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5 Cards in this Set
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A-127. Why do SLE pts frequently have +RPR/VDRL tests for syphilis?
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Presence of Anticardiolipin antibodies
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A-127. You pt is suffering from dry eyes, lack of saliva, and inflammatory arthritis. They also have + for HLA-DR3. What dz?
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Sjogren's Syndrome
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A-127. Your pt is HLA-B27 +. They have a moist plaque on their glans penis other crusting papules as well. They are also complaining of conjunctivitis and minor urethritis. What dz are you thinking?
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Reiter's Syndrome
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A-127. What is CRESt Syndrome aka Scleroderma?
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Systemic fibrosis affecting virtually every organ.
C: calcinosis (deposits of Ca in digits) R: Raynaud's phenomenon - blue, white, and red color changes in fingers from change in blood flow E: dysfuc. lower Esophageal sphyncter - Barrets and GERD S: sclerodactoly, thick skin in digits T: Telangietasia - cavitations in the skin in the mouth, digits, face, and trunk |
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A-127. You have a black pt complaining of night sweats, fevers, chills, wt loss, dyspnea, blurry vision, and joint pain. For shits you do a CXY and see bilaterial hilar adenopathy. What's he got?
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Sarcoidosis
Also, noncaseating granulomas are highly suggestive if no other explanation is found. |
