Autoimmune

Question 1

demographics of SLE

Answer 1

70-80% women of child bearing
blacks and asians
* SLE flares common in pregnancy - high risk

Question 2

patient presentation for lupus

Answer 2

abrupt onset or insidious over years
episodic
malaise

Question 3

labs for lupus

Answer 3

antinuclear antibodies (ANA)
CBC
urinalysis
renal panal

Question 4

chiroman lupus

Answer 4

look out for
- infections
-osteoporosis
-high risk pregnancies
- sun protection

Question 5

sjogrens stats

Answer 5

mc in middle age female
develops as secondary disease with other autoimmune

Question 6

hallmarks of Sjogren’s Syndrome

Answer 6

dry eyes
dry mouth - dysphagia, decay, chewing etc

Question 7

other symptoms of Sjogren’s Syndrome

Answer 7

arthritis similar to RA
alopecia
raynauds

Question 8

on inspection of Sjogren’s Syndrome
what will you see

Answer 8

rashes
raynauds
bad breath
alopecia

Question 9

diagnosis for Sjogren’s Syndrome

Answer 9

> 3months of dry eyes and mouth

eye test - slit lamp, schirmers
salivary - flow test, sialography

Question 10

chiroman for V

Answer 10

tolerance for face and fragile skin
might have osteoporosis & AVN from CS use

Question 11

diagnostic test for RA

Answer 11

ESR
rheumatoid factor
xray

Question 12

4 diagostic criteria that need to be present for RA

Answer 12

arthritis of >3 joints
arthritis of hand joint (NOT DIP)
morning stiffness >1hr
nodule

Question 13

chiroman for RA

Answer 13

absolute contra when Active
upper cerv instab ?
ankylosis ?