Reactive Polyarticular Arthritis

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= Overview = Inflammatory:
 * Monoarticular versus polyarticular
 * Inflammatory versus noninflammatory
 * History includes
 * prolonged and severe morning stiffness
 * fever
 * weight loss
 * spontaneous joint swelling


 * Physical reveals
 * local warmth
 * synovial thickening
 * frank effusions


 * Laboratory examination includes
 * anemia
 * elevated sedimentation rate or C-reactive protein level
 * thrombocytosis

Abdomen

 * Spinal Exam
 * Range of motion
 * Chest expansion
 * Tenderness of spinous processes and sacroiliac joints
 * Abnormal curves
 * Muscle spasm

Extremities

 * Peripheral pulses
 * Neurological exam
 * Joints
 * Warmth
 * Synovial thickening
 * Effusions
 * Crepitation
 * Deformity
 * Tenderness
 * Active and passive range of motion

Other

 * Psoriasis
 * Psoriatic nails
 * Oral and genital ulcers
 * Funduscopic changes
 * Rubs
 * Bruits

MRI and CT

 * Looking for
 * cartilage loss
 * erosions
 * periarticular osteoporosis
 * osteophytes
 * periostitis
 * soft tissue changes.

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