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29 Cards in this Set
- Front
- Back
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platelet count, BT, PT, PTT in:
HUS/TTP |
plt's: decr'd
BT: incr'd PT: normal PTT: normal |
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platelet count, BT, PT, PTT in:
hemophilia A or B |
plt's: normal
BT: normal PT: normal PTT: incr'd |
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platelet count, BT, PT, PTT in:
vWD |
plt's: normal
BT: incr'd PT: normal PTT: incr'd |
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platelet count, BT, PT, PTT in:
DIC |
plt's: decr'd
BT: incr'd PT: incr'd PTT: incr'd |
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platelet count, BT, PT, PTT in:
warfarin |
plt's: normal
BT: normal PT: incr'd PTT: incr'd |
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platelet count, BT, PT, PTT in:
end stage liver disease |
plt's: nl/decr'd
BT: nl/incr'd PT: incr'd PTT: incr'd |
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platelet count, BT, PT, PTT in:
aspirin |
plt's: normal
BT: incr'd PT: normal PTT: normal |
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type of renal failure in px with FENa <1%
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prerenal
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dx & initial lab w/u:
65 yo african americam female with weakness in her lower extremities, both are equally weak, rash on her chest |
dx: dermatomyositis
Abnormal labs: CK aldolase AST/ALT LDH ANA anti-Jo-1 BMP, CBC |
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rash a/w dermatomyositis
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HELIOTROPIC (periorbital) red-purple rash
SHAWL SIGN (shoulders, upper chest, & back) GOTTRON'S PAPULES (papular rash with scales on dorsum of hands at bony prominences; often mistaken for psoriasis) MALAR RASH MECHANIC'S HANDS (roughened, cracking skin on the tips & lateral aspects of the fingers) |
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Dx and Rx
67 yo woman with pain in the extremities especially shoulders and hips, hard for her to get out of bed, elevated ESR |
dx: PMR
rx: low-dose steroids |
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what other disease should you look for in a px with PMR
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temporal arteritis
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rheumatologic disease a/w:
proximal muscle weakness and facial rash |
dermatomyositis
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rheumatologic disease a/w:
pain and stiffness in the hips and shoulders |
PMR
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rheumatologic disease a/w:
muscle pain and tenderness in multiple distinct locations |
fibromyalgia
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rheumatologic disease a/w:
man in 20s with lower back pain that betters with exercise |
ankylosing spondylitis
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rheumatologic disease a/w:
jaw claudication and difficulty standing from chair |
PMR & temporal arteritis
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rheumatologic disease a/w:
pencil in cup deformity of the DIP and PIP joint |
psoriatic arthritis
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rheumatologic disease a/w:
bamboo spine |
ankylosing spondylitis
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rheumatologic disease a/w:
arthritis, oral ulcers, proteinuria |
SLE
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Rx for fibromyalgia
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amitriptyline/nortriptylline
Tylenol pregabalin duloxetine fluoxetine milnacipran |
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disease a/w:
anti ro and la |
sjogrens
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disease a/w:
anti histone |
drug indiced lupus
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disease a/w:
anti jo 1 |
dermato/polymyositis
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disease a/w:
anti RNP |
mixed connective tissue disease
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what are the autoimmune antibodies a/w CREST scleroderma (aka limited cutaneous systemic sclerosis)
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anti-Scl-70
anti-RNA anti-UI RNP anti-centromere |
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features a/w CREST scleroderma
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"CREST"
Calcinosis cutis Raynoud's phenomenon Esophageal dysmotility Sclerodactyly Telangiectasias |
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what labs, when increased, point to muscle inflammation
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CPK
aldolase AST/ALT LDH |
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what are the seronegative HLA-B27 spondyloarthropathies
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"PAIR"
Psoriatic arthritis Ankylosing spondylitis IBD (enteropathic arthritis) Reactive arthritis |
