RHEUMATOLOGY Flashcards
JOINT PAIN WEAKNESS AND FATIGUE FOR A YEAR
RA
SLE
VIRAL HEP B EB B19
COLECOXIB
ROFECOXIB
(LESS TOXICITY)
HYDROXYCLOROQUINA RETINOPATHY
METHOTREXATE HEPATIC FIBROSIS PNEUMONITIS RHEUMATOID NODULES
GOLD NEPHRITIC SYNDROME
IWU: CBC ANA ESR CRP R FACTOR TITERS EBV HEPATITIS PANEL IGM PARVOVIRUS
NSAIDS
DMRA METHOTREXATE EARLY
XR HANDS* EROSIONS
FU: TOXICITY REG EYE EXAM LFT UA BIOLOGICAL QUANTIFERON GOLD PPD SKIN TEST ETHANERCEPT INFIXIMAB
PAIN AND SWELLING IN THE LEFT ANKLE FOR ONE DAY
URIC ACID DO NOT CORRELATE JOINT ACTIVITY
PRPOBENECID IN UNDERSCRETORS 80 % ADULTS
UA GOAL: 8
HYPERURICEM DRUGS: HCTZ FUROSEMIDE ETHAMBUTOL PYRAZINAMIDE
IWU:
ALWAYS TAP THE JOINT
JOINT ASPIRATION AND X RAY OF THE LEFT ANKLE
NEEDLE SHAPED NEGATIVE BIREFRINGENT CRYSTALS
ACUTE ATTACK PO NSAIDS INDOMETHACIN PO COLCHICINA INTRARTICULAR TRIAMCINOLONA IF NSAIDS COLCHICINE INTOLERANCE
EX
ELDER
ESRD
PUD
FU: OFFICE >> HOME NON ACUTE SETTING DIET LOW PURINE AVOID ALCOHOL PROBENECID ALOPURINOL: OVER PRODUCERS OR RENAL DISEASE
JOINT PAIN FOR SEVERAL MOS
SS ANTI Rho CONGENITAL AV BLOCK
IF HIDROXYCLOROQUINA FOR ARTHRITIS - EYE EXAM
IWU:
ANA C3 C4 CH50* CBC UA* BUN/CREA* RF ESR CRP VIRAL TITERS LFT LYME
FM:
24 HRS PROTEIN MEASURE*
Ds DNA
FM:
PO STEROIDS PREDNISONE
RENAL BX
INMUNOSUPRESSANT CICLOPHOSPAMIDE AZATHIOPRINA
MY SKIN FEELS FUNNY
CREST
CBC
LYTES
UA
SCL 70 90 TOPOISOMERASA, ANTI CENTROMERE*
NO SPECIFIC TREATMENT
40% ANA RF POS RAYNAUD CCB PULMONARY HTN! MCD RENAL CRISIS ACEI FORMER MCD GERD: PPI
! NO RESPONDE A BOSENTAN SILDENAFILO TENOPROSTIL ES FIBROBLASTIC VASCULAR INJURY
KNEE HAND PAIN
NSAIDS AVOID PUD UGI BLEEDING
USE COX 2 INHIBITORS
IWU:
CBC XR HANDS/KNEE* RF ANA ESR/CRP
FM:
ACETAMINOPHEN* DOC
CAPSAICIN SUST P INH
IA HYALURONIC ACID- PRE TKR
ARTHROSCOPY/ ARTHROPLASTY
OTRTHOP CONSULT
BACK PAIN
DO NOT ESTROGEN IF BREST CA PMH O PFHx.
IWU:
SPINE LUMBAR * XR* L5 COMPRESSION FRACTURE OSTEOPENIA DENSITOMETRY PAIN MANAGEMENT ORTHOPEDIC SURGERY CONSULT
FM: ORAL CALCIUM ESTROGEN SUPPLEMENTATION OR ALENDRONATE DEXA SCAN < 2.5 DS* OTHER STUDIES: PTH 1,25 DI OH COLECALCIFEROL U CALCIUM PROLINE/HYDROXIPROLIN INDEX
FU HOME CALCIUM AND VIT D DIET CALCIUM ALENDRONATE CALCITONIN SPRAY OPPOSE TO ESTROGEN W/ PROGESTERONE IF UTERO AEROBIC EXCERCISE
MY MOUTH IS VERY DRY
B CELL LYMPHOMA
SICCA SYND
PRIMARY OR SECONDARY
HLA DR3 - 4 + FORM ASSOCIATED W/ SLE CREST SE RA
IWU:
ANTIRo SSA La SSB*
SCHIRMER TEST*
FM:
ARTIF TEAR
CEVILAMER
MOUTH RINSE
BACK PAIN
PMH: PSORIASIS
SERONEGATIVES ARTHRITIS
HLA B 27 POS ANA NEGATIVE
PSORIASIS REITER: CAMPILO CLAMIDIA SHIGUELA SALMONELLA KERATODERMA BLENORRAGICO PO TETRACYCLINE 3 WKS CHRONIC ENTEROPATHIC AS:*THIS CLINICAL/XR DX IRIDOCICLITIS AV BLOCK AORTIC INSUFFICIENCY SACROILIAC* EARLIEST FINDING
IWU:
XR HANDS LUMBAR SPINE AND SACROILIAC* *JOINTS
ESR
RF
TX:
PO STEROID 1 TX PSORIASIS
NSAIDS
METROTEXATE
SERONEGATIVES SON POCO TRATABLES
NSAIDS
PHYSICAL THERAPY
EXCERCISE
R WRIST AND HAND PAIN
PE: TINEL PHALEN
CARPAL
ULNAR
AMILOID B2 MICRO ESRD
HYPOTHYROID
ACROMEGALY
PREGNANCY
IWU:
EMG*
FM: SPLINT AT NIGHT DECREASE REPETITIVE MOTION PHYSICAL THERAPY OF THE WRIST SURGERY IF ALL FLAILS
BACK PAIN
PE:
BL TENDERNESS PARA SPINAL MUSCULAR
LUMBOSACRAL SPRAIN
FLAG SIGNS:
BACK STIFFNESS AS
CLAUDICATION SPINAL STENOSIS
FEVER EPIDURAL ABSCESS
COMPRESSION METASTATIC
FM:
REST AND ACTIVITIES AS TOLERATED
NSAID’S
MUSCLE RELAXANTS IF NEEDED
MRI IF FLAG Sx OR IF
PM Hx CA
FEVER
COMPRESSION
I CAN’T WALK RIGHT
SUBDURAL
CONTUSION COULD FND CT SCAN+ LOC
CONCUSSION LOC NO FND CT NEG
EPIDURAL
SUBARACHNOID
CT SCAN OF THE HEAD WITHOUT CONTRAST INTUBATION AND HYPERVENTILATION TO P CO2 25-30 mmHg IV MANITOL USE NEUROSURGICAL EVALUATION AND EVACUATION SBP> 100 STRESS ULCER PROPHYLAXIS PPI INHIBITOR
