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Rheumatology > Rheum Treatments > Flashcards

Rheum Treatments Flashcards

1
Q

OA

General

A

Non-Pharm (PT, lifestyle, weight loss)
Topical Agents
Anti-inflammatories
Surgery

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2
Q

OA

Non-Pharm

A

PT, mucle toning, quad strength
Exercise bike, elliptical, walking fitness program
Cane, walker, shoe inserts, grab bars, toilet extenders, seat lifts chair
Parking permit
Weight loss 5kg (50% less chance of developing OA, slows progression)

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3
Q

OA

Topical Agents

A 
Capsain (depletes substance P)
Methysalicylate, menthol, camphor
Bio-Freeze
Diclofenac topical
Flector patch
Pennsaid lotion
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4
Q

OA

Anti-inflammatories

A 
NSAIDs
Acetaminophen (OTC)
Tramadol
Codeine III or IV
Oxycodone II
Morphine II & derivatives
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5
Q

OA

Procedures

A 
Joint aspirations
Joint injections (steroids, anesthetic, Aristospan, hyaluronic acid)
TKR if night pain doesn't respond to meds, major inability, interferes w/ daily living, unable to walk/work, bone-on-bone
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6
Q

RA

General

A 
DMARDs
NSAIDs
TNF inhibitors
B cells
T cells
JAK Kinase Inhibitors
BRMs (pre-drug screening)
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7
Q

RA

DMARDs

A 
Corticosteroids
Hydroxychloroquine
Sulfsalazine
Methotrexate
Leflunomide
Azathiprine
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8
Q 
RA
TNF Inhibitors (Biologics)
A 
Etanercept
Infliximab
Adalimumab
Golimumab
Certolizumab pegoles
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9
Q

RA

Others (non-DMARDs/TNF)

A 
B cells: Rituximab
T cells: Abatacept
I-6: Tocilizumab
JAK: Tofacitinib
BRMs (pre-drug screening)
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10
Q

JRA

General

A 
PT/exercise
Tylenol/NSAIDs
DMARDs
Corticosteroids
Enbrel
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11
Q

JRA

MC Tylenol/NSAID

A

Naproxen & Ibuprofen

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12
Q

OA

Treatment goal

A

Pain relief

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13
Q

RA

Treatment goal

A

Slow/stop disease progression

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14
Q

Ankylosing Spondylitis

General

A

Reduce pain & stiffness - NSAIDs, glucocorticoids, DMARDs
BRMs (TNFs)
Pt education
Joint protection
Lifelong PT for posture & slow Dz progression

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15
Q

Ankylosing Spondylitis

DMARDs

A

Methotrexate

Sulfsalazine

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16
Q

Ankylosing Spondylitis

BRMs

A 
Etanercept
Infliximab
Adalimumab
Golimumab
Certolizumab
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17
Q

Psoriatic Arthritis

General

A 
NSAIDs
Glucocorticoids
DMARDs
BRMs
Pt education
Joint protection/lifelong PT
18
Q

Psoriatic Arthritis

DMARDs

A

Methotrexate

Sulfsalazine

19
Q

Psoriatic Arthritis

BRMs

A 
Etanercept
Infliximab
Adalimumab
Golimumab
Certolizumab
20
Q

Reactive Arthritis

General

A

Abx based on pathogen

21
Q

Reactive Arthritis

Chlamydia

A

3 mo Doxycycline or Tetracycline

D preferred over T

22
Q

Gout

General

A 
NSAIDs
Colchicine
Steroids
ULT
Lifestyle/Dietary changes
Pegloticase
23
Q

Gout

NSAIDs

A

Motrin
Indocin
Naprosyn
Celecoxib

24
Q

Gout

ULT

A

Allopurinol
Febuxostat
Take w/ low-dose colchicine or NSAID 2 wks before starting ULT

25
Q

Pseudogout

General

A

No Tx
Intra-articular corticosteroids (acute)
NSAIDs (moderate sx)
Colchicine (Tx sx)

26
Q

Acute LBP

General

A

Control pain

Minimize activity

27
Q

Subacute LBP

General

A

Control pain

Maximize activity

28
Q

Chronic LBP

General

A

Multidisciplinary

29
Q

LBP

Pain Control

A 
Anti-inflammatories
Tramadol
Opioids
Muscle relaxants
Epidural injections
30
Q

LBP

Muscle relaxants

A

Methocarbamol

31
Q

Fibromyalgia

General

A

Antidepressants
Pain control
Exercise, improve sleep, treat psychological distress

32
Q

Fibromyalgia

Antidepressants

A

SNRIs
Duloxetine
Cyclobenzaprine

33
Q

Fibromyalgia

Pain Control

A

Pregabalin
Tramadol
Milnacipran

34
Q

Sjogren’s

General

A

Tx oral dryness (OTC, Rx)

Tx eye dryness (OTC, Rx)

35
Q

Sjogren’s

OTC oral

A

Biotene products
Sugar-free chewing gum
Sugar-free lozenges (Xylitol)

36
Q

Sjogren’s

Rx oral

A

Muscarinic cholinergic agnoists
Cevimeline
Pilocarpine

37
Q

Sjogren’s

OTC eye

A

Systane

Refresh tears

38
Q

Sjogren’s

Rx eye

A

Ophthalmologist Rx

Restasis

39
Q

Keratoconjunctivitis Sicca

OTC

A

Systane

Refresh tears

40
Q

Keratoconjunctivitis Sicca

Rx

A

Ophthalmologist Rx

Restasis

Rheumatology (12 decks)

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