Sle

Front 1

SLE

Back 1

-multi-system AT disease of unknown etiology
-a "connective tissue" dz

Front 2

typical lupus pt

Back 2

1. female
2. 15-45
3. F>M
4. can occur at any age
5. blacks and hispanics 2-4x more frequent

Front 3

SLE classification criteria

Back 3

1. malar rash- rash across bridge of nose, raised or flat, do not effect nasolabial fold
2. discoid rash-raised patches
3. photosensitivity
4. oral ulcers
5. arthritis
6. serositis
7. renal disorder
8. neuro disorder
9. hematologic disorder
10. immunologic disorder
11. ANA

Front 4

lab hallmark of SLE

Back 4

-ANA
->98% of pts with SLE have elevated serum levels of ANA
-test is not specific for SLE
-if ANA is +:
1. dsDNA
2. anti-SM
3. anti-histone
4. folow pts with LUPUS complement C3 and C4

Front 5

Labs

Back 5

1. CBC
2. ESR
3. U/A
4. RF
5. ANA
6. CPK
7. Chemscreen
8. thyroid functions

Front 6

most common courses of death in lupus pts

Back 6

1. infx
2. lupus nephritis and renal failure
3. CV dz
4. CNA lupus
-sever lupus is uncommon!

Front 7

Anti phospholipid syndrome (APLS)

Back 7

-venous thrombosis
-arterial thrombosis
-recurrent feta loss
-thrombocytopenia

Front 8

organ involvement in SLE

Back 8

1. joints- 90%
2. skin
3. serositis
4. kidney
5. raynauds
6. mucosa
7. CNA

Front 9

raynauds phenomenon

Back 9

-must be 2 or 3 fold
-blue, red, white

Front 10

CNS

Back 10

1. seizures
2. hemiparesis
3. CN lesions
4. stem/cord lesions
5. aseptic meningitis
6 transverse myelitis

Front 11

PNS

Back 11

1. peripheral neuropathies
2. myasthenia gravis
3. mononeuritis multiplex- vasculitis assoc with lupus, causes and infarct

Front 12

Psychiatric

Back 12

1. organic and non organic

Front 13

treatment

Back 13

1. NSAIDs
2. PLaquentil
3. Methotrexate
4. Steroids
5. Assess osteoporosis
6. sunscreens
7. immunizations