Rheumatology Flashcards
1
Q
Basic clerking of rheumato cases
A
- Complaint: Usually relapse/remission episode (pain/fever/swelling/fatigue)
- Systemic involvement(systemic review)
- Skin/join changes
- Functional limitation
- Complication of drugs
2
Q
Criterias for RA (7)
Note: RA is Chronic systemic inflammatory characterize with polyarthritis
A
- Rheumatoid factors
- Fnger/small joints >6weeks
- Rheumatoid nodules
- Involvement of > 3 joints
- Stiffness(morning) >1 hour
- Eroison on X-ray
- Symmetrical arthritis >6 weeks
3
Q
Associated condition with RA (3)
A
- CTS
- Cervical myelopathy
- Mononeuritis monoplex
4
Q
Monitoring RA disease? (3)
A
- Clinically: duration of stiffness, joint tenderness, limitation of function
- X-ray
- Blood test: ESR/CRP
5
Q
Criterias to diagnose SLE (4 out of 11)
A
- Oral ulcers
- Rash
- Discoid rash
- Exaggerated photosensitivity
- Renal: proteinuria/cellular cast
- Hematological: hemolysis/thrombocytopenia
- Immunological: LE cell/anti-dsDNA
- Serositis: pleuritis/pericarditis
- Arthritis: non-erosive arthritis
- Neurological: seizure/psychosis
- Antinuclear antibody
American College of Rheumatology
6
Q
SLE treatment principles (7)
A
- Painkiller (NSAIDs)
- Antimalarial (Chloroquine)- treat lupus skin rash
- Steroid (Prednisolone)- treat hematological disorder/serositis/focal GN
- Immunosuppresant (Cyclophosphamide)
- Occupational therapy
- Patient education
- Avoidance of trigger
7
Q
Criterias to diagnose Scleroderma (1 major 2 minor)
A
Major
- Proximal scleroderma (thickening/tightening of skin
Minor
- Sclerodactyly
- Fingertip pitting/atrophy
- Bibasal pulmonary fibrosis
8
Q
Clinical manifestation of scleroderma (11)
-SCLERODERMA-
A
- Skin: hyperpigmentation/telangiectasis
- Cardiac: fibrosis/failure
- Lung: ILD/pulmonary hpt/aspiration pneumonia
- Esophageal dysfunction
- Raynaud’s phenomenon
- Obstruction(pseudo) intestine
- Dry eye/mouth (Sjogren’s)
- Endocrine(hypothyroidism)
- Renal failure(malignant hpt)
- Myopathy
- Arthritis
