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% Packages
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%\usepackage{opensans}          % Can't make this work so far. Shame. Would be lovely.
\usepackage[normalem]{ulem}     % For underlining links
% Most of the following are not required for the majority
% of cheat sheets but are needed for some symbol support.
\usepackage{amsmath}            % Symbols
\usepackage{MnSymbol}           % Symbols
\usepackage{wasysym}            % Symbols
%\usepackage[english,german,french,spanish,italian]{babel}              % Languages

% Document Info
\author{ellieacook}
\pdfinfo{
  /Title (ankylosing-spondlyitis.pdf)
  /Creator (Cheatography)
  /Author (ellieacook)
  /Subject (Ankylosing Spondlyitis Cheat Sheet)
}

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% This two commands together give roughly
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% Commands
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% Header and Footer
\pagestyle{fancy}
\fancyhead{} % Set header to blank
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\fancyhead[L]{
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{C}
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    \vspace{-7pt}
    {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent
        \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}}
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\columnbreak
\begin{tabulary}{11cm}{L}
    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{Ankylosing Spondlyitis Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{ellieacook} via \textcolor{DarkBackground}{\uline{cheatography.com/158377/cs/33449/}}}
\end{tabulary}
\end{multicols}}

\fancyfoot[L]{ \footnotesize
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{LL}
  \SetRowColor{FootBackground}
  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}ellieacook \\
  \uline{cheatography.com/ellieacook} \\
  \end{tabulary}
\vfill
\columnbreak
\begin{tabulary}{5.8cm}{L}
  \SetRowColor{FootBackground}
  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Published 29th July, 2022.\\
   Updated 29th July, 2022.\\
   Page {\thepage} of \pageref{LastPage}.
\end{tabulary}
\vfill
\columnbreak
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  \vspace{-5pt}
  %\includegraphics[width=48px,height=48px]{dave.jpeg}
  Measure your website readability!\\
  www.readability-score.com
\end{tabulary}
\end{multicols}}




\begin{document}
\raggedright
\raggedcolumns

% Set font size to small. Switch to any value
% from this page to resize cheat sheet text:
% www.emerson.emory.edu/services/latex/latex_169.html
\footnotesize % Small font.

\begin{multicols*}{3}

\begin{tabularx}{5.377cm}{X}
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\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Background Information}}  \tn
% Row 0
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\mymulticolumn{1}{x{5.377cm}}{Inflammatory condition mainly affecting the spine, causing fusion} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Causes stiffness and pain} \tn 
% Row Count 3 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Main joints involved = SI joints and vertebral column} \tn 
% Row Count 5 (+ 2)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{90\% have HLA-B27 gene} \tn 
% Row Count 6 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
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\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{1.14471 cm} x{3.83229 cm} }
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\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Investigations}}  \tn
% Row 0
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\mymulticolumn{2}{x{5.377cm}}{Raised CRP + ESR} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{HLA-B27} \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
Schober test & Assesses mobility of spine between 10cm above L5 and 5cm below \{\{nl\}\} \textless{}20cm indicates a restriction \tn 
% Row Count 6 (+ 4)
% Row 3
\SetRowColor{white}
XR changes & Bamboo spine \{\{nl\}\} Squaring of vertebral bodies \{\{nl\}\} subchondral sclerosis + eriosions \{\{nl\}\} Syndesmophytes \{\{nl\}\} ossification \{\{nl\}\} fusion of facet, SI and costovertebral joints \tn 
% Row Count 13 (+ 7)
% Row 4
\SetRowColor{LightBackground}
MRI & Bone marrow oedema \tn 
% Row Count 14 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
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\par\addvspace{1.3em}

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\par\addvspace{1.3em}

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\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Management}}  \tn
% Row 0
\SetRowColor{LightBackground}
\seqsplit{Medication} & NSAIDs \{\{nl\}\} Steroids in flares \{\{nl\}\} Anti-TNF or monoclonals (etanercept, infliximab) \{\{nl\}\} Secukinumab (against IL-17) \tn 
% Row Count 4 (+ 4)
% Row 1
\SetRowColor{white}
Other & Physio \{\{nl\}\} Exercise \{\{nl\}\} Avoid smoking \{\{nl\}\} Bisphosphonates \{\{nl\}\} Treat complications \{\{nl\}\} Surgery if deformities \tn 
% Row Count 8 (+ 4)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
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\par\addvspace{1.3em}

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\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Presentation}}  \tn
% Row 0
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\mymulticolumn{1}{x{5.377cm}}{{\emph{20 year old, gradual spinal stiffness over \textgreater{}3 months}}} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Lower back pain + stiffness} \tn 
% Row Count 3 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Worse with rest/at night/in morning} \tn 
% Row Count 4 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Takes 30 minutes for pain to improve in morning} \tn 
% Row Count 5 (+ 1)
% Row 4
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\mymulticolumn{1}{x{5.377cm}}{Experience flare ups} \tn 
% Row Count 6 (+ 1)
% Row 5
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Vertebral fractures} \tn 
% Row Count 7 (+ 1)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{{\bf{Bamboo spine}}} \tn 
% Row Count 8 (+ 1)
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\par\addvspace{1.3em}

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\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Associations}}  \tn
% Row 0
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\seqsplit{Systemic} & Weight loss, fatigue \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{Chest pain} \tn 
% Row Count 2 (+ 1)
% Row 2
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\seqsplit{Enthesitis} & Plantar fasciitis, achilles tendonitis \tn 
% Row Count 4 (+ 2)
% Row 3
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{Dactylitis} \tn 
% Row Count 5 (+ 1)
% Row 4
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\mymulticolumn{2}{x{5.377cm}}{Anaemia} \tn 
% Row Count 6 (+ 1)
% Row 5
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\mymulticolumn{2}{x{5.377cm}}{Anterior uveitis} \tn 
% Row Count 7 (+ 1)
% Row 6
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\mymulticolumn{2}{x{5.377cm}}{Aortitis} \tn 
% Row Count 8 (+ 1)
% Row 7
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\mymulticolumn{2}{x{5.377cm}}{Heart block} \tn 
% Row Count 9 (+ 1)
% Row 8
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\mymulticolumn{2}{x{5.377cm}}{Restrictive lung disease} \tn 
% Row Count 10 (+ 1)
% Row 9
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\mymulticolumn{2}{x{5.377cm}}{Pulmonary fibrosis of upper lobes} \tn 
% Row Count 11 (+ 1)
% Row 10
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\mymulticolumn{2}{x{5.377cm}}{IBD} \tn 
% Row Count 12 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
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\par\addvspace{1.3em}


% That's all folks
\end{multicols*}

\end{document}