What characteristics do illnesses in the Seronegative Spondyloarthropathies share? | They share clinical features and genetic associations. |
What are the 4 Seronegative Spondyloarthropathies? | Ankylosing Spondylitis (AS).
Reactive Arthritis (ReA).
Psoriatic Arthritis (PsA).
Enteropathic Arthritis (EA). |
"Seronegative Spondyloarthropathies"are called "seronegative" because the _________ tests for RF (rheumatoid factor) and ANA are negative in these conditions. | serologic |
What is Serology? | Serology is the scientific study of serum and other body fluids. |
Ankylosing Spondylitis (AS) is an ________ disorder of unknown cause that primarily affects the axial skeleton. | Inflammatory |
Name 2 pathologies associated with Ankylosing Spondylitis. | Answers: Synovitis, pannus, (subchondoral) granulation tissue, marrow edema are found at the sites of axial inflammation, bamboo spine |
In this image showing the progression of Ankylosing Spondylitis, what is this spinal condition known as (far-right image). | Bamboo Spine |
How might a patient with Ankylosing Spondylitis describe their pain? | Average: Pain deep in the lower lumbar/gluteal region. Might find it hard to take deep breaths.
Morning: In the mornings, they likely experience stiffness, which improves later on in the day.
Night: Pain at night might be so bad that they have to rise and move about to alleviate pain. |
Physical findings in Ankylosing Spondylits. Name 2. | Physical Findings:
- Loss of spinal mobility.
- Bony ankylosing: muscle spasm secondary to pain and inflammation.
- Sacroiliac involvement.
- Decreased chest expansion during breathing.
- Postive Schober test. |
What test is done to possibly detect Ankylosing Spondylitis? | Schober test. |
For those with Ankylosing Spondylitis, where are the extra-articular manifestations mainly found? | Eyes and Heart |
As an osteopath, what should your treatment be mainly concerned with. in regards to Ankylosing Spondylitis? | Mainly: Maintaining Range of motion. |
Reactive arthritis (ReA) is often a triad of conditions at the same time. What are they? | arthritis, urethritis and conjunctivitis. |
How will a person with Reactive Arthritis likely feel (clinical feature)? | Malaise (feeling of weakness, overall discomfort, illness, or simply not feeling well), fever. May have lost weight. |
A common feature of Reactive Artheritis, "Sausage Digit", is a diffuse swelling of a single finger or toe. Its proper medical name is? | Dactylitis |
True or false: Reactive artheritis (a joint infection) happens in response to a PRE-EXISTING infection. | True. That's the #1 cause of reactive arthritis, and why it's called "reactive". It is a joint infection in response to another infection, typically in a near-by area. |
An inflammatory arthritis that occurs in people with psoriasis. | Psoriatic Arthritis |
What condition does this person probably have? | Psoriatic Arthritis |