Rheum Popcorn 2 Flashcards
Who gets osteoporosis most commonly?
Postmenopausal white women
How is fx risk determined in osteoporosis?
FRAX tool
Risk factors for what?
- Previous low trauma fx
- Chronic Glucocorticoids
- RA
Osteoporosis fracture risk
Gold standard for dx of osteoporosis?
Duel-energy x-ray absorptiometry (DEXA) scan
What T-score is diagnostic for oosteoporosis
< -2.5
What is the best non-pharmacologic tx for osteoporosis
Exercise
1st line tx for osteoporosis?
Vit D and calcium
Bisphosphonates
Biphosphonates are contraindicated in what condition
CKD
Black box warning for biphosphonates?
ONJ
T/F: sex hormone replacement is appropriate therapy for osteoporosis?
FALSE
What is the MC complication of Osteoporosis? How do you monitor?
Vertebral fx
Monitor for height loss
Dx of what condition:
- Chronic wide spread pain for >6wks
- All 4 quadrants of the body
- 11/18 tender points
Fibromyalgia
What is the only treatment option for Fibromyalgia that has evidence for helping with FM pain?
Exercise
Tx for Fibromyalgia?
Exercise
Amitryptyline
(NO OPIOIDS)
Systemic findings
+
Lung and kidney findings`
Vasculitis syndromes, AKA Vasculitides
Which condition is MC in F>50y/o and is assoc. w/ Giant cell arteritis
Polymyalgia Rheumatica
(large vessel disorder)
Stiffness/aching in neck, shoulder and pelvic girdle but NO weakness
Polymyalgia Rheumatica