Pictures- Areej

Question 1

What is the deformity and diagnosis?

Answer 1

Boutonniere in RA
PIP flexed
DIP hyperextended

Question 2

Mention 2 deformity. ??

Answer 2

Boutonniere and Swan neck

Question 3

What is the deformity with Dx and initial Mx????

Answer 3

Swan nek
PIP hyper extended
DIP flexed
Initial drug is methotrexate oral weekly with steroid at the start

Question 4

Describe and dx

Answer 4

Monosodium urate crystal
-ve brifrign needle shaped

Question 5

Describe + dx + mx

Answer 5

Calcium pyrophosphate dihydrate (CPPD)
Positive birefringent , rhomboid

Dx: arthrocentesis with fluid analysis
Tx: NSAID

Question 6

Describe + dx + mx

Answer 6

Calcium pyrophosphate dihydrate (CPPD)
Positive birefringent , rhomboid

Dx: arthrocentesis with fluid analysis
Tx: NSAID

Question 7

Tx?

Answer 7

Question 8

Dx?

Answer 8

CPPD

Question 9

Dx?

Answer 9

SLE. malar rash
Respect nasolibial fold

Question 10

Dx?

Answer 10

SLE livedo reticularis

Question 11

Patient known case of systemic scleroderma come to ER with headache , pallor and , confusion and newly lower limb edema, renal biopsy shows anion skining pattern
Dx?
Mx?

Answer 11

Renal crisis
Mx! ACEI

Question 12

Patient known case of systemic scleroderma come to ER with headache , pallor and , confusion and newly lower limb edema, renal biopsy shows anion skining pattern
Dx?
Mx?

Answer 12

Renal crisis
Mx! ACEI

Question 13

Systemic scleroderma patient come to ER
this is renal biopsy
Dx?

Answer 13

Question 14

Dx?

Answer 14

Chondrocalcinosis
In CPPD, or pseudogout

Question 15

Patient with chronic history of gout , dx?

Answer 15

Tophaceuos gout

Question 16

There are 3 types of SLE rash not just butterfly rash, apcan you remember it?

Answer 16

Discoid
Subacute cutaneous SLE erythematosis
Butterfly

Question 17

Patient with RA + picture of CXR
Is………… until proven otherwise 😂

Answer 17

Caplan syndrome

Question 18

Dx?

Answer 18

Skelet al deformities (high forehead, prominent zygomatic bones, and maxilla)

Question 19

In electrophoresis of thalassemia
Which will be absent
and which will be increased

Answer 19

HbA
HbF

Question 20

In electrophoresis of thalassemia
Which will be absent
and which will be increased

Answer 20

HbA
HbF

Question 21

Dx?
Definitive testing?

Answer 21

G6PD
Measure G6PD activity after 8w of last attack

Question 22

Dx

Answer 22

AML

Question 23

Dx? Mx?

Answer 23

CLL

Question 24

Dx?

Answer 24

HL

Question 25

Dx?

Answer 25

HL

Question 26

Dx?

Answer 26

Question 27

Dx?

Answer 27