R3 fro amb

Question 1

lupus nephritis suspected case next step?

Answer 1

Renal biopsy to d/t the type and severity of LN

Question 2

reactive arthritis time?

Answer 2

acutely(up to one month) post-infection period.

Question 3

MC ex. Articular manifestations of AnkSp?

Answer 3

uveitis

Question 4

type of JRA?

Answer 4

OA JRA(<=4 joint)
SNPAJRA(>=5 Joint -ve RF)
SPJRA(>=5 Joint + ve RF,rhumatoid nodule)
SJRA(Have,LDP,HSP,Rash,Animia and intermittent fever)
Ps.Ass.JRA(may have nail change)
En.ASS.JRA(enteritis,IBD sx)

Question 5

LAb in JRA?

Answer 5

inc ESR in all
\+ve ANA in all(MC OA)
-Ve RF exept SPJRA(poor prognostic sighn)
Inc.WBC
Thrombocytosis
Anemia
all Cxs by Age <16 onset and >6 month sx

Question 6

management?

Answer 6

NSAID+ DMARD( if
SPJRA)
IfY inh.if not respond

Question 7

subacromial lidocain ijection test?

Answer 7

To differentiate RC tendinopathy from tear(not relive pain or activity)

Question 8

PBC histo?

Answer 8

Granulomatour periportal lymphocytic infilitration) but in AH (non granulomatous)