Presentation
Butterworth-Heinemann, ٢٢/١٠/٢٠١٣ - 326 من الصفحات A Synopsis of Rheumatic Diseases presents the study and practice of rheumatology. It discusses the aetiology, diagnosis, and management of the rheumatic disorders. [books.google.com]
Case presentation A 69-year-old man presented to our hospital in August 2004 for an evaluation due to one month history of right knee joint pain with fever, and two plaques showing on his abdomen and scalp for 10 and 2 years, respectively. [bmcinfectdis.biomedcentral.com]
Patients may present with CNS vascular insufficiency or outright stroke. [emedicine.medscape.com]
Snapshot A 35-year-old man presents to the clinic after noticing an ulcer on his penis. He is unsure how long the ulcer has been present, as he has not felt pain in the area. He denies any symptoms of discharge, rash, or dysuria. [medbullets.com]
Entire Body System
- Disability
Arthritis and other rheumatic conditions are the most common cause of disability among U.S. adults and have been for the past 15 years. Nearly 50% of people may develop symptomatic knee OA by age 85 years. [disabled-world.com]
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Only timely treatment to the doctor can prevent severe consequences such as destruction of the joint, immobility, disability. [medicalj-center.info]
Return to Top DBQs for Musculoskeletal Diseases Here are the Disability Benefits Questionnaires ( DBQs ) used for musculoskeletal diseases: Osteomyelitis DBQ, Fibromyalgia DBQ, and Rheumatoid Arthritis DBQ. [militarydisabilitymadeeasy.com]
In its various forms, arthritis disables more people than any other chronic disorder. The condition can be brought about by nerve impairment, increased or decreased function of the endocrine glands, or degeneration due to age. [encyclopedia2.thefreedictionary.com]
- Chills
Symptoms of acute IA: joint pain: in the beginning the motion, then at rest, at palpation; fever in the range of 380C with chills; limitation of range of motion; skin redness and increased temperature over the joint (may be noted); configuration changes [medicalj-center.info]
This group also includes arthritis associated with vitamin deficiency (scorbutic arthritis), physical over-exertion, chilling, and unsanitary conditions at home and on the job (arthritis in miners, transport workers, and metallurgical workers). [encyclopedia2.thefreedictionary.com]
Symptoms of Jarisch-Herxheimer include: chills rash fever of up to 104 degrees Fahrenheit tachycardia ( rapid heart rate ) hyperventilation headache muscle aches joint pain nausea The Jarisch-Herxheimer reaction is common and potentially serious. [healthline.com]
Symptoms sometimes also include fever and chills. Gonococcal arthritis usually causes milder symptoms. People typically have a fever for 5 to 7 days. [merckmanuals.com]
It is an acute febrile illness with headache, myalgia, chills and rigors and resolves within 24 hours. [patient.info]
- Surgical Procedure
Surgical follow-up Routine follow-up is essential in patients who undergo keratoplasty to ensure proper wound healing, prompt and appropriate removal of sutures and to monitor for sequelae of the surgical procedure or post-operative medications including [eyewiki.aao.org]
Candida infection involving a single joint —usually the knee, hip, or shoulder—results from surgical procedures, intraarticular injections, or (among critically ill patients with debilitating illnesses, such as diabetes mellitus or hepatic or renal insufficiency [what-when-how.com]
Hematological
- Hemophilia A
Degenerative arthritis arises as a result of metabolic disturbance and includes gouty arthritis, arthritis accompanying Kashin-Beck disease and hemophilia, rheumatoid arthritis, degenerative (hypertrophic) arthritis (osteoarthritis), and arthritis resulting [encyclopedia2.thefreedictionary.com]
Cardiovascular
- Heart Disease
It is frequently followed by serious heart disease, especially when there are repeated attacks. Rheumatic fever usually affects children. ..... Click the link for more information. ). [encyclopedia2.thefreedictionary.com]
Repeated attacks over many years are common, and patients sometimes end up with chronic and disabling arthritis, heart disease, amyloid deposits, ankylosing spondylitis, immunoglobulin A nephropathy, cardiac conduction abnormalities, or aortitis with [en.wikipedia.org]
Autoimmune and connective tissue diseases, viral infections, pregnancy. TPPA - rheumatic heart disease. [health.gov.au]
Skin
- Erythema
Review Topic QID: 135 ML 2 Select Answer to see Preferred Response PREFERRED RESPONSE 2 (OBQ06.63) A 20-year-old man presents with erythema, swelling, and pain at the left sternoclavicular joint shown in Figure A. [orthobullets.com]
