reuma Flashcards
cristales en pseudogout descripción? hallazgos en radiografiadme?
pirofosfato de calcio bifringencia positiva
rx: condrocalcinosis + cambios degenerativso (quiste subcondrial)
monoartritis recurrente (muneca/rodilla)
cristales de gota?
urato monosodico bifringencia negativa
niño <5a se presenta con extension parcial y pronacion del brazo+ NO inflamación. dx y tx?
subluxacion del radio ( radial head slips through part of the annular ligament)
tx: hiperpronacion del antebrazo
asociado a poliartritis reumatica?
giant cell arteritis
anticuerpo en dermatomiositis?
Anti-Mi2
esclerósis sitemica anticuerpo? difuso
- Antitopoisomerasa I anticuerpo (anti-Scl-70) diffuse SSc and indicate a poor prognosis and higher risk of severe interstitial lung disease.
-antinuclear antibodies (approx. 90% of cases)
-anti-RNA polymerase III antibodies.
lupus inducido por medicamentos anticuerpos?
Antihistone antibodies
esclerosis sitemica anticuario? localizada. que significa CREST sd
Anticentromere antibody
CREST stands for Calcinosis cutis, Raynaud phenomenon, Esophageal dysmotility, Sclerodactyly, and Telangiectasia. Constellation of cutaneous and extracutaneous features that are commonly observed in patients with limited systemic sclerosis (SSc).
sjogen anticuerpo?
Anti-Ro/SSA and anti-La/SSB antibodies
como esta el complemento en lupus?
disminuido
artralgia+palpable purpura+hx de hep C?
cryoglobulinemic vasculitis
hipocomplemento
lofgren sd. sx y a que enfermedad pertenece? tx?
Lofgren sd es un subtipo de sarcoidosis
sx:
linfadenopatia hilar bilateral
eritema nodoso (pretibial)
poliartritis
usualmente resolución completa
tx: supportive, NSAIDs, glucocorticoides orales low dose
tx chronic gout?
allopurinol o
Fexofusirat (si hay enfermedad renal cronica)
artritis reumatoide+dolor de cuello en la manana que se hace y por que?
cervical x ray, rule out atlantoaxial subluxation
Extra-articular manifestations of ankylosing spondylitis include ?
uveitis
aortic regurgitation (due to aortitis)
restrictive lung disease
osteorporosis
persona con enfermedad inflamatoria/infecciosa cronica que empieza a desarrollar daño renal, hepatico o a tracto gastrointestinal… que buscar?
Amiloidosis A produccion
(nota: amiloidosis L es de plasma cell discrasia L es por light chain)
ptosis+fatiga que mejora con el descanso. dx?anticpuerpos? tx? a que esta asociado?
Miestenia gravis
anticuerpos contra acetilcolina
Tx: piridostigmina/neostigmina
asociado a timoma
anticuerpos en lupus?
1) Anti-dsDNA antibodies: specific for lupus, correlate with the disease activity,associated with lupus nephritis.
triada de sclerodermic crisis? tx?
hta, renal failure, hemolysis
tx: captopril (IECA preferido por rapid onset and short duration of action)
Serum creatinine should be monitored and captopril therapy should be continued despite an initial increase in serum creatinine, which is expected and typically transient.
Given their associated increase in survival, long-acting ACEIs (e.g., ramipril, enalapril) should be continued indefinitely in patients who have developed SRC, regardless of their blood pressure values
good pasture syndrome tx?
prednisona+ciclofosfamida+plasmaferedisis
anticuerpos contra alveolo y glomerulos: hematuris y hemoptisis
ulcerative colitis antibody?
p-ANCA (perinuclear antineutrofilic citoplasmic anticuerpo)
chrons antibody?
anti-sacharomices cerviceae anticuerpo
anticuerpo en artritis reumatoide?
anti-CCP anticuerpo
enzima convertidora de angiotensina elevada. dx?
sarcoidosis
drop arm test positive. dx?
supraspinatus muscle of the rotator cuff tear
anticuerpos en dermatomiositis?
anti-Mi-2
anti-Jo-1
dermatomiosistis aumenta riesgo de?
1). adenocarcinoma de
cervix
ovario (mas importante)
estomago
colon
pancreas
recto
2) interstitial lung disease
