Rheum Flashcards
1
Q
What is the first line medication for OA? Second line? 3rd? 4th? 5th?
A
APAP NSAIDs Capsaicin cream Steroid injections Hyaluronic acid injections
2
Q
What is essential in a gout work up and why?
How do you treat an acute attack?
A
Tap joint –> exclude infection
NSAIDs > Steroids > Colchicine
3
Q
What are the side effects of colchicine?
What are the side effects of allopurinol?
A
Diarrhea/BM suppression = neutropenia
TEN/SJS
4
Q
What medications do you stop in chronic goat?
What is the first line for a gout patient with HTN?
What are other choices?
A
Thiazides/ASA/niacin
Losartan
Allopurinol > febuxostat > Pegloticase > probenacid
5
Q
What is DIP enlargement in OA called?
What about PIP enlargement?
A
Heberden nodes
Bouchard nodes