Differentiating Diagnosis

How could an atypical RA paitent present

Bilateral shoulder or hip sx could occur.
Early RA can have an incomplete joint distribution.
Symmetrical MCP and PIP is not essential for diagnosis.

How might RA related hip px present

Deep groin px, and ant thigh or buttock.
Bilateral.
Reduced hip ROM - internal rot

Which systemic conditions are associated with enthesitis

Psoriatic and reactive arthritis
Axial spondyloarthritis

How can gout present in joints other than the big toe

Can affect ankle knee, wrist and elbow.

What are typical features of gout related symptoms

Rapid onset of severe joint px.
Swelling, warmth and redness.
Recurrent episodes with periods of improvement.

Why should septic arthritis be considered when someone presents with an acutely painful joint, and what should you look for?

Septic arthritis is a joint infection and is a medical emergency.
Acute, severe px.
Swelling and warmth.
Px with both active and passive roms.
Fever and systemic illness.

How can vascular claudication be distinguished from neurogenic claudication.
Vascular:
Neurogenic:

Px occurs after a predictable walking distance and improves by stopping and resting.

Sx are aggrivated by standing and Lsp ext and improve with sitting or bending forward.

Where can endometriosis px refer

Lower back, glutes, hips and thighs.

What systemic effects can RA cause

Anaemia.
Peripheral neuropathy.
Interstitial lung disease, pleural inflammation.
Increased cardiovascular risk.

Where can biliary pathologys refer to

Right scapular and thoracic region

Where can renal pathologys refer to

Flank and post trunk px

Where can gastric pathologys refer to

Upper abdominal discomfort and back referral.