clin med
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| age 30-50 | RA
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| Painful inflammation with tenderness on applied pressure to joint, or by moving joint. Swelling due to synovial hypertrophy or effusion | RA
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| Ulnar drift, boutenniere changes, swan neck changes | RA
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| crescent sign w/ lat malleoulus | bakers cyst (RA)
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| DIP predominance with hard bony heberdeen and bouchard changes | OA
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| hook osteophytes | CPPD
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| < 30 min, over 50 yo, tender but no warmth or erythema, CREPITUS | OA
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| Heberdens (DIP), bouchard PIP | OA
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| xray:Joint space narrowing Subchondral sclerosis Osteophytes Subchondral cysts | OA
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| peak age 15-40 | SLE
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| Corresponds well with disease activity; present in GN | dsDNA
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| Sicca, Photosensitivity, SCLE, Vasculitis, Late onset of dz | SSA,SSB
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| Raynaud’s, Myositis, Sclerodactyly | RNP
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| Thrombosis, Livedo, Valvular heart disease | aPLA
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| Psychosis, Hepatitis | Ribosomal P protein
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| antimalarial agents, thalidomide, prednisone, intralesion CS, MMF, dapsone, azathioprine, MTX | skin dz
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| antimalarial agents, MTX, Arava, azathioprine, prednisone | joint dz
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| corticosteroids, CTX IV, MMF, azathioprine | renal
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| CTX IV, corticosteroids | vasculitis, CNS dz
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| CTX IV, corticosteroids, plasmapheresis | thrombocytopenia
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| stiff in am but gets better in late afternoon; >50 yo; stiff shoulders/hip girdles, neck and torso; ESR 40-100 | PMR
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| HLA B 27 | spondylarthropathy
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| Comma shaped, lower three thoracic/upper three lumbar are common sites | syndesmophyte in SpA
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| Chronic inflammation of the axial skeleton, 20-30 yo | AS
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