Miscellaneous Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

British society for Rheumatology core features of polymyalgia rheumatica [5]

A

Age >50

Duration >2 weeks

Bilateral shoulder/ muscle ache

Morning stiffness for >45 mins

Acute phase response

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2
Q

Polymyalgia rheumatic is heavily associated with which vasculitis?

A

Giant cell arteritis

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3
Q

NICE features for polymyalgia rheumatica

A

Bilateral shoulder pain
- Radiates to elbow

Bilateral pelvic girdle pain

Pain worse on movement

Pain interfering with sleep

Morning stiffness >45 mins

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4
Q

Signs of polymyalgia rheumatica

A

Muscle stiffness
- Pelvic girdle, shoulder muscles, neck

Normal muscle power, sensation, co-ordination and reflexes

Carpal tunnel syndrome

Pitting oedema

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5
Q

Blood test findings for polymyalgia rheumatica

A

Anaemia of chronic disease

Elevated CRP and ESR

Normal :
- CK (myositis)
- Anti-CCP, ANA and RF (RA, SLE)
- TFTs
- Calcium

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6
Q

First line therapy for polymyalgia rheumatica

A

Oral prednisolone 15mg/day
- Taper gradually by 2.5mg, then 1mg)

Co-prescribe vit-D / bisphosphonate/ calcium for bone protection

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7
Q

Patients with polymyalgia rheumatic tend to respond to steroids within…

A

24-72 hours

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8
Q

How long are corticosteroids typically continued for in PMR?

A

1-2 years

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