Rheumatology Flashcards
Changes in walking, running, willingness to play
JIA
Morning stiffness that improves with movement later in the morning
JIA
Salmon colored rash
JIA
Loss of ability to dress, feed, bath or developmental milestones lost
JIA
Daily fevers, 1 to 2 spikes per day
JIA
Mild rubbing/scratching of skin brings out the rash
Kobner phenomenon (JIA)
Patients with this diagnosis must be followed with slit lamp exams q3 months for asymptomatic uveitis
Oligoarticular JIA
Positive HLA B27
ERA (enthesitis related arthritis)
Ixodes scapularis
Tick that causes Lyme disease
Pathognomonic for Lyme disease
Erythema migrans
Isolated foot drop or Bell’s palsy
Lyme Disease
Tx for Lyme Disease
Doxycycline x 2 weeks, If meningitis or carditis, tx with ceftriaxone. Amoxicillin ok if less than 8.
Buttock rash
HSP
IgA mediated vasculitis
HSP
May cause occult GI bleeding, thickened gallbladder hydrops, illeoleal intussusception, orchitis, hematuria, proteinuria
HSP
c-ANCA positive
Wegner’s
Vasculitis of arteries AND veins. Painful oral ulcers, painful genital ulcers, and eye disease.
Behcet Disease
X-ray with osteopenia and joint damage
Systemic JIA
Normal X-rays
SLE
Teenage girl with alopecia
Lupus or syphillis
Avascular necrosis, osteoporosis, growth failure, glaucoma, DM, HTN, accelerated atherosclerosis
Side effects of corticosteroids
Girl with rash and muscle weakness. Heliotrope rash and Gottron papules
Dermatomyositis (tx with steroids)
Migrating polyarthralgia, menses
Gonorrohea
Malar rash
SLE
Anti phospholipid antibodies in SLE
Miscarriages, blood clots
Dry eyes and mouth
Sjogren syndrome
Bilateral evening or nighttime pains
Growing pains
