Rheumatology Flashcards
1
Q
RA
A
X-ray shows joint erosions
Anti ccp> rf specific
Joint aspirate
Tx
NSAIDs And And DMARDs
Methotrexate best initial
2
Q
Methotrexate s/e
A
- Bone marrow suppression
- Pneumonitis
- liver disease
3
Q
Psoriatic arthritis.
Features
Dx
Tx
A
Nail pitting
DIP involvement
Dactylitis
Enthesitis
No specific Dx test
Best initial treatment NSAIDs
Resistant—-> methotrexate
Infliximab and other tnf-a agents are effective
4
Q
Charcot arthropathy
A
Pain with inflammation..
May or may not have abnormal joint movement
ESR
Mcc is diabetes then syphillis, chronic alcoholism, SCI
