Workshops etc Flashcards
What are the 12 allied health professions
Art Therapists, Drama Therapists, Music Therapists Occupational Therapists Physiotherapists Diagnostic and Therapeutic Radiographers Speech and Language Therapists Orthotists and Prosthetists Orthoptics Podiatrists Dieticians Paramedics
What is the earliest sign of RA on X-ray
Osteopenia - thinning of the bone around the joint
What scans might you use to diagnose RA
X-ray
MRI or US - depending on joint being checked
What signs may appear on X-ray in late stage RA
Erosions
Joint deformity
Which blood condition is commonly seen in inflammatory disease
Mild anaemia
What is first line treatment for RA
DMARD
Always methotrexate unless contraindicated
Which cancer do biologic drugs increase the risk of
Skin
What must you counsel patients on when starting methotrexate
Sun protection
Pregnancy - must stop at least 3 months before trying to conceive
Lung symptoms - methotrexate can cause pneumonitis
Screen for TB risk
How is the complement system affected in lupus
Serum levels of components fall
What kidney signs may be present with lupus
Early - = high protein: creatine ratio in urine
Later = raised urea and creatine
What may be a cause of Raynaud’s in older men
Hand/arm vibration syndrome
Caused by manual work with power tools
Ask about occupation
How do you treat Raynaud’s
Vasodilators
Calcium channel blockers
Sildenafil - Viagra
What is a gibbus
Angular deformity of bone (spine?)
What pathologies can be caused by a cervical rib
Nerve or vascular impingement
What are the symptoms of vascular impingement in the upper limb
Intermittent tingling
Numbness in the arm and or hand
Why do you check chest expansion in the spinal exam
To check for ankylosing spondylitis
Will be reduced in this condition