QUACK is back! Our team has grown and we are delighted to now deliver medical education regionally across the West of Scotland.
​
This week's topic is joint swelling
For an e-certificate for QUACK of the week, please fill in the feedback here
Presentation & Guideline
Scoring Systems
Joint Swelling
Dr Gareth Ingram
AIM ST3
BSR and BHPR guideline for the treatment of axial
spondyloarthritis (including ankylosing spondylitis)
with biologics
ACR/EULAR Rheumatoid Arthritis
Classification Criteria
​
A score of 6 or higher is definitive for rheumatoid arthritis
​
​
Joint involvement
-
1 large joint = 0
-
2-10 large joints = 1
-
1-3 small joints (with or without involvement of large joints) = 2
-
4-10 small joints (with or without involvement of large joints) = 3
-
>10 joints (at least 1 small joint) = 5
Serology
(at least one serology test result to use criteria)
-
Negative rheumatoid factor and negative anti-citrullinated protein antibody = 0
-
Low-positive rheumatoid factor or low-positive anti-citrullinated protein antibody = 2
-
High-positive rheumatoid factor or high-positive anti-citrullinated protein antibody = 3
Acute-phase reactants
(at least one acute-phase reactant test result to use these criteria)
-
Normal CRP and normal ESR = 0
-
Abnormal CRP or abnormal ESR = 1
Duration of symptoms
-
<6 weeks = 0
-
≥6 weeks = 1
For an example of what your e-certicate will look like, see below