[…] osteoarthritis of the spine Diffuse idiopathic skeletal hyperostosis (DISH) – caused by inflammation of the tendons and ligaments around the spine as a result of calcification and bone spur formation Fifth disease – caused by viral infection with the erythema [news-medical.net]
View Article PubMed Google Scholar Wu MC, Hsu CK, Lee JY, Chao SC, Ko WC, Sheu HM: Erythema multiforme-like secondary syphilis in a HIV-positive bisexual man. Acta Derm Venerel. 2010, 90: 647-648. 10.2340/00015555-0920. [bmcinfectdis.biomedcentral.com]
Erythema nodosum is a skin disease characterized by the formation of reddened nodules usually on the front of the legs. In the majority of cases, pain may arise in various joints, and sometimes swelling appears. [britannica.com]
Physical exam may reveal a mono- or oligoarticular arthritis (swelling, erythema and pain of the affected joint). The arthritis is typically asymmetric. [rheumatologyadvisor.com]
Musculoskeletal
- Arthritis
arthritis — Synonyms and related words: adenoiditis, adrenitis, appendicitis, arteritis, arthritis deformans, arthritis fungosa, arthritis pauperum, atrophic arthritis, atrophic inflammation, blennorrhagic arthritis, brain fever, bronchitis, bunion, bursitis [medicine.academic.ru]
Degenerative arthritis arises as a result of metabolic disturbance and includes gouty arthritis, arthritis accompanying Kashin-Beck disease and hemophilia, rheumatoid arthritis, degenerative (hypertrophic) arthritis (osteoarthritis), and arthritis resulting [encyclopedia2.thefreedictionary.com]
Etiology and pathogenesis ARTHRITIS(POLYARTHRITIS) SYPHILIS (ARTHRITIS. POLYARTHRITIS SYPHILITICA. [lecheniebolezni.com]
Regensburg Fall 1 Rheumatoide Arthritis, Hypothyreose Colocynthis. 12. Fall 2 Psoriasis Syphilitic arthritis Pronounciation. Learn how to say Syphilitic arthritis in English. Rheumatoid Arthritis. [aqigodigo.wapgem.com]
Tertiary Syphilitic Arthritis (Gummatous Arthritis).5. [ufafofoyehajerezogeg.xpg.uol.com.br]
- Arthralgia
Syphilis arthralgia (arthralgia syphilitica). Can meet soon after syphilis infection in the second and third period. [lecheniebolezni.com]
Intermittent arthralgias and myal-gias—but not arthritis—occur within days or weeks of inoculation of the spirochete by the Ixodes tick. [what-when-how.com]
Joint Lesions in Acquired Syphilis Arthralgia Arthralgia forms part of the clinical picture in the secondary stage. It may even appear before the early rashes. The pain is never severe and can often be more correctly described as an ache. [boneandspine.com]
Waxing and waning arthralgias 3. [slideshare.net]
[…] hepatitis), the CNS (headache, meningitis, cranial neuropathy, iritis, and uveitis), and the musculoskeletal system (arthritis, osteitis, periostitis). 4 Patients also may have constitutional symptoms such as fever, malaise, generalized lymphadenopathy, arthralgias [aafp.org]
- Joint Effusion
joint effusion in large joint such as hip can be used in guiding aspirations MRI indications detects joint effusion, and may detect adjacent bone involvement such as osteomyelitis Studies Serum labs WBC >10K with left shift ESR >30 ESR is often elevated [orthobullets.com]
There is often an insidious chronic history of joint problems, usually involving weight-bearing joints. Joints are typically swollen from effusion or exaggerated osteoarthritic changes. [rheumaknowledgy.com]
It affects the upper limbs more frequently than the lower and is often associated with an effusion into the adjacent joint. [boneandspine.com]
Clutton’s joint, a late manifestation of congenital syphilis that typically develops between the ages of 8 and 15 years, is caused by chronic painless synovitis with effusions of large joints, particularly the knees and elbows. [what-when-how.com]
Effusion of fluid into the joint cavity is common, and examination of this fluid is often a valuable procedure for determining the nature of the disease. [britannica.com]
- Ankylosis
[…] coalescence: bony consolidation begins with subchondral sclerosis, periosteal bone formation, and fusion of the larger fragments and absorption of the smaller fragments reconstruction/reconstitution: remodeling occurs with rounding of fragments and ankylosis [radiopaedia.org]
NORMAL FIBROUS BONY JOINT ANKYLOSIS ANKYLOSISSigns: 1. Child is generally severely toxic with a high temperature and tachycardia 2. Joint is swollen and held in the position of ease 4. 3. [slideshare.net]
[…] be performed open or arthroscopically (depending on joint) irrigation remove all purulent fluid and irrigate joint debridement synovectomy can be performed as needed cultures obtain joint fluid and tissue for culture Complications Arthritis Fibrous ankylosis [orthobullets.com]
Subsequent transformation of these adhesions into mature fibrous or bony connective tissue leads to firm union between the bony surfaces (ankylosis), which interferes with motion of the joint and may render it totally immobile. [britannica.com]
