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34 Cards in this Set
- Front
- Back
Sclerdoma
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causes skin and subcutaneous tissue to become dense, fibrous, thick, and tight
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morphea type
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localized, affects only skin
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systemic sclerosis (sclerdoma)
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generalized, affects other organ systems.
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sclerdoma appearance
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tight skin, mauskopf face, telangiectasias, raynaud's
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CREST
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calcinosis, raynaud's, esophageal dysmotility, sclerodactyly
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sclerodactyly
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sausage digits. thickening and tightening of skin on fingers and hands
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calcinosis
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calcium deposits in skin
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raynauds
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spasm of blood vessels in response to cold/stress
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esophageal dysfunction
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acid reflux and decrease in motility of esophagus
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telangiectasias
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dilation of capillaries causing red marks on surface of skin
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Dermatomyositis
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autoantibodies attack skin and skeletal muscles
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clinical features of dermatomyositis
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scaly rash on trunk, proximal extremities; facial edema, heliotrope rash; proximal myasthenia; muscle atrophy/calcinosis; scaly nodules (Grotten's sign); dysphagia, hypoventilation, pulmonary failure
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paraneoplastic syndrom
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where body tries to make antibodies for a hidden tumor, but ends up fighting body itself. Seen in >40yrs old ppl with dermatomyositis 20% of time
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other diagnosing factors for Dermatomyositis
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elevated ESR/CK/aldolase/aspartate aminotransferase/ANA
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Polyarteritis Nodosa
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primarily seen in men. affects medium/small arteries by creating blockage and aneurysms. leads to tissue and vessel wall necrosis
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Sclerdoma
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causes skin and subcutaneous tissue to become dense, fibrous, thick, and tight
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morphea type
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localized, affects only skin
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systemic sclerosis (sclerdoma)
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generalized, affects other organ systems.
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sclerdoma appearance
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tight skin, mauskopf face, telangiectasias, raynaud's
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CREST
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calcinosis, raynaud's, esophageal dysmotility, sclerodactyly
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temporal ateritis
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most common variant of polyarteritis nodosa. Giant Cell. affects temporal and cranial arteries. elderly men
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temporal arteritis features
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headaches, dementia, visual loss, redness/pain, elevated ESR, polymyalgia rheumatica
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wegner's granulomatosis
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arterial lesions in lungs and upper respiratory tract. granuloma formation
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pulseless disease
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affects aortic arch branches, primarily in females. ischemia to head, neck, UE.
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clinical features of polyarteritis nodosa
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constitutional symptoms, renal failure, dyphagia, pulmonary failure, hypertension, headaches, memory loss
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Gout
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deposition of uric acid crystals from the blood into TMT of great toe, causes irritation to capsule and joint structures inflammation. primarily in men.
Hyperuricemia. tophi (large amounts of uric acid) |
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primary gout
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inborn error of metabolism
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secondary gout
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due to a dietary or disease (renal failure)
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ankylosing spondylitis
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fusing of joints in lower spine. 8:1 men, chronic, progressive, inflammatory, lumbar spine
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ankylosing spondylitis
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lower spine, inflam change causes facet joints to fuse. Can’t twist trunk, walk stooped over. Primarily in men
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psoriatic arthritis
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skin disorder. Patch of red irritating skin, usually on extensor surfaces, thigh, back. Skin overgrowth also gives a silvery appearance. Autoimmune disease, affects skin and joints.
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Reiter's Syndrome
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autoimmune disease 2nd to UTI, STD, or GI infection. Causes arthritis, conjunctivitis, urethritis.
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Enteropathic Arthritis (inflammatory bowel disease)
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Crohn’s disease: inflammatory autoimmune bowel disease. May cause 2ndary arthritits
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Fibromyalgia
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no specific etiology, hurt all over. aches/pains, stiffness, swelling, diffuse muscle spasms/nodules.
11/18 tender points |