*Systemic Lupus Erythematosus Flashcards
1
Q
Age of onset
A
15-40 y/o
2
Q
Male/Female/Race
A
Females 4-15x more common
African Americans
3
Q
Health History Risk Factors
A
Physical/mental Stress
Infection
Pregnancy
Surgery
Oral Contraceptive (can trigger a flare
4
Q
Family History
A
Positive
5
Q
Onset
A
Acute or insidious onset- often symmetric
6
Q
Common location
A
Can affect any joint
Most often wrists, hands, and knees
7
Q
Symptom description
A
Pain (arthralgia) without inflammation
8
Q
Aggravating Factors
A
Activity
9
Q
Alleviating Factors
A
Rest, but causes stiffness
10
Q
24 hour report
A
Prolonged morning stiffness (but less than RA)
11
Q
Review of Systems
A
Fever Weight Loss Fatigue Malaise serositis oral/nasal ulcers seizures photo-sensitivy Anemia
12
Q
ROM/Mobility
A
Limited findings except painful movement
13
Q
Palpation/Observation
A
Malar rash (butterfly rash on face) Joint tenderness Edema/warmth
14
Q
Complications
A
Osteonecrosis with corticosteroid use
20% of people:
- Raynauds disease
- Pericarditis
- thrombosis
- depression
- irritability
15
Q
Lab Tests
A
Positive ANA
