Rheumatology

Question 1

septic arthritis in a joint prosthesis

Answer 1

staph A most common . need ortho consult. antibiotic empiracl therapy is reasonable after you get appropriate investigations.

Question 2

anti-ccp

Answer 2

indicative of rheumatoid factor positive arthritis.

Question 3

alsolase, CK, anti-jo 1 antibodies, anti-Mi2 ab, antiSRP antibodies, and EMG would be indicated in the work up of

Answer 3

proximal muscle weakness suspicious for polymyositis/dermatomyositis

Question 4

conditions associated with systemic slcerosis

Answer 4

calcinosis: Calcium skin deposits.
Raynaud’s phenomenon: A condition in which the blood vessels of the fingers and toes spasm when triggered by factors, such as cold, stress or illness.
esophageal dysfunction
sclerodactyly
telangiectasia

Question 5

shawlsign, gottrons rash, and weakness

Answer 5

pathoneuomonic for dermatomyositis.

Question 6

pleuritis, membraneous thickening of glomerular capillary walls, concentric rings of collagen, excrescences— what blood factors would be present?

Answer 6

anti-dsDNA: lupus
- multi organ involvemnet

Question 7

stiffness and aching in shoulder and hips. onset is quite abrupt. difficult to get up off a chair. mild malaise and fever.

Answer 7

Polymyalgia rheumatica.

Question 7

stiffness and aching in shoulder and hips. onset is quite abrupt. difficult to get up off a chair. mild malaise and fever.

Answer 7

Polymyalgia rheumatica.