OME - Day 19 Flashcards
Before you start a biologic, what do you do?
Screen for TB
How do you treat rheumatoid arthritis?
Methotrexate
Pictures of fingers all bent out of shape, diagnosis?
Rheumatoid Arthritis
RA and the Spine?
C1 and C2
Refractory RA treatment?
Biologics = etanercept, infliximab or rituximab
Rheumatoid Arthritis + Neutropenia + Splenomegaly, diagnosis?
Felty syndrome
What antibodies should you order for RA?
RF and or CCP
X-ray shows erosions, diagnosis?
Rheumatoid Arthritis
Anti-Centromere Ab, diagnosis?
CREST
Anti-topoisomerase antibody
Systemic Sclerosis
Dry eyes and dry mouth, diagnosis?
Sjogren’s syndrome
How do you diagnose a myositis?
Biopsy the muscle
how do you treat scleroderma GERD?
PPI
Scleroderma renal crisis, treatment?
Ace-inhibitor
How do you treat Gout chronically?
Allopurinol (febuxostat also ok)
How do you treat gout?
NSAIDs
How do you treat tumor lysis after it happens?
Rasburicase
Inflamed big toe, diagnosis?
Podagra, Gout
Needle shaped crystals, diagnosis?
Gout
Negatively birefringent crystals, diagnosis?
Gout
Positively Birefringent Crystals, diagnosis?
Pseudogout
Rhomboid shaped crystals, diagnosis?
Pseudogout
Septic joint and cultures are positive for gram positive cocci, diagnosis and next step?
Staph, start nafcillin
Septic joint but no cultures are positive, diagnosis and next step?
Gonorrhea, send for pcr
How do you handle Enteropathic arthritis?
Treat the inflammatory bowel disease (UC and Crohns)
How do you treat reactive arthritis?
IM Ceftriaxone and Doxycycline
Nail pitting and arthritis: diagnosis?
Psoriatic Arthritis
On the test, a picture of a spine and a question about arthritis = ?
Ankylosing Spondylitis (Bamboo spine)
Sexually active, cervicitis, joint pain: diagnosis?
Reactive arthritis
Ulcerative Colitis and Arthritis: diagnosis?
Enteropathic arthritis