Internal Med Orthopedics Flashcards
1
Q
presentation of fibromyalgia
A
- chronic fatigue
- generalized aching pain
1
Q
etiology of fibromyalgia
A
presence of central sensitization to pain and deficits in endogenous pain inhibitory mechanism
2
Q
diagnostic criteria of fibromyalgia
A
- pain index over 7
- sx for at least 3 months
- no other condition that can explain patient’s sx
3
Q
management of fibromyalgia
A
- reassurance
- exercise
- cyclobenzaprine or amitriptyline
- Cymbalta
4
Q
etiology of gout
A
hyperuricemia
5
Q
s/s of gout
A
red, swollen, painful, hot joint
6
Q
diagnosis of gout
A
- negatively birefringent joint fluid analysis
- rat bite on xray
7
Q
treatment of gout
A
- low purine diet
- NSAIDs, colchicine, corticosteroids
- allopurinol to prevent
8
Q
etiology of polyarteritis nodosa
A
arteritis of small and medium arteries
9
Q
s/s of polyarteritis nodosa
A
- nonspecific sx (fever, malaise, fatigue, HA)
- extremity pain
- livedo reticularis
- digital gangrene
- abdominal pain
10
Q
diagnosis of polyarteritis nodosa
A
- ANCA negative
- test for hep b
- tissue biopsy to confirm (shows evidence of arterial necrosis)
11
Q
Treatment of polyarteritis nodosa
A
high dose steroids
12
Q
S/s of polymyalgia rheumatica
A
- pain and stiffness in neck, shoulders, and pelvis
- fever, malaise, and weight loss
- difficulty with ADLs
13
Q
Treatment of polymyalgia rheumatica
A
Low dose prednisone
14
Q
s/s of polymyositis/dermatomyositis
A
- symmetric, progressive, painless, proximal muscle weakness
- gottrons papules
- heliotrope eruption
- hyperkeratotic hands
- shawl sign
