rheum Flashcards
+heliotrope rash
+shawl sign
+gottron’s papules
elevated CK and aldolase
dermatomyositis
GC +/- MTX
+ aldolase
+ ANA
symmetric proximal muscle weakness and inflammation in extremities
assoc. c. interstitial lung disease
polymositis
+ ANA, anti-dsDNA, anti-Sm abs
elevated ESR/CRP
young adult females
joint pain, fever/fatigue, malar rash
glomerularnephritis, retinitis, oral ulcer, alopecia
SLE
hydroxychloroquine
axial, SI, spine pain
insidious LBP onset
hyperkyphosis
X-Ray = bambospine, sacrolitis
+HLA-B27, elevated ESR/CRP
ankylosing spondylitis
indomethacin, naproxin
TNF inhibitor
+ birefringent, rhomboid shaped crystals
assoc. c. hemochromatosis, OA, RA, hyperPTH
MC in knee
pseudogout
prophylactic: colchicine
Acute: colchicine, nsaids
6.8 MSU
caused by purine rich foods, DM, urate lowering meds, ETOH
monoarticular, asymmetric joint pain
MC in 1st MTP
rapid nighttime onset of severe pain
x ray = bony erosions
+ needle shaped, neg birefringent crystals
gout
nsaids, GC, colchicine
ULT (allopurinol, probenicid (underexcreters)) after 2 weeks of resolution
ULT: maintain sUA < 6
f/u 3 2-4 weeks to measure
then 3 mo
then q 6 mo for 1 year
then annual
overload of gastroc or soleus
hx of recent increase in training
burning pain
sensation of violent hit/pop +/- pain
+ thompson
achilles rupture
ortho, equinus splint
MC c. 10-20, throwing and gymnastics athletes
common in knee in preteens
gradual onset of localized deep pain
popping, locking catching
swelling
osteochondritis dissecans
conservative, grade 4 = surgery
pain swelling tenderness over prepatellar or pes anserine
overuse injury
knee bursitis
nsaids, avoidance
overuse injury in runners and cyclists
gradual onset of local pain
sharp/burning pain during activity
develops to constant ache
possible leg length discrepancy
reproducible pain c. ROM and compression
IT band syndrome
rice, nsaids, PT
