Rheumatology

Question 1

What symptoms should you ask about for SLE?

Answer 1

• Visual changes
• Seizures
• Depression
• Fatigue
• Low grade fever

Question 1

What are the diagnostic criteria for SLE?

Answer 1

4/11 features present for more than 6 months.

A RASH POINTS
Arthritis
Renal disease
ANA
Serositis
Haematological
Photosensitivity
Oral ulceres
Immunologic
Neuropsychiatric
Malar rash
Discoid rash

Question 2

What are some extra-articular features seen in patients with rheumatoid arthritis

Answer 2

• Episcleritis
• Pleurisy
• Scleritis
• Lung nodules

Question 3

What is the main difference between myasthenia gravis and lambert-eaton myasthenic syndrome

Answer 3

Although it results in muscle weakness, the weakness observed in Lambert-Eaton syndrome is not fatigable and typically increases in strength with repeated action. Furthermore, Lambert-Eaton syndrome is a paraneoplastic syndrome most commonly associated with small-cell lung cancer and less frequently with ovarian or breast cancer. There is no indication that this patient has an underlying malignancy.

Myasthenia gravis gets worse with action and improves with rest

Question 4

What is a short acting ACE you give in a scleroderma renal crisis?

Answer 4

Captopril