Rheumatology mnemonics

Rheumatology mnemonics

1. RHEUMATOLOGY MNEMONICS

Dpt. Aamir
11/30/2013

2. RHEUMATOLOGY MNEMONICS
ACUTE MONOARTHRITIS
HIS-GOUT-FIT *
 Hemarthrosis (coagulopathy, e.g. hemophilia)
 Infection (bacteria, e.g. gonococcus , mycobacterial ; fungal, Lyme disease, viral)
 Systemic illness (Reiter's, SLE, rheumatoid arthritis, psoriasis, sarcoid, Behget's)
 Gout/pseudogout
 Osteoarthritis
 Ulcerative colitis/Crohn's
 Trauma/foreign body synovitis
 Fibrin deposition (palindromic arthritis)
 Ischemic necrosis
 Tumor (metastatic, primary)
*Differential diagnosis
INFLAMMATORY POLYARTHRITIS
AGGRAVATED-SYNOVIAL-JTS*
 Adult Stills' disease
 Gout/pseudogout
 Gonococcemia
 Rheumatoid arthritis
 Acute rheumatic fever
 Vasculitis
 Amyloidosis
 Tuberculosis
 Endocarditis
 Dermatomyositis/polymyositis
 Systemic lupus erythematosus
 Yersinia , Campylobacter, Shigella (Reiter's)
 Non-gonococcal urethritis (Reiter's)
 Overlap syndromes (e.g. mixed connective tissue disease)
 Viral infections (reactive)
 Inflammatory bowel disease
 AIDS
 Lyme disease
 Juvenile rheumatoid arthritis
 Treponemal infection (syphilis)
 Sarcoidosis
Also: scleroderma, polymyalgia rheumatica, psoriasis, intestinal bypass surgery, hemochromatosis
*Differential diagnosis

CALCIUM PYROPHOSPHATE DIHYDRATE DEPOSITION DISEASE
HOW-I-GOT-BAD-CPPD
 Hyperparathyroidism
 Osteoarthritis
 Wilson's disease
 Iron overload
 Gout
 Ochronosis
 Thyroid disease (hypothyroidism)
 Bowel disease (Crohn's, ulcerative colitis)
 Acromegaly
 Diabetes
 Congenital hypocalciuric hypercalcemia
 Paget 's disease
 Post-traumatic
 Disease resembling rheumatoid arthritis
Also: amyloidosis, hypophosphatemia, hereditary calcium pyrophosphate dehydrate deposition (CPPD)

3. CREST SYNDROME
CREST*
 Calcinosiscutis
 Raynaud's syndrome
 Esophageal dysmotility
 Sclerodactyly
 Telangiectasia
*Clinical features

OSTEOARTHRITIS
I-GOT-MR-PAIN-DOC
 Idiopathic primary osteoarthritis
 Gout
 Occupational/s ports
 Trauma, acute/fracture
 Metabolic (hemochromatosis, Wilson's , Gaucher's, ochronosis)
 Rheumatoid arthritis
 Psoriatic arthritis
 Acromegaly/endocrine (hyperparathyroidism, DM, obesity, hypothyroid)
 Infection
 Neuropathic
 Developmental (Legg-Calve-Perthes, congenital hip dislocation, etc.)
 Osteopetrosis/osteochondritis
 Calcium deposition disease
RHEUMATOID ARTHRITIS
RF-RISES
 Rheumatoid factor elevated
 Finger/hand joints involved
 Rheumatoid nodules
 Involvement of three or more joints
 Stiffness, morning
 Erosions/decalcifications on X-rays
 Symmetric (bilateral) arthritis
*Clinical features

SYSTEMIC SCLEROSIS (SCLERODERMA)
SCLERODERMA *
 Skin changes
 Cardiac involvement
 Lung involvement
 Esophageal dysfunction
 Raynaud's phenomenon
 Obstruction, pseudo-
 Dry eyes/mouth
 Endocrine (hypothyroidism)
 Renal failure
 Myopathy/myositis
 Arthritis
*Clinical features

SYSTEMIC LUPUS ERYTH EMATOSIS
ORDER-HIS-ANA*
 Oral ulcers
 Rash (malar)
 Discoid rash
 Exaggerated photosensitivity
 Renal disease
 Hematologic abnormalities
 Immunologic abnormalities
 Serositis
 Arthralgias/arthritis (non-erosive)
 Neurologic disease
 Anti-nuclear antibody
*Clinical features

4. VASCULITIS
WHAM-ANGIITIS
 Wegener's granulomatosis
 Hypersensitivity vasculitis (Henoch-Schbnlein)
 Associated with systemic disease, rheumatic disease, neoplasm
 Mucocutaneous lymph node syndrome (Kawasaki's )
 Allergic angiitis (Churg-Strauss disease)
 Nodosa, polyarteris
 Giant cell arteritis (temporal arteritis)
 Iatrogenic/drug-induced
 Infection
 Takayasu's arteritis
 Isolated CNS vasculitis
 Serum sickness

WEGENER ’S GRANULOMATOSIS
LUNG-HEAD
 Lung/pulmonary vasculitis
 Upper respitatory tract disease, sinusitis
 Neuropathy, cranial or peripheral
 Glomerulo nephritis/renal disease
 Heart involvement
 Eye involvement
 ArthraIgias/arthritis
 Dermatologic lesions
*Clinical features