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40 Cards in this Set
- Front
- Back
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What is the common cause of hemarthrosis?
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Torn ACL
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_____ crystals are associated with Gout
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Needle-shaped
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_____ crystals are associated with pseudo-gout
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Rhomboid-shaped
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Septic arthritis would demonstrate both _____ and ____
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WBC > 50,000 with PMNs in synovial fluid
high protein, low glucose in synovial fluid |
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non-articular dysfunctions are associated with __________
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painful active ROM, normal passive ROM; joint is STABLE and WITHOUT CREPITUS
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Articular dysfunctions are associated with ....
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Both active AND passive ROM are painful, +instability, +/- crepitus
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______ is an absolute contraindication to arthrocentesis
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Infection over puncture site
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In order to prevent accelerated deterioration of bone/cartilage in the joints, steroid injections should be limited to ________
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Once every 3 months, 3 max
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Large joints have a space capacity of _____ and include which joints?
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1-2 ml
KNEE, ankle, shoulder |
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The causative organism in rheumatic fever is ...
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Serotypes M of Group A strep
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The most common valve abnormality associated with rheumatic fever is ...
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Mitral regurgitation
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_______ labs are most useful in dx rheumatic fever
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ASO
antistreptylysis O |
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Etiological factors related to the dx of SLE include ...
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90% female
Child-bearing age Black |
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A key clinical manifestation suggesting a diagnosis of SLE is
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Intermittent arthritis with pain out of proportion to exam
Especially in a black female aged 18-45 Maybe swan-neck deformity |
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SXS of SLE pneumonitis include
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Fever
Dyspnea Cough Bilateral infiltrates/atelectasis on CXR |
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SLE pneumonitis can be treated with ...
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Steroids
(Derp! Decreases autoimmune reactivity by depressing immune system) |
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Most specific lab test for SLE is
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Anti-Smith (Sm) antibodies
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A non-specific but sensitive test for SLE is ...
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ANA
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Lab results suggesting drug-induced lupus from hydralazine or procainamide include ...
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+ ANA
- dsDNA + Anti-histone antibodies |
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The most common presentation of Sarcoidosis is ...
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Insidious
Sxs for months |
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Lung bullae in sarcoidosis predisposes to infection by ...
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Aspergillus
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90% of CXR are abnormal in sarcoidosis. Type I Sarcoidosis (ACUTE) is ID by
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Bilateral hilar adenopathy WITHOUT parencymal changes
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Bilateral hilar adenopathy with parenchymal changes is ...
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Type II chronic sarcoidosis
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The most specific lab abnormality associated with sarcoidosis is
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Elevated ACE levels
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The tx for ACUTE Sarcoidosis is ..
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Prednisone
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Chronic sarcoidosis is tx via
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supportive care +/- chronic steroid therapy
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The pathophys of sarcoidosis is ..
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T-helper immune mediated formation of granulomas
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Epi factors related to sarcoidosis
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Black > white
Presents in 20-40 yoa |
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Pts with Sjogren's syndrome have an increased risk of
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B-cell lymphoma
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_____ is found only in primary Sjogren's and thus differentiates it from secondary
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Parotid enlargement
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Ocular dx of Sjogren's syndrome is made by ..
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Slit lamp exam with rose Bengal stain
Shows punctate corneal ulcerations and filamentary keratitis |
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The most specific lab for the dx of Sjogren's is _____
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La/SSB
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The tx of Sjogren's is ...
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Symptom relief
Dz is treatable, not curable |
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Systemic sclerosis is ..
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Disorder of small arteries, microvellses, and connective tissue with scarring and vascular obliteration
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Reynaud's phenomenon is ...
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Pallor, Cyanosis, Erythema
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The occurence of Reynaud's in patients with systemic sclerosis is ..
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95%, very sensitive
not specific |
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The treatment of Reynaud's is
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Prevent vasoconstriction
No smoking Dress warm Dihydropyridine Ca-Channel Blockers Nitro paste to extremities AVOID BETA BLOCKERS! |
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The dx of Systemic Sclerosis is clinical and consists of ...
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non-pitting edema
Hidebound Skin (90%) proximal to MCP |
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CREST syndrome is ...
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Limited Cutaneous Scleroderma and consists of
Calcinosis (Ca-P deposits in skin) Reynaud's Phenomenon Esophageal hypomotility Sclerodactyly Telangietasia |
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Patients with Scleroderma and HTN or renal failure should be tx with ...
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ACE inhibitors
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