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Kaplan Qbank USMLE



Author2 Posts
  #1

what r the radiological findings in
1. rheumatoid arthritis
2. osteoarthritis
3. tuberculous arthritis

  #2

RA:-
PIP, MCP, cervical, others
1) Osteopenia- increased blood supply washes out calcium
2) Uniform joint space narrowing (cf Osteoarthritis)
3) subluxation (ulnar common)

Osteoarthritis:-
DIP, First carpometacarpal, weight bearing (spine, hips, knee)
1)Asymmetric narrowing of joint space
2) Subchondral sclerosis
3) Osteophytes and spurs
4) Degenerative cysts

Tuberculous:-
commonly affects thoracis/lumbar spine(Pott's)- can cause both osteomyelitis and arthritis, erosions(destruction) of the adjacent vertebrae, causing collapse, kyphotic angulation and occasionaly cord compression.
Can affect knee/other joints.
history, ZN stain of the exudate, microscopy of the synovium for granuloma, giant cells, PPD test, etc to support the diagnosis.







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