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Rheumatoid Arthritis (presentations (symm, swollen, painful and stiff…
Rheumatoid Arthritis
presentations
symm, swollen, painful and stiff small joints of hands and feet; worse in morn
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persistent monoarthritis (knee, shoulder or hip)
systemic illness w extra-articular sym: fatigue, fever, WL, pericarditis
Rx
DMARDS e.g. methotrexate, sulfasalazine
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signs
early
swollen MCP, PIP, wrist or MTP joints
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extra-articular
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eyes (episcleritis, scleritis, keratoconjunctivitis)
heart (vasculitis, pericarditis, endocarditis, PE, increased MI and stroke risk)
Ix
bloods
increased CRP, ESR, platelets
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chronic, AI condition primarily affecting joints
symmetrical, deforming, peripheral polyarthritis
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