Case Based Potpourri Flashcards
1
Q
Fibromyalgia syndrome
A
Common form of non-articular rheumatism Soft tissue disorder Widespread pain Believed to represent an increase in the centralized pain response Patients often have mood/sleep disorders No inflammation Normal lab tests
2
Q
How can you identify gout crystals?
A
Negatively birefringent
Yellow parallel, blue perpendicular
3
Q
Mobilization gout
A
Happens if you start allopurinol during an acute attack
Will prolong it
4
Q
CPPD arthropathy
A
Calcium pyrophosphate dihydrate Chondrocalcinosis on xray Pseudogout Crystals positively birefringent Can cause OA of a severe and inflammatory nature
5
Q
Polymyalgia rheumatc
A
In patients over 55 years
Aching and stiffness of shoulder and hip girdle region
ESR or CRP often very high
Responds within 72 hours to low dose prednisone
About 1/3 associated with temporal arteritis
6
Q
Temporal arteritis
A
Large vessel vasculitis New onset of headaches in pts over 55 May/may not have swelling and/or tenderness of temporal artery Jaw claudication can be present High ESR characteristic Emergency because can go blind very fast Tx with prednisone
7
Q
Scleroderma
A
Tissues in your body develop fibrosis
Skin, lungs, kidney
8
Q
What is the most important initial treatment for AS?
A
Instruction and postural exercises
