Rheum/Ophtho - Rd 2 Flashcards
What kind of arthritis causes dactylitis? What is this?
What special feature?
Psoriatic, dactylitis = sausage fingers
Look for NAIL involvement —> onycholysis
Fibromyalgia presents w/trigger point tenderness, where are these areas?
Treat how?
Mid trap, lateral epicondyle, costochondral junction, greater trochanter
Low-impact exercise
What causes localized pain over the anteromedial tibia and is exacerbated by pressure from the opposite knee while lying on the side?
Pes anserinus Pain Syndrome
PMR is treated with what 1st line?
If it doesn’t work what is next?
Exercise therapy
Amitryptiline
Episcleritis is assoc w/what?
RA and IBD
Young woman that has anterior knee pain especially when walking up and down the stairs that is not relieved by using NSAIDs has what?
Treat how?
Patellofemoral syndrome
Strengthen VMO
Pemphigus vulgaris has antibodies against what?
What special feature?
Histopath?
Desmosomes (connect to other cells, NOT at the BM)
Nikolsky’s sign
Tombstone cells, acantholysis
Cherry hemangioma occur in whom?
Old people
B9
What is seen on microscopy of bulbous pemphigoid?
IgG and C3 deposits along the BM
What is a firm, flesh-colored, dome-shaped, umbilicated papule?
Pts w/what are higher risk?
Molluscum contagiosum
impaired cellular immunity (HIV)
Pathognomonic for dermatofibroma?
Dimple in center
Dot blot hemorrhages indicate what?
Diabetic retinopathy
Fundoscope shows yellow, white, fluffy hemorrhagic lesions along the vasculature indicate what?
CMV
Corneal vesicles and dendritic ulcers indicate what?
Herpes Simplex keratitis
Especially the Dendritic ulcer
What is a hordeolum?
D/t what?
Stye
S aureus or sterile
Treatment for subconjuctival hemorrhage?
Reassurance
How does open angle glaucoma present?
CF?
Asymptomatic in earlier stages, MC in AA’s
Inc prevalence in pt w/FHx of glaucoma and diabetes
Cupping of optic disc, loss of PERIPHERAL vision
What presents in infant and over age 40 w/inflammatory changes in the medial canthal region of the eye? Sometimes there will be purulent drainage from the puncture
Dacryocystitis
How to treat central retinal artery occlusion?
MC d/t what?
Ocular massage and high flow O2
Carotid artery embolus
What presents w/a red eye that has photophobia, tearing and diminished visual acuity?
Fundoscope shows hyperemia, hazy “flare” in aqueous humo, layering of white cells in ant. Chamber
Anterior uveitis
Assoc w/IBD, sarcoidosis, AS
Pt that wears contact lenses and then has painful, red eye and opacification has what?
Pseudomonas assoc keratitis
What presents as a sudden loss of vision and onset of floaters w/dark red glow and loss of fundus details?
MC cause?
Vitreous hemorrhage
Diabetes
What causes rapidly progressing b/L necrotizing retinitis in HIV pt?
Fundoscope reveals widespread, pale, peripheral lesions, sx include keratitis and conjuctivitis
HSV retinitis
How can you tell the difference between HSV and CMV retinitis?
CMV is PAINLESS
Dendriform corneal ulcers and a vesicular rash indicate what?
Herpes Zoster ophthalmicus
What refers to a bacterial or fungal infection w/in the eye, particularly vitreous?
Presents w/pain and dec visual acuity
Post-op endophthalmitis
24 year old man that presents w/nonproductive cough for 2 months, dull back pain and CXR that shows pulmonary nodules and retroperitoneal LAD, what is the most likely diagnosis?
Testicular cancer that has METs
Key finding is retroperitoneal LAD
How to tell the difference bw epididymitis and prostatitis?
Epididymitis has scrotal pain, swelling, tenderness, PURULENT urethral discharge
Chronic prostatitis has dysuria, pain on ejaculation, sterile urine w/NO to mild tenderness
Pt w/b/L nonfocal chest tenderness and diffusely nodular breasts and is 25 y/o has what?
Fibrocystic changes
