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AB 4th Year Rheum + Ortho > Rheumatology - Inflammatory Conditions > Flashcards

Rheumatology - Inflammatory Conditions Flashcards

1
Q

what is polymyalgia rheumatica?

A

inflammatory rheumatological condition

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2
Q

features of polymyalgia rheumatica?

A 
proximal myalgia in hip and shoulders
morning stiffness
improves on moving 
fever
wt loss
trouble sitting up

no muscle wasting/weakness

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3
Q

Ix for polymyalgia rheumatica?

A

CRP/ESR (raised)

CK

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4
Q

Tx for polymyalgia rheumatica?

A

prednisolone 15g (reduce over 18 months)
Ca + Vit D + bisphosp for bones
MTX can be used

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5
Q

what is diagnostic for polymyalgia rheumatica?

A

good response to steroids

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6
Q

what is the risk with polymyalgia rheumatica?

A

GCA

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7
Q

what is polymyositis?

A

idiopathic inflammtory myopathy

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8
Q

features of polymyositis?

A 
symmetrical proximal muscle weakness
insidious onset 
dysphagia
Raynaud's
ILD
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9
Q

what can polymyositis be an indicator of?

A

malignancy

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10
Q

Ix for polymyositis? results?

A 
anto Jo - 1
anti SRP
ESR, CRP (raised)
CK (raised)
EMG
muscle biopsy
MRI
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11
Q

Tx for polymyositis?

A

prednisolone

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12
Q

how does dermatomyositis present?

A

V shaped rash on chest
heliotrope rash on eyes
gottron’s papules on fingers

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13
Q

risk factors for fibromyalgia?

A 
young 
female
trauma
depression
IBS
migraine
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14
Q

features of fibromyalgia?

A 
low pain threshold
no inflam
widespread pain 
fatigue
numb/tingling 
cognitive problems
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15
Q

how does a diagnosis of fibromyalgia occur?

A

≥3 months of widespread pain

tenderness at 11/18 specified points

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16
Q

Tx for fibromyalgia?

A 
physio
amitriptylline
gabapentin 
pregablin 
CBT
17
Q

what is the antibody for mixed CTD?

A

anti U1 RNP

AB 4th Year Rheum + Ortho (17 decks)

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