Musculoskeletal Extra Cards Flashcards
What is the induction DOC for Scleroderma?
Etomidate
What causes renal crisis in Scleroderma?
Steroids
What is the only treatment shown to alter the course of scleroderma renal crisis?
ACE-I
How do we manage ACE-I induced hypotension?
Vasopressin
What med class are scleroderma patients sensitive to?
Opioids
In which disease is arm, leg, and trunk muscle weakness assymmetric?
Myasthenia Gravis
What drug class is the most commonly used and most consistently effective for myasthenia gravis patients when weakness is not controlled by anticholinesterase drugs?
Corticosteroids
The orbicularis Oculi muscle might overestimate or underestimate the degree of NMB?
overestimate
What are alternatives to NMB on muscle weakness patients?
Volatiles, Remifentanil in high doses
What labs should you get pre-op for Rheumatoid Arthritis, for what reason?
CBC (these patients have high platelets & at high risk of VTE)
What can exacerbate SLE nephritis?
HTN and Pregnancy
What demographic is common with SLE?
Young women & African americans age 15-40
What are the 5 typical manifestations with SLE?
- Anti-nuclear antibodies
- Malar Rash
- Thrombocytopenia
- Serositis
- Nephritis
What type of anemia do SLE patients have?
Hemolytic anemia
Coronary Atherosclerosis in SLE is exacerbated by treatment with what drug class?
Corticosteroids
Which two diseases have Cricoarytnoid Joint arthritis?
Lupus and Rhemuatoid Arthritis
Who is at risk for increased CK? (2)
Scleroderma and DMD
Who is at risk for atlantooccipital separation? (4)
Scleroderma, Osteoarthritis, Rheumatoid arthritis, Down syndrome
Who has decreased pulmonary compliance? (2)
Scleroderma and DMD
Who should you avoid NMB on? (2)
DMD and MG
Who has GI hypomotility? (2)
Scleroderma and DMD
Who is high risk for VTE? (2)
Scleroderma and Rheumatoid Arthritis
