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
2
Q
Bechet’s investigations
A
- pathergy test positive
- bloods: raised inflammatory markers
- immunology negative
3
Q
Bechet’s management
A
steroids, DMARDs or rituximab
4
Q
fibromyalgia is most common in
A
middle aged women
5
Q
what is fibromyalgia
A
chronic pain syndrome with widespread musculoskeletal pain without any inflammation
6
Q
fibromyalgia presentation
A
- muscle pain and fatigue
- pins and needles
- headaches
- depression
- abdominal pain
- poor concentration/memory
- sleep disturbance
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)
8
Q
fibromyalgia management
A
- patient education
- graded exercise programmes
- CBT and anti-depressants
- pain management
9
Q
what is Raynaud’s
A
peripheral digital ischaemia due to vasospasm
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
11
Q
Raynaud’s presentation
A
digits ache and go pale then white when exposed to the cold
12
Q
Rayndaud’s management
A
- keep fingers warm
- calcium channel antagonist (nifedipine) or sildenafil (Viagra)
