Rheumatology mnemonics

1. RHEUMATOLOGY MNEMONICS
Dpt. Aamir
11/30/2013

2. RHEUMATOLOGY MNEMONICS
ACUTE MONOARTHRITIS
HIS-GOUT-FIT *
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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
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Also:
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
amyloidosis, hypophosphatemia, hereditary calcium pyrophosphate dehydrate deposition (CPPD)

3. CREST SYNDROME
CREST*
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Calcinosiscutis
Raynaud's syndrome
Esophageal dysmotility
Sclerodactyly
Telangiectasia
*Clinical features
OSTEOARTHRITIS
I-GOT-MR-PAIN-DOC
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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
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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*
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Skin changes
Cardiac involvement
Lung involvement
Esophageal dysfunction
Raynaud's phenomenon
Obstruction, pseudoDry eyes/mouth
Endocrine (hypothyroidism)
Renal failure
Myopathy/myositis
Arthritis
*Clinical features
SYSTEMIC LUPUS ERYTHEMATOSIS
ORDER-HIS-ANA*
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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
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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
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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