Reactive Polyarticular Arthritis
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Overview
- Monoarticular versus polyarticular
- Inflammatory versus noninflammatory
Inflammatory:
- History includes
- prolonged and severe morning stiffness
- fever
- weight loss
- spontaneous joint swelling
- Physical reveals
- local warmth
- synovial thickening
- frank effusions
- Laboratory examination includes
- anemia
- elevated sedimentation rate or C-reactive protein level
- thrombocytosis
References
Epidemiology and Demographics
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Risk Factors
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Screening
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Pathophysiology & Etiology
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Molecular Biology
- Noninflammatory up to 3000 WBC and 25% PMNs
- Inflammatory greater than 3000 WBC and 70% PMNs
- Purulent greater than 50000 WBC and 90% PMNs
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Genetics
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Natural History
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Diagnosis
Differential Diagnosis
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History and Symptoms
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Physical Examination
Appearance of the Patient
Eyes
Ear Nose and Throat
Heart
Lungs
Abdomen
- Spinal Exam
- Range of motion
- Chest expansion
- Tenderness of spinous processes and sacroiliac joints
- Abnormal curves
- Muscle spasm
Extremities
- Peripheral pulses
- Neurological exam
- Joints
- Warmth
- Synovial thickening
- Effusions
- Crepitation
- Deformity
- Tenderness
- Active and passive range of motion
Neurologic
Other
- Psoriasis
- Psoriatic nails
- Oral and genital ulcers
- Funduscopic changes
- Rubs
- Bruits
References
Laboratory Findings
Electrolyte and Biomarker Studies
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Electrocardiogram
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Chest X Ray
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MRI and CT
- Looking for
- cartilage loss
- erosions
- periarticular osteoporosis
- osteophytes
- periostitis
- soft tissue changes.
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Echocardiography or Ultrasound
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Other Imaging Findings
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Other Diagnostic Studies
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Risk Stratification and Prognosis
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Treatment
Pharmacotherapy
Acute Pharmacotherapies
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Chronic Pharmacotherapies
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Surgery and Device Based Therapy
Indications for Surgery
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Pre-Operative Assessment
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Post-Operative Management
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Transplantation
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Primary Prevention
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Secondary Prevention
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Cost-Effectiveness of Therapy
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Future or Investigational Therapies
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Suggested Revisions to the Current Guidelines
References
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Acknowledgements
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List of contributors:
Suggested Reading and Key General References
Suggested Links and Web Resources
For Patients
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