Polymalgia Rheumatica & GCA Flashcards
1
Q
What is Polymyalgia Rheumatica (PMR) criteria
A
> 50 yrs bilateral aching and stiffness > 1 mth Involve 2 or more: - neck - shoulder - hips exclusion of other diagnoses
2
Q
What is epidemiology of PMR
A
etiology unknown
patients with giant cell arteritis have it
3
Q
What is dgx of PMR
A
temporal artery biopses
PET studies
4
Q
What are signs of PMR
A
shoulder pain
hip involvement
subdeltoid/subacromial bursitis
distal swelling of upper extremity
5
Q
What is PMR txt
A
Prednisone and then taper down
methotrexate
6
Q
What is criteria of GCA
A
Must have 3/5 > 50 yrs new headache temporal artery abnormality ESR >= 50 abnormal artery biopsy
7
Q
What is epidemiology of GCA
A
uknown etiology
effect of aging
Female more
tissue trophism
8
Q
What are clinical features of GCA
A
HA ab temporal artery PMR ESR>50 Jaw claudication amaurosis fugax loss of vision permanently
9
Q
GCA txt
A
prenisone
Aspirin
Osteoporosis screening
bisphosphomate
10
Q
What should be checked monthly with GCA
A
sed rate
CRP
11
Q
What are complications of GCA
A
thoracic aortic aneurysms
ab aneurysms
aortic arch syndrome
stroke
