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Ck. ARTHRITIS
. Inflammation of Joints.
| Reactive Arthritis / Reiter’s Syndrome
Joint Inflammation & Pain, due to Infections in the other Parts of the
Body (Genitals or Urinary Tract or Intestines).
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3 Main Symptoms (Triads)
Inflammation of Joints, Eves & Urethritis / Cervicitis.
Signs: Fever, Secretions from 1 Ureth| Itching & Burning of Urethra &
Eyes, Lacrimation, Joint Pain.
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"Rheumatoid Arthritis
Acute Condition, Due to Autoimmune Damage, causes Systemic
Effects like Fever.
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Signs: Pain, Inflammation, Redness & Hyperemia of Joints.
Most Contributive Symptom for Diagnosis:
Reduced Mobility in Morning / Morning Stiffness.
Arthrogram: Joint Space Narrowing, unsuration.
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Treatment: Methotrexate, NSAIDs
Osteoarthritis
Chronic Condition, develops Gradually (mainly seen in Aged
Persons).
Pathology: Degeneration Process in Cartilage.
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Signs: Pain & Deformations / Defigurement of Joints.
X- Ray: Constricted / Narrowing of Joint Space, Marginal
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Jk, Acute Rheumatic Fever
Mainly occurs at Young Age.
History of Sore Throat.
Causative Agent: Beta - Hemolytic Streptococci.
Signs: Pain, Swelling & Stiffness of Joints, Fever, Cardiomegaly,
Indicator: Antistreptolysine O.
Prolonged Course: 3 Rheumatic Attacks in the last 2 years.
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Method of Secondary Prophylaxis: Year - Round Bicillin Pophylaxis till the
Age of 25.
in of Recurrence: Bicillin - 5.
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se 4 Autoimmune Disease causing Systemic Changes.
Raynaud’s Syndrome:
Signs:
Mask like Face, Polyarthralgia, Difficulty in Deglutition, Numbness, Paleness
of Fingers, Cardiomegaly, Muscle Rigidity.
Urine: Increased Level of Oxyproline.
Pathogenesis: Formation of Antibodies to Collagen.
Kidney Disorder Worsens the Prognosis.
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Systemic Lupus Erythematous
Mechanism: Production of Antibodies to DNA.
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Signs:
Butterfly Rash on Face, Pain in Small Joints of Hands & Legs,
Edema & Eythema of Face, Fever.
Blood: Anemia, Leukocytosis, Increased ESR.
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Urine: Proteinuria, Hematuria.
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Data for Confirmational Diagnosis: Antinuclear Factor.
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Dermatomyositis
Violet - Bluish Erythema around the Eyes & Joints, Fever, Pain in Joints & Leg
Muscles.
Factor for Greatest Diagnostic Importance: Creatine Phosphokinase.
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Writer’s Cramp
A Neurological Focal Motor Disorder.
Causes: Overuse of Muscles, Emotional Stress.
Signs: Unable to Write, Pain while Writing.
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Pain caused due to Compression of Lumbar Nerves, L4 / L5 or
Sacral Nerves, S2/ S3 or Schiatic Nerve.
Signs: :
Pain moves Down, from Lower Back to Leg. |
Pain in Lumbar Area, Numbness in Leg,
Painful Palpation of Shin & Thigh.
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Trigeminal Neuralgia
Facial Pain, Tonic Spasm of Facial Muscles.
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Treatment: Finlepin
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Facial Nerve Neuropathy / Facial Neuritis
Signs:
Closing of Eye, Smoothed Nasolabial Folds.
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Pain at the Exit of Trigeminal Nerve, Paroxysmal Intolerable
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Ulnar Neuropathy / Ulnar Nerve Palsy
Cubital Tunnel Syndrome
Causes: Trauma, Compression.
Signs:
Impaired Flexion of 4th & 5th Fingers, Impaired Sensitivity of
Inner Dorsal & Palmar Surfaces of Hand & 4th Finger.
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Radial Neuropathy / Sleep Paralysis / Saturday Night Palsy
Damage of Radial Nerve due to Prolonged Compression.
Causes: Abduction of Limb, during Operation.
Prolonged Sleep after Alcohol or Drug Intoxication.
Lead Poisoning, Humerus Fracture
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Main Sign: Drop Hand / Drop Wrist: Problem with Extension
of Wrist & Fingers l.e Metacarpopharyngeal Joint.
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Carpal Tunnel Syndrome
Damage of Median Nerve, due to Compression at the
Carpal Tunnel.
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Signs: Pain, Numbness, Tingling of 1st 3 Fingers, especially
at Night.
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Ganglioneuroma
Round Well Defined Shadow at Costo - Vertebral Angle
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aus Ankylosing Spondylitis (Bechterew Disease)
Chronic Inflammation, causing Fusing of Vertebrae.
Affection of Sacroiliac Joints
Signs: Pain & Reduced Mobility (Stiffness) of Lumbar Joint.
Associated Eye Pathology: Iridocyclitis
X- Ray: Bilateral Sclerotic Changes of Sacrolumbar Joint,
Bamboo Spine, Ankylosis of sacroiliac Joint, Narrowing of
Intervertebral Joint.
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Blood: HLA B27 Antigen, Increased ESR. dk,
Tuberculous
History of Tuberculosis.
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Intervertebral Ligament Disorder
Signs: Pain in Spinal Cord, increases on Changing Body Position
& in Vertical Position.