You may contact fusion of the articular surfaces (ankylosis). Not conducted in a timely manner treatment may cause complications such as osteomyelitis (inflammation of all parts of the bone), spondylitis (inflammation of spine). [medicalj-center.info]
- Joint Deformity
Patients experience pain, stiffness, swelling of the joint lining and eventually joint damage, leading to deformity and pain, with loss of function of the affected joints. It may affect both hands and both feet. [news-medical.net]
and Parrot.Pictures of arthritis in the hands reveal joint deformity, swelling, and sometimes nodules. [ufafofoyehajerezogeg.xpg.uol.com.br]
Single injuries, unless they leave a joint permanently deformed, rarely result in osteoarthritis. [britannica.com]
Usually affecting one or more of larger joints there is goodprognosis with respect of joint deformity or motion.Hydrarthrosis: Changes similar to clutton joint may be seen in later stages of secondarysyphilis with abundant fluid & synovial membrane edema [slideshare.net]
Neurologic
- Headache
Common conditions treated with aspirin include headache, muscle and joint pain, and the inflammation caused by rheumatic fever and ..... [encyclopedia2.thefreedictionary.com]
[…] palms of the hands or soles of the feet small skin growths (similar to genital warts ) – on women these often appear on the vulva and for both men and women they may appear around the anus white patches in the mouth flu-like symptoms, such as tiredness, headaches [nhs.uk]
There are also flu-like symptoms such as headache, fatigue, and a mild fever. The bacteria can also get into the brain and cause meningitis. Some people show signs of anemia and jaundice. [medbroadcast.com]
Symptoms of Jarisch-Herxheimer include: chills rash fever of up to 104 degrees Fahrenheit tachycardia ( rapid heart rate ) hyperventilation headache muscle aches joint pain nausea The Jarisch-Herxheimer reaction is common and potentially serious. [healthline.com]
Fever, enlarged lymph nodes, fatigue, weight loss, hair loss, headaches, and muscle aches have all been reported in the secondary stage of syphilis. [medicinenet.com]
- Seizure
If infected babies are born and survive, they are at risk for serious problems including seizures and developmental delays. Fortunately, syphilis in pregnancy is treatable. [medicinenet.com]
Untreated babies may become developmentally delayed, have seizures, or die. How Can I Prevent a Syphilis Infection? To reduce your risk of syphilis infection: Avoid intimate contact with a person you know is infected. [webmd.com]
[…] permanent disability - Difference Between Osteoarthritis and Rheumatoid Arthritis Similarities and Differences Between OPO, OA and RA Risk Factors OPO OA RA Age-related X X Menopause X Family history X X X Use of certain medications (e.g., glucocorticoids, seizure [disabled-world.com]
[…] tetracycline, 500 mg orally four times daily for 4 weeks Tertiary (late) syphilis Gummatous disease, cardiovascular disease Nontreponemal tests (71% to 73%) Treponemal-specific tests (94% to 96%) Same treatment as for late latent syphilis Neurosyphilis Seizures [aafp.org]
Workup
Since staphylococcus epidermidis is a common human skin flora and there is no evidence of immunocompromise in our patient by repeated extensive lab workup, we deduced a false positive synovial fluid culture which misled treatment as for joint bacterial [bmcinfectdis.biomedcentral.com]
Microbiology
- Neisseria Gonorrhoeae
Click the link for more information., gonorrhea gonorrhea, common infectious disease caused by a bacterium ( Neisseria gonorrhoeae ), involving chiefly the mucous membranes of the genitourinary tract. [encyclopedia2.thefreedictionary.com]
Treatment
Treatment. Treatment must be specific (see Treatment of visceral syphilis). An important and permanent place should take Popeye drugs. [lecheniebolezni.com]
Treatment of Syphilis FIGURE 1. Recommended approach to the treatment of syphilis. [aafp.org]
Standard treatment regimen seems to be not effective. Prolonged and repeated treatment with penicillin as well as combined antibiotics may be needed to achieve a complete clinical and serological resolution of the disease. [bmcinfectdis.biomedcentral.com]
Treatment consists of isolation of the factor causing arthritis or treatment of the disease that caused its development. [encyclopedia2.thefreedictionary.com]
If you’re receiving treatment for syphilis, do not have sex until your sores heal completely and you have completed your full course of antibiotic treatment. [healthline.com]
Prognosis
