Rheumatology Flashcards
Lower back and alternating buttock pain
Worse in the mornings
Disturbs the patient’s sleep
Ankylosing spondylitis
X ray in ankylosing spondylitis
syndesmophytes (fusion of vertebra)
Bamboo spine (fusion of spinal column)
squared vertebra
4 conditions associated with ankylosing spondylitis
anterior uveitis
upper lobe pulmonary fibrosis
inflammatory bowel disease
achilles tendonitis
Lace like rash on the back of the legs
Livedo reticularis
found in antiphospholipid syndrome
Mx of antiphospholipid syndrome
Warfarin
in pregnancy: LMWH + aspirin
Gout and common Px
uric acid buildup
paintful MTP joint in the big toe, red, swollen
Pseudogout cause and Ix
calcium pyrophosphate crystal buildup
Positive rhomboid
Px and Ix of churg-strauss syndrome
eosinophilic granulomatosis with polyangiitis
rash, asthma
raised eosinophils
pANCA positive
Px and Ix of Wegener’s granulomatosis
Granulomatosis with polyangiitis
1. URT: epistaxis’s saddle shaped nose
2. LRT: haemoptysis, dyspnoea
3. glomerulonephritis: proteinuria (frothy urine) + haematuria
cANCA +
Mx of Giant Cell Arteritis
oral prednisolone
Px of Rheumatoid arthritis
swan neck deformity, boutonnieres hand, C spine involvement
morning stiffness that is better after activity
Px of reactive arthritis
conjunctivitis
urethritis
arthritis
pregnant woman with rhuematoid. meds?
hydroxychloroquine, sulfasalazaline, folic acid
GCA mx
oral prednisolone if no visual compromise
IV methylprednisolone if there is visual compromise
antibody in SLE
anti ds DNA