NOTES ON


NOTES ON

RHEUMATOLOGY

2000

Compiled

by

Jo Edwards

Professor in Connective Tissue Medicine

University College London


A core curriculum undergraduate rheumatology text






CONTENTS

RHEUMATOLOGY IN A NUTSHELL

NORMAL JOINT STRUCTURE

ASSESSMENT OF THE JOINTS AND SPINE

Symptoms and signs

Modified GALS screen and detailed examination

Investigations

BONE AND CARTILAGE CHANGES

Bone overgrowth around joints

Cartilage loss

Mechanical synovitis / synovial irritation

INFECTION

Septic arthritis

Post infective synovitis

REACTIONS TO CRYSTALS: GOUT AND PSEUDOGOUT

Gout

Pseudogout

AUTOIMMUNE RHEUMATIC DISORDERS

Rheumatoid arthritis

Systemic lupus erythematosus

Anti-phospholipid syndrome

Systemic sclerosis

Fasciitis with eosinophilia

Necrotising arteritis

Sjögren's syndrome

Sarcoidosis

Polymyalgia rheumatica

Polymyositis and dermatomyositis

Myasthenia gravis

MHC CLASS I-RELATED DISORDERS

Ankylosing spondylitis

Psoriatic arthritis

Arthritis with inflammatory bowel disease

Reiter's syndrome and reactive arthritis

Behçet’s Syndrome

JUVENILE IDIOPATHIC ARTHRITIS

MISCELLANEOUS JOINT PROBLEMS

GENERALISED BONE DISEASE

Osteoporosis

Paget's Disease of Bone

Osteomalacia

Parathryroid bone disease

PROBLEMS AT SPECIFIC SITES

Hand and Wrist

Elbow

Shoulder Girdle

Sacroiliac joint

Hip and thigh

Knee

Ankle and Foot

SPINAL PROBLEMS

Cervical spine

Lumbar and thoracic spine