Makindo Medical Notes"One small step for man, one large step for Makindo" |
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Related Subjects: |Monoarticular arthritis |Polyarticular arthritis |Rheumatoid arthritis |Gout |Pseudogout |Septic Arthritis |Systemic Lupus Erythematosus (SLE) |Enteropathic Spondyloarthritis |Reactive Arthritis
π¨ Joint sepsis is an emergency β requires urgent joint aspiration & antibiotics. Never miss it!
| Condition | Comments / Clues |
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| π€² Rheumatoid arthritis | Symmetrical small joints (MCP, PIP). Spares hips/DIPs. Morning stiffness >1 hr. Elevated CRP/ESR, +Anti-CCP, RF+. Joint aspiration if uncertain (exclude sepsis). |
| π Reactive arthritis | Follows infection (GU/GI). Asymmetrical oligoarthritis. May have rash, urethritis, conjunctivitis. Consider viral or Lyme disease. |
| 𦴠Osteoarthritis | DIP (Heberdenβs), PIP (Bouchardβs), knees, hips, spine. Non-inflammatory. Bloods normal. Pain worse with use. |
| π§΄ Psoriatic arthritis | Asymmetrical. PIP & DIP joints. Nail pitting, onycholysis, psoriatic rash. "Sausage digits". |
| π§ Ankylosing spondylitis | Younger males. Axial back pain, sacroiliitis. Improves with activity. Large joints may be involved. |
| π¦ Systemic lupus erythematosus | Females. Symmetrical small joints. Synovitis but non-erosive. Butterfly rash, systemic features. |