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Rheum Ortho > Vasculitis > Flashcards

Vasculitis Flashcards

1
Q

What are the ACR criteria for Takayasu Arteritis?

A

Three of 6 of:
10 mm Hg bet arms
Bruit over subclavian
Narrowing in aorta

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2
Q

What are some clinical features of Vasculitis?

A 
Multisystem disease
Constitutional S and S. 
Skin lesions
Ischemia
Glomerulonephritis, myalgia. Abdominal or testicular pain
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3
Q

What size vessels are effected in Drug induced and serum sickness?

A

Small Vessels

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4
Q

What size vessels are effected in Henoch Schonlein Purpura?

A

Small

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5
Q

What size vessels are effected in Classic PAN?

A

SMall and Med

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6
Q

What size vessels are effected in Giant cell or temporal arteritis?

A

Large

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7
Q

What size vessels are effected in Kawasaki Syndrome?

A

Small and MEd

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8
Q

What size vessels are effected in Cryoglobulinemia?

A

Small

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9
Q

What size vessels are effected in Takayasu Arteritis?

A

Large

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10
Q

What size vessels are effected in Churg Strauss?

A

Small and Med

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11
Q

What size vessels are effected in Malignancy associated vasculitis?

A

Small

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12
Q

What are the Traits of PAN?

A

Renal Vasc nephropathy
No lung inv
ANCA neg

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13
Q

What are the Traits of MPA?

A

Glomerulonephritis
1/3 ofcases involve lungs
ANCA pos

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14
Q

How is Henoch Schonlein purpura Dx?

A

Two of 4 of: Palpable Purpura, Less than 20 yo, Bowel Angina, granulocytes in walls of arterioles or venules

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15
Q

What are the trait of Cryogloulinemia?

A

Igs that undergo reversible precipitation in the cold
Acral Cyanosis, ulceration
Raynaud’s Phenom
Purpura, Arthralgia, Nephritis, Neuropathy

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16
Q

How is Granulomatosis with Polyangiitis Dx?

A

Two of 4 of: Nasal or oral Inflammation
Abn Chest Radiograph
Urinary sediment
Granulomatosis inflammation on biopsy

17
Q

What are the traits of Polymyalgia Rheumatica?

A

Pelvic and Shoulder Girdle Aching, morning stiffness, Low dose CS, Anemia, Elevated ESR and CRP

18
Q

What are the Clinical Features of Giant Cell Arteritis?

A

HEadache, Temporal Artery Abn, Jaw Claudication, WL, Fever, PMR Symptoms

19
Q

What are the Lab features of Giant Cell Arteritis?

A 
Elevated ESR
Elevated CRP
Acute phase Reactants
Anemia
Inc Alk phos
20
Q

How is Giant Cell Arteritis Classified?

A 
older than 50yo
New Headache
Temporal Artery Abn
Elevated ESR
Abn Artery Biopsy
21
Q

What is Fibromyalgia?

A

Chronic Pain disorder w/ unknown etiology and unclear pathophys

22
Q

What is the initial Treatment of FM?

A

Patient Education: Reassurance, no infection, stress/mood, sleep disorders/ hygeine, EXERCISE

23
Q

What is the Medical Management for Pain in Symptomatic FM?

A

Tramadol
Dual re-uptake inhibitors
Anticonvulsants
Topical Agents

24
Q

What is the Approach to Sleep problems in Symptomatic FM?

A

Tricyclic AD
Anticonvulsants
Sodium Oxybate
Control Limb movement

Rheum Ortho (11 decks)

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