]]		[[Category:Rheumatology]]

2016-08-03T18:19:59Z

Text replacement - "* " to "*"

← Older revision		Revision as of 18:19, 3 August 2016
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	*Rheumatoid nodules		*Rheumatoid nodules
	*Most patients initially diagnosed in the early 50s		*Most patients initially diagnosed in the early 50s
	* Common associated conditions in severe cases: pleuritis, interstital lung disease, pericarditis, inflammatory eye disease		*Common associated conditions in severe cases: pleuritis, interstital lung disease, pericarditis, inflammatory eye disease

	==Differential Diagnosis==		==Differential Diagnosis==

2016-07-28T20:04:38Z

← Older revision		Revision as of 20:04, 28 July 2016
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	==Evaluation==		==Evaluation==
	*Xray affected joints		*Xray affected joints for erosions
	*Rheumatoid factor		*Rheumatoid factor (positive in 60% to 70% of patients)
	*Anti-cyclic citrullinated peptide (CCP) antibodies		*Anti-cyclic citrullinated peptide (CCP) antibodies (positive in about 70% of patients)
	*ANA		*ANA
	*Consider [[arthrocentesis]]		*Consider [[arthrocentesis]]