other conditions Flashcards

1
Q

Bechet’s presentation

A
  • recurrent oral ulceration and genital ulceration
  • uveitis or retinal vasculitis
  • diarrhoea
  • erythema nodosum, pseudo folliculitis and papulopustular lesions
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2
Q

Bechet’s investigations

A
  • pathergy test positive
  • bloods: raised inflammatory markers
  • immunology negative
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3
Q

Bechet’s management

A

steroids, DMARDs or rituximab

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4
Q

fibromyalgia is most common in

A

middle aged women

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5
Q

what is fibromyalgia

A

chronic pain syndrome with widespread musculoskeletal pain without any inflammation

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6
Q

fibromyalgia presentation

A
  • muscle pain and fatigue
  • pins and needles
  • headaches
  • depression
  • abdominal pain
  • poor concentration/memory
  • sleep disturbance
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7
Q

fibromyalgia diagnosis

A
  • pain bilaterally, above and below waist with tenderness at 11/18 tender points
  • diagnosis of exclusion (when all tests for other rheumatological conditions are negative)
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8
Q

fibromyalgia management

A
  • patient education
  • graded exercise programmes
  • CBT and anti-depressants
  • pain management
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9
Q

what is Raynaud’s

A

peripheral digital ischaemia due to vasospasm

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10
Q

Raynaud’s causes

A

can be a primary disorder, typically develops in adolescence or is associated with connective tissue disorders, beta blocker use or hypothyroidism

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11
Q

Raynaud’s presentation

A

digits ache and go pale then white when exposed to the cold

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12
Q

Rayndaud’s management

A
  • keep fingers warm
  • calcium channel antagonist (nifedipine) or sildenafil (Viagra)
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