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Rheumatoid arthritis

A chronic multisystem disease of unknown cause charatrised by persistant inflammatory sinuvitis.involving peripheral joints in a symmetric fashion

Hallmarks

  • Cartilaginous distruction
  • Bony erosions
  • Joint deformity

Manifestations

  • Women affected 3times more than men
  • Occurs more frequent in 4th and 5th decades

Clinical symptoms

  • Typical symmetric polyarthritis with pain
  • Temperature
  • Swelling on affected joints
  • Most common are Morning stiffness and frequent fever

Investigations

  • Rheumatoid factor present
  • ESR raised
Sciatica

Sciatica is a set of symptoms including pain caused by general compression
Or irritation of nerve root (l4,l5,s1,s2,s3) that give rise to sciatic nerve

Symptoms

  • Pain felt on lowerback,buttock,various parts of leg and foot
  • Pain sometimes severe
  • Numbness
  • Muscular weakness
  • Pins and needles tingling
  • Difficulty in controlling the leg

Common cause

  • Spinal disc herniation
  • Spinal stenosis

Invstigations

  • MRI scan
Psoriasis

Is a chronic recurrent disorder,exhibits papules and scale

Classic lession

  • Well marginated erethematous plaque with silvery white surface scale

Distribution

  • Knees ,elbows ,buttocks also involve palms and scalp
  • Canterior margin   

Symptoms

  • Severe itching,scaly patches peel it of pitting or thickening of nail plate

Associated findings

  • Psoriatic arthritis

 

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