Rheuma Flashcards
RA + pulmo nodules
Caplans syndrome
Orange peel skin
Nephrogenic fibrosing dermopathy
Eosinophilic fasciitis
Fastest acting dmard
MTX
Dmard w/c decreases mortality in ra
Mtx
What to monitor w/ mtx tx?
Cbc, crea, alt q2-4wks x 3, q8-12wks x 3 then yearly
How to treat mtx induced renal failure
Glucarpidase
Predictor of cvs mortality in ra
Inc homocysteine
Tx for atlanto-odontoid subluxation
8mm asymptomatic- surgery
Symptomatic- surgery
Hydrochloroquine side effect
Macular degeneration
Felty’s syndrome
Leukopenia and splenomegaly
Still’s dse
Leukocytosis, fever, salmon colored rash
Sweet’s syndrome
Leukocytosis, painful red nodules
Tx of ankylosing spondylitis
Exercise, PT
If with pain, Nsaids
If unresponsive, anti-TNF alpha agents
How to follow up px with ankylosing spondylitis
Xray q3months
ESR for dse activity
Skin manifestation common in Reiter’s
Keratoderma blenorrhagica
Tx of psoriasis w/ skin and nail involvement
MTX
Never drugs in psoriasis
Hydroxychloroquine
Beta blocker
Sunlight (UVB)
Pathergy test positive
Behcet’s dse
Mouth/genital ulcers, EN, uveitis
Tx of mucocutaneous sx of behcet’s
Colchicine
Tx of moderate to severe behcet’s
Steroids
Caribbean with high fever and joint pains
Chikungunya
Positive titers for ana
> 1:160
Positive titers for rf
1:80
Diff bet Oa and Ra erosions
OA: central erosions
RA: periarticular erosions
Double line sign in T2 MRI
Avascular necrosis
Pain on lat aspect of hip, cant sleep on that side
Trochanteric bursitis
Negatively birefringent crystals
Gout
Positively birefringent crystals
Pseudogout
Tx of gout with CI to NSAIDs or colchicine
Steroids
Allopurinol increases level of
Azathioprine