June 2019
Rheumatoid Arthritis
Rheum/Immune22 Chapters
- 1
Introduction
00:34 - 2
Chronic Allergies
05:31 - 3
Acute Allergies & Anaphylaxis
04:42 - 4
Angioedema
02:53 - 5
Amyloidosis
01:35 - 6
Ankylosing Spondylitis
03:57 - 7
Chronic Fatigue Syndrome
02:51 - 8
Fibromyalgia
02:45 - 9
Gout
02:24 - 10
Pseudogout
02:53 - 11
Inflammatory Myopathies
02:19 - 12
Osteoarthritis
03:00 - 13
Polymyalgia Rheumatica
01:55 - 14
Raynaud's Phenomenon
02:00 - 15
Reactive Arthritis
02:23 - 16Free Audio
Rheumatoid Arthritis
02:49 - 17
Sarcoidosis
03:18 - 18
Seronegative Spondyloarthropathies
03:10 - 19
Sjogren's Syndrome
04:34 - 20
Systemic Lupus Erythema
03:51 - 21
Scleroderma
04:20 - 22
Vasculitis
04:26
Rheumatoid Arthritis
Brandon Grove, MD, and Heidi James, MD
Background
- Rheumatoid arthritis (RA) is a chronic autoimmune inflammatory disease of joints
- Red, hot, swollen, painful joints
- Can erode and deform over time
- Presents earlier than osteoarthritis (usually 20s to 40s)
- Can see juvenile RA
- Can see comorbid inflammatory diseases
- Rule out differential
- Osteoarthritis
- Gout/pseudogout
- Connective tissue disorders
- Viral arthritis
Clinical Findings
- Symptoms/signs
- Morning stiffness and pain improving with moderate use
- Fatigue or malaise
- Joints affected
- Proximal interphalangeal joints
- Metatarsophalangeal joints
- Wrists
- Ankles
- Knees
- Investigations
- See chart below
Management
- Rheumatology consult
- Early treatment with disease-modifying antirheumatic drugs (DMARDs)
- Methotrexate
- Plaquenil
- Cyclophosphamide
- Steroids
- Monoclonal antibodies
- Nonsteroidal anti-inflammatory drugs as needed for flares
Diagnosis
Rheumatoid ArthritisImage courtesy of Jessica Mason, MD
Rheumatoid ArthritisImage courtesy of Jessica Mason, MD