Reiters Disease

Question 1

Ptn came complaining of joint pain and swelling + eye infection + burning urine + mucocoutaneus lesion what’s your diagnosis?

Answer 1

Reiter disease

Question 2

Ptn with arthritis and synovial fluid test shows needle shaped negatively birefringent crystals, what’s your diagnosis?

Answer 2

Gout

Question 3

What is the safest drug to use in a pregnant woman with rheumatoid arthritis flare up?

Answer 3

Prednisone is used only when necessary during pregnancy because it’s the only relatively safe drug

Question 4

Ptn with comminuted fracture had a surgery to fix it then few days later develops fever, joint pain. What’s your diagnosis?

Answer 4

Staphylococcus arthritis

Question 5

A man left super heavy weights that he’s not used to left. The next day he complains of diffuse pain and spasm! What will you find to be abnormal in his blood test?

Answer 5

CPK is high because of rhabdomyalisis

Question 6

What is pulses disease?

Answer 6

It affects Asian women, there will be sudden hemiparesis and sudden blindness in the same side, also no pulse in both arms and bruits in carotid arteries

💊 steroids or arterial bypass graft is the only ttt

Question 7

If you take synovium from RA ptn what cells will you find?

Answer 7

Proliferative synovitis: lymphocytes, macrophages, plasma cells

Question 8

A woman came complaining of numbness and tingling in her thumb and index which increases just before mensruation , what is your diagnosis and what is the test required?

Answer 8

Diagnosis is carpal tunnel syndrome

Test is phalen’s test ( hyperflexion of the wrist)