Mnemonics for Rheumatology
Rheumatology- Mnemonics
Rheumatoid arthritis (RA)
Features
Mnemonic: RHEUMATISM
R Rheumatoid factor (RF) +ve in 80%/Radial deviation of wrist
H HLA-DR1 and DR-4
E ESR/Extra-articular features (restrictive lung disease, subcutaneous nodules)
U Ulnar deviation of fingers
M Morning stiffness/MCP+PIP joint swelling
A Ankylosis/Atlanto–axial joint subluxation/Autoimmune/ANA +ve in 30%
Features
Mnemonic: RHEUMATISM
R Rheumatoid factor (RF) +ve in 80%/Radial deviation of wrist
H HLA-DR1 and DR-4
E ESR/Extra-articular features (restrictive lung disease, subcutaneous nodules)
U Ulnar deviation of fingers
M Morning stiffness/MCP+PIP joint swelling
A Ankylosis/Atlanto–axial joint subluxation/Autoimmune/ANA +ve in 30%
T T-cells (CD4)/TNF
I Inflammatory synovial tissue (pannus)/IL-1
S Swan-neck deformity, Boutonniere deformity, Z-deformity of thumb
M Muscle wastage of small muscles of hand
Management
DMARDs (Disease-Modifying Anti-Rheumatic Drugs)
Mnemonic: Most Sufferers Can Get Appropriate Pain Control
M Methotrexate
S Sulfasalazine
C Ciclosporin
G Gold
A Azathioprine
P Penicillamine
C HydroxyChloroquine
Joint pain
Causes
Mnemonic: ARTHRITIS
A Arthritis – rheumatoid or osteoarthritis
R Reactive arthritides
T Tendon/muscle damage
H Hyperuricaemia; gout
R Referred pain
I AutoImmune, eg connective tissue disease – systemic sclerosis, SLE
T Tumour
I Ischaemia
S Sepsis/Spondyloarthritides
Arthritis
Features of Ankylosing spondylitis
Mnemonic: SPINAL
S Sacroiliac and low back pain
P Pleuritic chest pain
I Inherited gene marker: HLA-B27 (>90% HLA-B27 +ve, general population
frequency – 8%)
N Neck hyperextension – question mark posture
A Arthritic symptoms in peripheries (asymmetrical)
L Loss of spinal movement which is progressive
Components of CREST syndrome
Mnemonic: CREST
C Calcinosis
R Raynaudʼs phenomenon
E OEsophageal dysmotility
S Sclerodactyly
T Telangiectasia
I Inflammatory synovial tissue (pannus)/IL-1
S Swan-neck deformity, Boutonniere deformity, Z-deformity of thumb
M Muscle wastage of small muscles of hand
Management
DMARDs (Disease-Modifying Anti-Rheumatic Drugs)
Mnemonic: Most Sufferers Can Get Appropriate Pain Control
M Methotrexate
S Sulfasalazine
C Ciclosporin
G Gold
A Azathioprine
P Penicillamine
C HydroxyChloroquine
Joint pain
Causes
Mnemonic: ARTHRITIS
A Arthritis – rheumatoid or osteoarthritis
R Reactive arthritides
T Tendon/muscle damage
H Hyperuricaemia; gout
R Referred pain
I AutoImmune, eg connective tissue disease – systemic sclerosis, SLE
T Tumour
I Ischaemia
S Sepsis/Spondyloarthritides
Arthritis
Features of Ankylosing spondylitis
Mnemonic: SPINAL
S Sacroiliac and low back pain
P Pleuritic chest pain
I Inherited gene marker: HLA-B27 (>90% HLA-B27 +ve, general population
frequency – 8%)
N Neck hyperextension – question mark posture
A Arthritic symptoms in peripheries (asymmetrical)
L Loss of spinal movement which is progressive
Components of CREST syndrome
Mnemonic: CREST
C Calcinosis
R Raynaudʼs phenomenon
E OEsophageal dysmotility
S Sclerodactyly
T Telangiectasia
Categories:
Mnemonics
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