Rheumatology Adult Med

Front 1

What arthritis am I? Degenerative, isidious, pain in weight bearing joints, relieved by rest, morning stiffness less than 14 minutes, cripitus, Heberden's and Boucard's nodes, osteophytes and bone cysts on x-ray.

Back 1

Osteo

Front 2

What arthritis am I? affects men over 30, sudden onset, 1st MTPjoint, monoarticular, urate crystals, tophi

Back 2

Gout

Front 3

What arthritis am I? Over 60, onvolves large joints, calcium pyrophosphate crystals

Back 3

Pseudogout

Front 4

What arthritis am I? autoimmune, system inflammatory, affects synovial membranes, usually female 20-40, joint swelling, AM stiffness >30 min.,noes over bony prominences, pannus formation, deformities - ulnar deviation

Back 4

Rheumatoid

Front 5

What arthritis am I? Autoimmune, multiple organs, young women, sunlight induced rash, glomerulonephritis and CNS symptoms, positive ANA

Back 5

SLE (Lupus)

Front 6

What arthritis am I? autoimmune, diffuse fibrosis and thick skin and internal organs, female 30-50, dyphagia, hypomitility of GI, +ANA

Back 6

schleroderma

Front 7

What arthritis am I? autoimmune, exocrine glands, female over 50, dryness of eyes and mouth, +RF and ANA

Back 7

Sjogren's

Front 8

What arthritis am I? Systemic panarteritis, temporal artery, vasculitis, HA, scalp tnderness, jaw caludication, results in blindness

Back 8

Giant cell or temperal arthritis

Front 9

What arthritis am I? seronegative, chronic inflammatory of axial skeleten, progressive stiffening of spine, lumbar curve flattened, +ESR, +HLAB-27

Back 9

Ankolosing spondalysis

Front 10

What arthritis am I?Seronegative, psoriasis, sausage appearing fingers, nail pitting, arthritis asymmetric, ESR, RF-

Back 10

psoriatic

Front 11

What arthritis am I? associated with bacteremia, sudden onset, monoarticular, weight bearing joints, large joint effusions, fever/chills, causative organisms: staph or strep

Back 11

septic or infectious

Front 12

What arthritis am I? mild short duration following viral infection, dx symptoms and hx, tx symptomatic

Back 12

viral

Front 13

What arthritis am I? fever/chills, bone px and tenderness, X-ray - early, later erosion

Back 13

osteomyelitis

Front 14

What arthritis am I? ideopathic - thought to be autoimmune, multiple tender points or + 11/18 trigger points, fatigue, HA, inflammation absent

Back 14

fibromalasia

Front 15

Rheumatology

Back 15

Rheumatology

Front 16

Give 1. cause 2. Sx 3. Dx 4. Tx for: Osteoarthritis

Back 16

1. degenerative (cartalige deteriorates), genetic 2. px weight bearing joints, crepitis, stiffness<15-10 min., heb/bouch nodes, slow onset, 3. hx, exam, x-ray 4. nsaids, glocosamines, eventual joint replacement, weight loss

Front 17

Give 1. cause 2. Sx 3. Dx 4. Tx for: Gout

Back 17

1. uric acid crystals in synovial fluid 2. px, red, swelling 1st MTP, tophi, monoarticular, male 30+ 3. labs 4. nsaids, diet (limit purines) allpurinol (prophylax)

Front 18

Give 1. cause 2. Sx 3. Dx 4. Tx for: Pseudo gout

Back 18

1. calcium crystals in synovial fluid 2. px joints, 60+, large joints 3. labs 4. nsaids

Front 19

Give 1. cause 2. Sx 3. Dx 4. Tx for: RA

Back 19

1. autoimmune, chronic systemic inflammatory 2. px, siff >30, multiarticular, swelling, deformities, sub-q nodes over bony prominences, ulnar deviation 3. ESR, +RH 4. disesae modifying drugs (methotrexate) nsaids, cox 2's

Front 20

Give 1. cause 2. Sx 3. Dx 4. Tx for: SLE

Back 20

1. autoimmune, systemic, multiple organs, young females, familial 2. photosensitive rash, neurological, glomerular, psychosis 3. +ANA, hx, exam 4. nsaids, education, anti-malaria, emotional support

Front 21

Give 1. cause 2. Sx 3. Dx 4. Tx for: scleroderma (raynaud's)

Back 21

1. ideopathic female 30-50, thick skin, difuse fibrosis of organs, dysphagia, telangia, cardiac/renal involvement 3. +ANA, anti-nuclear testing 4. CCB, supportive for sx's

Front 22

Give 1. cause 2. Sx 3. Dx 4. Tx for: Sjogren's

Back 22

1. autoimmune, affects exocrine glands 2. dry eye and mouth, burning itching 3. RH+, ANA + 4. supportive

Front 23

Give 1. cause 2. Sx 3. Dx 4. Tx for: polymyalgia rheumatica (PMR)

Back 23

1. vasculitis 2. HA, stiff, px in shoulder and pelivis, malaise, anemia 3. elevated ESR 4. low dose prednisone

Front 24

Give 1. cause 2. Sx 3. Dx 4. Tx for: Giant cell (temporal)

Back 24

1. vasculitis 2. jaw claudication, HA, scalp tenderness, eventual blindness 3. temperol artery biopsy, exam, elevated ESR 4. ASA, high dose prednisone

Front 25

Give 1. cause 2. Sx 3. Dx 4. Tx for: ankylosing spondylitis

Back 25

1. chronic fussion of vertivrae and SI joint 2. px in lower back going up 3. exam, loss of curves and motion, elevated ESR, +HLAB-27 4. nsaids, indosine

Front 26

Give 1. cause 2. Sx 3. Dx 4. Tx for: Psoriatic

Back 26

1. seronegative 2. psoriasis, dip joint affected, sausage fingers, deformative joints, nail pitting 3. elevated ESR, s-rays show bone erosion 4. nsaids, costocosteroids

Front 27

Give 1. cause 2. Sx 3. Dx 4. Tx for: Reactive (Reiter's)

Back 27

1. dystenteric or STD infection 2. urethritis, conjunctivitis, uveitis, arthritis 3. HLAB-27 4. nsaids, TCA, sulfasalzines

Front 28

Give 1. cause 2. Sx 3. Dx 4. Tx for: Septic

Back 28

1. gonnacocall or lyme 2. sudden onset, px, hot, swelling, fever/chills, monoarticular, damaged joints, hx sexually active 3. culture, gramstain for bacteria 4. ABX asperate

Front 29

Give 1. cause 2. Sx 3. Dx 4. Tx for: viral arthritis

Back 29

1. any acute viral infection 2. px, swelling, red, rash 3. exam, hix of recent virus 4. supportive

Front 30

Give 1. cause 2. Sx 3. Dx 4. Tx for:osteomyelitis

Back 30

1. infection 2. bone tenderness, fever/chills 3. x-ray early -, later raised around periostum, bone biopsy 4. surgery

Front 31

Give 1. cause 2. Sx 3. Dx 4. Tx for: fibromyalgia

Back 31

1. ideopathic 2. fatigue, weak, stiff, px in 11/18 trigger points, systemic, NO inflammation 3. dx of exclusion, exam, hx 4. exercise, diet, sleep, px management, TCA