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28 Cards in this Set
- Front
- Back
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Dx. Pt pressure on the lateral aspect of the right hip.
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trochanteric bursitis
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Dx positive Mcmurray test
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Meniscal tear
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Dx. focal tenderness on teh upper tibia, 5 cm distal to the medial articular line
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Anserine bursitis
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Dx. aching in shoulders and hips associated with fatigue and malaise.
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Polymyalgia rheumatica
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Tx for community acquired septic arthritis with gram positive organisms
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Vancomycin, not nafcillin.
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Tx for monoarthritis w synovitis
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Always arthrocentesis, assume its gout
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Dx. chronic pain at base of thumb, tender to palpation, grind test positive, bony enlargment of PIP bilaterally.
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OA. bouchards nodes.
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Tx for OA
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Start with acetaminophen then move to NSAIDS
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Eleveated CCP and RF
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Indicate RA.
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Initial two DMARDS
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First is methotrexate (alcohol), second is hydroxychloroquine
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Dx. rapidly spreading psoriasis of 3 month length, lesions throughout body
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Think AIDS, or other immunocompromised states that allows the quick spread.
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Dx Acute oligoarticular arthritis involving the lower extremeties plus IBD
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enteropathic arthritis
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Most common systemic illness in patients with anterior uveitis
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Reactive arthritis, ankylosing spondylitis, sarcoid
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Dx. eye pain, sensitivity to lgiht, and blurred vision
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Anterior uveitis. Strongly associated with anklylosing spondylitis.
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Tx of choice for ankylosing spondylitis
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First is MRI, then HLA b27.
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Test most specific for SLE
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anti-ds DNA
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Positive Anti rho and anti La
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Sjogren syndrome.
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Anticentromere antibody
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Cutaneous systemic sclerosis
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Drug Induced Lupus
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usually seen with infliximab use (Such as in RA patients). A good treatment for SLE is also hydroxychloroquine.
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Tx for lupus nephritis
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High Dose Prednisone is treatment of choice. UA will show proteinuria, hematuria, leukouria, erythrocyte casts
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Dx Anti-Jo 1 antibodies.
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Polymyositis and dermatomyositis. Increases risk for ILD associated with both. Most common cause of death in these patients in pulmonary fibrosis w secondary arterial hypertension.
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Tx for reynauds
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amolodipine. or other dihydropyridine CCBs.
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Dx. keratoconjunctivitis sicca, xerostomia, muliple antibodies
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Sjogrens. 9:1 femal to male predominentce. Anti RO anti LA antibodies.
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Dx. necrotizing inflammation of the medium sized or small arteries wo glomeruloneprhtisi or vascultisi of the vessles. Also htn, renal insufficiecy, proteinuria and hematuria.
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Polyarteritis nodosa. Dx w angiography of the renal arteries. Tx w prednisone and cyclophosphamide.
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Dx of Abdominal fat pad aspiration
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AL amyloidosis
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Dx. C ANCA and antiproteinsae 3 antibodies
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Wegeners
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Tx for patients suspected for giant cell arteritis
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HIGH DOSE SOLUMEDROL (methylprednisolone). Not diagnostic testing.
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Dx. headache, acute visual loss, fever, mild anemia, and temporal artery tenderness
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Giant Cell arteritis. Patients w GCA also commonly have polymyalgia rheumatica.
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