[…] favorable prognosis for patients diagnosed with either primary or secondary syphilis 20% of untreated patients with tertiary syphilis die of the disease prognosis for tertiary syphilis depends on extent of scarring and tissue damage with adequate treatment [medbullets.com]
Prognosis Prognosis for interstitial keratitis is good if recognized and treated early before significant corneal scarring has occurred. [eyewiki.aao.org]
Forecasting The prognosis depends on the timeliness and completeness of treatment. If it is started late, the mortality rate of complications is 30%. [medicalj-center.info]
Syphilis Prognosis Primary, secondary, and early latent syphilis can be treated successfully with antibiotics. Late latency (more than 1 year after the secondary stage) is difficult to treat. [healthcommunities.com]
[…] occur by 8 hours caused by release of proteolytic enzymes from inflammatory cells (PMNs) microbiology most common pathogens is staphylococcus aureus (accounts for >50% of cases) see Classification below Associated conditions prosthetic implant infection Prognosis [orthobullets.com]
Etiology
Bacterial etiologies: Syphilis, Lyme Disease, Tuberculosis, Leprosy, Brucellosis, Leptospirosis Viral etiologies: Herpesviridae - Herpes simplex, Herpes Zoster, Epstein- Barr. [eyewiki.aao.org]
Etiology and pathogenesis ARTHRITIS(POLYARTHRITIS) SYPHILIS (ARTHRITIS. POLYARTHRITIS SYPHILITICA. [lecheniebolezni.com]
Patterns of joint involvement differ according to etiology. —Diabetic neuroarthropathy: The tarsometatarsal joint is commonly affected (less commonly, the ankle and metatarsophalangeal joint). [rheumaknowledgy.com]
/Location Sensorimotor and autonomic neuropathies of various etiologies are the primary predisposing factor. [radiopaedia.org]
The classification was based on etiological (causal), pathogenetic (according to the mechanism of evolution), and clinical-anatomical principles. The disease of one joint is monoarthritis; of several joints, polyarthritis. [encyclopedia2.thefreedictionary.com]
Epidemiology
Introduction Classification Treponema pallidum spirochete Epidemiology demographics most common during years of peak sexual activity most new cases in men and women aged 20-29 years recent rise in syphilis cases among MSM community co-infection of syphilis [medbullets.com]
Introduction Epidemiology body location most commonly affected joints in descending order knee (~ 50% of cases) > hip > shoulder > elbow > ankle > sternoclavicular joint found in IV drug users pseudomonas aeruginosa was most common pathogen in 1980's [orthobullets.com]
Epidemiology There are an estimated 10.6 million incident cases of syphilis worldwide each year [ 2 ]. There were 5,288 new diagnoses of syphilis in England in 2015, a 19.9% increase from 4,412 in 2014. [patient.info]
Epidemiology [ edit ] Because women may be underdiagnosed, the exact incidence of reactive arthritis is difficult to estimate. A few studies have been completed, though. [en.wikipedia.org]
Epidemiology The incidence of syphilis decreased significantly with the introduction of penicillin in the 1940s but rose sharply again with the advent of human immunodeficiency virus (HIV) infection in the 1980s. [aafp.org]
Pathophysiology
Pathophysiology The pathophysiology of interstitial keratitis is unknown, but varies significantly by eitology.The majority of bacterial and parasitic IK is a result of direct invasion of the corneal stroma and the host's allergic/ immune reaction to [eyewiki.aao.org]
[…] most common pathogen in all patients, including IV drug users risk factors age > 80 years medical conditions diabetes rheumatoid arthritis cirrhosis HIV history of crystal arthropathy endocarditis or recent bacteremia IV drug user recent joint surgery Pathophysiology [orthobullets.com]
Prevention
Congenital syphilis can be prevented by treating the mother for syphilis during pregnancy. [everydayhealth.com]
الصفحة 98 - ... intensified by selective breeding, and still see that the hereditary tendency is not the disease itself, that the usual exciting factors must be brought into play, and that in hereditarily predisposed subjects the preventable factors may [books.google.com]
They have to be also aware of the preventive measures and precautions to be taken, which include: Avoidance of multiple sex partners Practice of safe sex (use of condoms that prevent entry of the syphilis bacteria) Excessive craving for drugs and alcohol [dovemed.com]
The use of a condom during sexual intercourse helps prevent the spread of syphilis, but chancres can be on areas of the body that are not covered by the condom. [healthcommunities.com]
You can prevent getting secondary syphilis by getting treatment for primary syphilis before it develops into the secondary stage. You can also prevent getting primary syphilis by practicing safe sex practices, such as using a condom. [healthline.com]