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Flashcards about Rheumatoid Arthritis (RA)
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What is Rheumatoid Arthritis (RA)
A chronic, systemic inflammatory disease affecting synovial joints.
Commonly Affected Joints in RA
Small joints of the hands and feet, especially PIP, MCP, wrists, MTP, knees, ankles, cervical spine.
RA Joint Pain (Symmetrical/Asymmetrical)
Symmetrical.
Systemic Symptoms of RA
Fatigue and low-grade fever.
Swan Neck Deformity explain
Hyperextension of the PIP joint and flexion of the DIP joint.
Boutonnière’s Deformity def
Flexion of the PIP joint and hyperextension of the DIP joint.
Other Common Deformities in RA
Z thumb deformity, ulnar deviation, piano key wrist deformity.
Extra-Articular Features of RA
Dry eyes, pericarditis, pulmonary fibrosis, scleritis, rash
Type of Anemia Common in RA
Normochromic, normocytic anaemia.
Inflammatory Markers Raised in RA
ESR and CRP.
Antibody More Specific for RA (RF or Anti-CCP)
Anti-CCP.
What Uric Acid or Synovial Fluid Analysis Helps Exclude
Polyarticular gout.
What X-Ray Might Show in RA
Joint erosions, used to differentiate from OA.
First-Line Drugs in RA Management
DMARDs: methotrexate, sulfasalazine, leflunomide, hydroxychloroquine.
Anti-TNF Biologic Agents Used in RA
Adalimumab and infliximab.
When Corticosteroids are Used in RA
For short-term use during flares.
Role of NSAIDs in RA
Pain relief, used cautiously due to side effects.