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17 Cards in this Set
- Front
- Back
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Osteoarthritis
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older patients, DIP/PIP, hip, knee
joint fluid WBC <2000, 25% neutrophils Heberdens (DIP) and Bouchard's (fingers) nodes. worse in evening. ostephytes, joint space narrows. NSAIDs |
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Rheumatoid arthritis
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women 20-45 y/o, PIP/MCP, wrist
joint fluid >2000 WBCs, >50% Neutro pos rheum factor. NSAIDs, MTX, etanercepts, hydroxychloroquine. |
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JRA
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rheumatoid factor ned. uveitis. pauciarticular
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Gout
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older men, esp big toe, joint fluid w/ >2000 WBCs, 50% neurophils, NEGATIVE BIREFRINGENT crystals. Colchicine or NSAIDs for acute. allopurinol, probenecid, alkaline urine.
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Pseudogout
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older, knees, elbows. high WBC, nigh Neutrophils, caldium pyrophosphate, POSITIVE BIREFRINGENT crystals (Pos, Pseudo)
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Behcet's
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autoimmune
20s male, oral and genital ulcers, uveitis, arthritis, skin lesions (e. nodosum). steroids. |
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Dermatomyositis
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50s women, proximal muscles, elevated CPK, heliotrope rash around eyes, periorbital edema. biopsy for dx, steroids.
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Kawasaki
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female Japanese <5 y/o. truncal rash, >5d fever, conjunctival inj, cervical lymphadenopathy, strawberry toungue, late skin desquamation on palms/soles, arthritis. Risk of coronary vasculitis - aneurysms. Tx ASA and IVIG
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Polyarteritis Nodosa
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a/w hep b and cryoglobulinemia. fever, abd pain, wt loss, renal, peripheral neuropathy. leukocytosis, anemia, hematuria/protienuria. Medium vasculitis. biopsy.
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Scleroderma
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autoimmune
CREST, heartburn, masklike facies, ANA. anticentromere Ab (CREST), anti-topoisomerase (scleroderma). steroids. |
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Sjogren's
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autoimmune
dry eyes, dry mouth, a/s other AI disease. eyedrops, hygeine. |
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SLE
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autoimmune
classic sx 1. ANA, 2. anti-smith. also VDRL/RPR, lupus anticoagulant, and -cytopenia. hydroxychloroquine, NSAIDs, steroids, immunosuppressants |
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Takayatsu's Arteritis
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autoimmune
age 15-30 women, east asian. absent pulse. Affects AORTIC ARCH. CT or MRI. steroids, cyclophosphamide |
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Wegener's Granulomatosis
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autoimmune
sim to Goodpasture's, but older patients, positive ANCA. Nasal, kung, renal involvement. cyclophosphamide |
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fibromyalgia
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young women, lots of locatins, normal ESr, biopsy. Tx antidepressants, NSAIDs
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polymyositis
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50 y/o women, prox muscles, high ESR, abnormal biopsy, high muscle enzymes. steroids.
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polymyalgia rheumatica
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women >50, pectoral and pelvic girdles, neck, HIGH ESR, normal biopsy, a/w temporal arteritis. Steroids.
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