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DIT Step 2 > Vasculitis High Yield > Flashcards

Vasculitis High Yield Flashcards

1
Q

Polyartertitis Nodosa is what?

Who gets it/High Yield history?

A

necrotizing inflammation of small or medium arteries

Risk of HEPATITIS first then young men (especially if kidneys are affected)

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2
Q

what is most affected by PAN?

Labs?

A

Kidneys, then heart and everything else

SPARES LUNG

High WBC, ESR, Proteinuria, hematuria, NO ANCA

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3
Q

Radiography for PAN?

A

Lots of aneurysm

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4
Q

Temporal arteritis High YIELD HISTORY?

A

Headach, scalp pain (temple), JAW CLAUDICATION, BLINDESS!!!

TX HIGH DOSE PREDNISONE for MONTHS

Prednisone and aspirin to reduce occlusion, Add calcium and Vit D to reduce bone loss risk of osteoporosis

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5
Q

Lab giant cell arteritis?

A

SED rate, if elivated, get biopsy

Don’t wait for biopsy. Do prednisone immediately.

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6
Q

What is takayasu arteritis?

High yield history?

A

REMEMBER A’s

Inflammation of arch of aorta

Cerebrovascular ischemia or MI

Young asian woman!

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7
Q

Takayasu risk factors?

A

Asian and woman 10-40

YOUNG ASIAN WOMAN

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8
Q

Takayasu physical?

Radiography?

Tx?

A

Pulslsess disaease, the inflammation in the way so no radial pulse

Stenosis

Tx steroids and bypass if necessary

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9
Q

What is eosinophilic granulomatosis with polyangiitis?

High yield history?

A

Inflammation of small/medium arteries

Associated with resp: ASTHMA, nasal polyps, sinusitis, palpable purport

Can see rashes

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10
Q

Labs for eosinophilic granulomatosis with polyangiitis?

A

Eosinophilia and P-Anca

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11
Q

HSP is what? High yield history?

A

IgA vasculitis

History is PALPABLE PURPURA after recent URI, arthritis, arthralgia, abdominal pain

STEROIDS can help gi symptoms but self limiting

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12
Q

What is granulomatosis with polyangitis??

A

Wegeners

Focal necrotizing vasculitis
Granulomas in lung and upper airway
Glomerulonephritis

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13
Q

How do you tell Churg Straus from Wegeners?

A

Wegeners is lung and renal involvement and C anca

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14
Q

Kawasaki dx?

A

Fever of 40 or 104 with 4/5

CRASH and BURNT
Conjunctivitis
RAsh on trunk
Adenopathy of cervical
Strawberry Tongue
Hands and feet with edema and desquamation
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15
Q

Tx of kawasaki?

A

IVIG for 10 days, then High dose aspirin for 48 hours after fever then 6 weeks (after inflame markers are down)

Aspirin no work

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16
Q

Another name for beurger disease?

A

Thromboangiitis obliterans

DIT Step 2 (77 decks)

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