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Flashcards in rheumatoid Deck (42)
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1

if you are thinking about starting DMARDs (hydroxychloroquine or azathrioprine (imuran) on a pt w/ RA, what exam must be done first?

Eye
both can cause retinitis

2

Is reactive arthritis an HLA-B27 disorder or associated with a post GI/GU infection?

Both

3

treatment of reactive HLA-B27?

NSAIDS

4

are HLA-B27 disorders RF positive or negative?

negative

5

factors of psoriatic arthritis?

pitting nails, psoriasis, uvetitis/conjunctivitis, arthritis (SI and DIP)

6

tx of psoriatic arthritis?

NSAIDS or sulfasalazine

7

what lab is 99% positive in lupus?

ANA, double stranded DNA is also highly positive

8

Name the rash associated with lupus

discoid/butterfly/malar

9

Is ANA + or - in raynauds?

negative

10

Is ESR high or low in raynauds?

normal

11

explain scleroderma?

multi-system autoimmune, deposition of collagen

12

What syndrome describes the characteristics of scleroderma?

CREST, calcinosis, raynauds, esophageal dysmotility , sclerodactyly-chronic contractures & Telangiectasis

13

what lab is 95% positive is scleroderma?

ANA

14

age group & gender affected by scleroderma?

female 30-50

15

tx for scleroderma

symptomatic

16

sjogren's pt are 40x higher risk of what medical condition?

lymphoma

17

ok

ok

18

characteristics of scleroderma?

dry eyes, dry mouth, and enlarged saliva glands

19

describe polymyositis

inflammatory muscle disease associated with proximal muscle weakness

20

patient is having difficulty raising from chair and brushing her hair, you are concerned about polymyositis, what test can be done?

do a striated muscle biopsy. muscle enzymes may be elevated

21

rash associated with polymyositis?

heliotrope

22

stiffness after rest and proximal muscle weakness....think?

polymyositis

23

20 year old male complains of 3 days hx of joint pain that moves around & experiencing redness & swelling over tendon and knee joint. He also has necrotic pustules over fingers.. he has?

gonococcal septic arthritis

24

how do gonococcal and septic arthritis present differently?

gonococcal migrates from joint to joint, septic affects one joint

25

septic arthritis is dx with IV drug user, gram - e.coli, what do you use?

Cipro or TMP-SMX

26

besides the spine, what other joints does ankyolsing spondylitis affect?

hips & shoulder

27

best tx for ankylosing spondylitis?

NSAIDS and activity

28

Name the spondyloarthropathies?

Ankylosing spondylitis, reactive arthritis, psoriatic arthritis, arthritis associated with IBS

29

all spondyloarthropathies are RF and ANA negative but ___positive?

HLA-B27

30

pt has pain with urination, pink eye, painful joints and ulcers in his mouth. most likely dx?

reactive arthritis (reiter's syndrome)