Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
18 Cards in this Set
- Front
- Back
|
Gottron papules
Dx, Tx |
dermatomyositis
corticosteroids |
|
|
Clinical triad:
Arthritis Conjunctivitis Non-gonococcal urethritis |
Reiter's syndrome
|
|
|
Symmetric proximal muscle weakness and occasional muscle pain and tenderness, elevated CK
Dx Tx |
Polymyositis
Corticosteroids |
|
|
Symmetric proximal muscle weakness and occasional muscle pain and tenderness on Passive Range of Motion (PROM).
Dx Tx |
Bursitis (Tendonitis is NOT tender on PROM)
Aspiration, NSAIDs, injected corticosteroids |
|
|
Hyperuricemia in male 40-60 years old
|
Gout (Rule out Renal Failure)
|
|
|
____ _____ is end product of purine metabolism
|
Uric acid
|
|
|
Gout
|
|
ID & Dx
|
Birefringent crystals
Gout |
|
|
Gout prophylaxis (3)
|
Probenecid (preferred)
Allopurinol (blocks xanthine oxidase) Uloric |
|
|
45 year old male truck driver with urate crystals and WBCs in synovial fluid plus excretion of more than 800 mg of uric acid in 24 hours on a regular diet. Dx?
|
Gout
|
|
|
Purine rich foods?
|
Liver
Kidney Sardines/anchovies Beer Fish, shellfish Mushrooms, cauliflower, spinach |
|
|
Calcium pyrophosphate dihydrate crystals found in joints. Dx?
|
Chondrocalcinosis (pseudogout)
|
|
|
Most common joint disease
|
Osteoarthritis
|
|
|
Changes in bone that cause it to become dens, hard, and smooth like ivory, subchondral calcification.
|
eburnation
|
|
|
The presence of osteophytes (ie, spurs at the joint margins) on X-ray is the most characteristic findings. Dx? Tx?
|
Osteroarthritis (OA)
Reduce joint stress (weight loss) Physical therapy (heat & capsaicin) Acetaminophen Tramadol (potential for abuse) Muscle relaxants Narcotics (last line) |
|
|
T/F Systemic glucocorticoids improve symptoms of osteroarthritis.
|
False - systemic glucocorticoids have no role in management of OA. Joint injections of glucocorticoids are an effective treatment
|
|
|
60 year old woman has giant cell arteritis, what else might you suspect?
|
Polymyalgia rheumatica (PMR)
|
|
|
Gold standard in Dx of Giant Cell Arteritis? Tx?
|
Temporal artery biopsy
High dose corticosteroids |
