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26 Cards in this Set
- Front
- Back
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30 y/o M, sexually active, with recent chlamydia infection, now with conjuctivitis, urethritis, joint pain, and lesions on hands and feet. what dz? |
Reactive arthrititis (Reiter syndrome)
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can't see, cant pee, cant climb a tree |
Reactive arthrititis (Reiter syndrome) |
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HLA- B27 elevated in what diseases? |
Reactive arthrititis (Reiter syndrome) - 80% & Anklylosing spondylititis |
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Anti-CCP (98% specificity for what disease? |
Rheumatoid Arthritis |
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Treatment of Rheumatoid arthritis? |
NSAIDs DMARDS (Methotrexate or Hydroxychloroquine) |
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Side effects of Methotrexate? |
rare severe life threatening interstitial lung disease (responds to stopping drug) |
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Side effect of Hydroxychloroquine? |
retinal toxcity - need regular ophthamology exams |
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what pregnancy categories are Methotrexate & Hydroxychloroquine? |
Meth - cat X Hydroxy - cat C |
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30 y/o African american female with rash on face going over bridge of nose, c/o photosensitivies, joint deformities and pain. what dz? |
Systemic Lupus Erythematous |
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Treatment for SLE? |
NSAIDs Corticosteroids Hydroxychloroquine (DMARDs) |
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Butterfly rash - think what two dz? |
SLE Polymyositis |
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CREST stands for? |
Calcinosis (c/o bumps under skin) Raynaud's Phenomenon Esophageal problems Sclerodactyly Telangiectasis |
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dry eyes and dry mouth, what dz? |
Sjogren Syndrome |
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3 y/o with a strawberry tongue, high fever, conjunctivitis, cervical lymphadenopathy. what dz? |
Kawasaki's disease |
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most worrisome complication of kawasaki's dz? |
Coronary artery aneurysm |
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treatment for kawasaki's dz? |
IV immunoglobulin Salicylates (ASA) |
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40 y/o caucasian Rhinorrhea -refractory to treatment & gramulomas on CXR +ANCA |
Granulomatosis |
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Pain, stiffness of back uveitis |
Anklosing spondylitis |
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60 y/o F c/o acute vision loss, diplopia, tinnitus. HA, tender cord at temporal region with absent pulse. what dz? |
Temporal arteritis (Giant cell arterities) |
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What other dz is Giant cell arteritis commonly associated with? |
Polymyalgia rheumatica (PMR) |
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Gout vs Pseudogout? |
Gout (needle shaped crystals(needles HURT!), neg birefringent)
Pseudogout (calcium pyrophosphate, pos birefringent) - no pain - lg joints affected |
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30 y/o F with c/o morning stiffness and symmetric polyarticular joint swelling |
Rheumatoid arthritis |
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what is commonly associated with compications of temporal arteritis (giant cell arteritis) besides blindness? |
thoracic aneurysm (17x more common in patients with temporal arteritis/GCA |
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40y/o M recnetly on penicillamine (or sulfa), with fever, malaise, weight loss, arthragias, myalgias, HA..... involves all organ systems except the lungs |
PAN! (Polyarteritis Nodosa) |
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60M W/ Pain and stiffness in neck, shoulder and pelvic girdle. NO WEAKNESS. what dz? |
PMR (polymyalgia rheumatica) |
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35 y/o M with c/o proximal symmetric muscle WEAKNESS (shoulders, pevlic girdle, neck). failed "chair test" (can't get out of chair). WHAT DZ? |
Polymyositis |
