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RheumTest
Question | Answer |
---|---|
RF | RA |
anti-RA 33 | RA |
anti-CCP | RA |
TRAP | Osteoporosis |
m/c arthritis | OA |
m/c viral arthritis | parvovirus |
HLA-B8 | Lupus |
HLA-DR3 | Lupus |
ANA | Lupus |
Feltys Syndrome | RA, splenomegaly, low WBC |
sjogrens syndrome | lupus |
sjogrens syndrome | dry glands |
discoid rash | m/c on chest |
jacouds | RA |
jacouds | Lupus |
CVAs | lupus |
Gel phenomenon | OA |
gel phenomenon | PMR |
gel phenomenon | ank spond |
pain decrease w/rest | OA |
pain decrease w/activity | ank spond |
short am stiffness | OA |
prolonged am stiffness | RA |
prolonged am stiffness | ank spond |
prolonged am stiffness | PMR |
decreased joint space | OA |
decreased joint space | reiters |
decreased joint space | psoriatic |
osteophytes | OA |
osteophytes | reiters axial |
bone spurs | reiters peripheral |
infectious gm- | RA |
infectious | gonococcal arthritis |
infectious | reiters |
klebsiella | reiters |
G/C, shigella, salmonella | reiters |
infectious | PMR |
sacroilitis | ank spond |
sacroilitis | reiters |
organic brain syndrome | SLE |
organic brain syndrome | lyme |
enthesitis | ank spond |
enthesitis | reiters |
enthesitis | of colitis |
sausage digit | reiters |
sausage digit | psoriatic |
sausage digit | of colitis |
spinal fusion ascending | ank spond |
spinal fusion descending | reiters |
ant eveitis | ank spond |
conjunctivitis | reiters |
iritis episcleritis | psoriatic |
uveitis | J. RA |
thick/yellow | reiters |
pitting/onycholysis/ridging | psoriatic |
Feltys syndrome | RA |
feltys syndrome | enlarged spleen |
feltys syndrome | low WBC |
sjogrens syndrome | seen w/SLE |
CREST | seen w/scleroderma |
Raynauds | scleroderma |
calcinosis | scleroderma |
espohageal dysmotility | scleroderma |
telangiectasis | scleroderma |
stills disease | systemic J. RA |
temp >101 | stills disease |
growth delay | stills disease |
lymphadenopathy | stills disease |
hepatosplenomegaly | stills disease |
weight loss | stills disease |
urethritis | reiters |
conjunctivitis | reiters |
arthritis | reiters |
ESR >60 | PMR |
p-anca | vasculitides |
c-anca | vasculitides |
ANA | lupus |
ANA | scleroderma |
ANA | J. RA |
vWF | PMR |
factor 8 | PMR |
RF | RA |
RF | J. RA |
RF | SLE |
RF | lyme |
complement | SLE |
anti-jo1 | polymyositis |
anti-pL7 | polymyositis |
anti-RA33 | RA |
anti-CCP | RA |
anti-dsDNA | SLE nephritis |
Anti-RNP | SLE & CT disease |
Anti-Sm | SLE - more specific |
TRAP | osteoporosis |
anti-SCL-70 | scleroderma |
bambbo spine | ank spond |
bambbo spine | of colitis |
pencil in cup | psoriatic |
hep B antigen | polyarteritis nodosa |
HLA-B8 | SLE |
HLA-DR3 | SLE |
HLA-B27 | ank spond |
HLA-B27 | reiters |
HLA-B27 | psoriatic |
HLA-B27 | of colitis |
juvenile B27+ | J. RA |
anti-SSA | sjogrens & SLE |
anti-SSB | sjogrens & SLE |
high uric acid | gout |
high uric acid | psoriatic |
HLA-DR4 | PMR |
DIP | OA |
DIP | psoriatic |
PIP | OA |
PIP | RA |
PIP | parvovirus adult |
PIP | psoriatic |
PIP | J. RA |
jaccouds | RA |
jaccouds | SLE |
knees | pseudogout |
knees | lyme |
shoulder/pelvis | PMR |
Remicade | IV |
Remicade | 4-8 weeks |
Enbrel | 2/wk |
kineret | daily |
kineret | IL1 receptor antagonist |
humira | every other week |
hyaluronic acid | once weekly for 3-5 weeks |
hyaluronic acid | OA |
normal ESR | OA |
M/C metabolic bone disease | Osteoporosis |
causes osteoporosis | steroids/MTX |
BDM testing | every 2 yrs |
contraindication of bisphosphonates | hypoglycemia & severe renal impairment |
bisphosphonates | nothing PO one hr after |
bisphosphonates | reduce osteoclastic activity |
recomb. PTH | stimulates osteoblasts |
contraindications recomb PTH | children/teens, ppl w/pagets disease, hx of bone cancer |
dehydration followed by rehydration | gout |
kidney stones | gout |
24 hr urine | gout |
indomenthacin | gout/pseudo |
chronic pseudogout | females more |
early pseudogout | males more |
gout | men |
elderly | PMR |
CVAs | SLE |
renal failure | SLE |
antihistone antibodies | SLE-drug induced |
SLE-drug induced | minocycline |
rash on hands & feet | gonococcal arthritis |
screen for endocarditis & meningitis | gonococcal arthritis |
1g IV/IM Ceftriaxone or Rhosepin | gonococcal arthritis |
hands M/C | parvovirus arthritis |
1st sign ank spond | pseudowidening |
m/c achilles tendonitis enthesitis | reiters |
1st symptom reiters | urethritis |
M/C inflammatory arthritis in young men (30s) | reiters |
axial arthritis late finding | psoriatic |
m/c arthritis LE | of colitis |
Tx PMR | 10-20mg steroid |
Tx PMR | prednisone |
Tx PMR w/TA | 60-80mg steroid |
Tx PMR w/TA | solumedrol |
Side effects of chronic steroid use | GI, increased infections, glaucoma, cataracts, HTN, osteopenia |
heart block, non specific EKG | lyme |
CSF increased proteins | Lyme |
early lyme tx | PO doxy, amox, clarithro 3 weeks |
more severe lyme tx | IV ABX 2-3wks |
stage 1 lyme | 3days - 4 weeks |
stage 2 lyme | weeks-months |
stage 3 lyme | >5mos |
M/C arthritis before age nine | J. RA |
renal crisis | scleroderma |
restrictive lung disease | scleroderma |
proximal muscle weakness | polymyositis |
difficulty lifting head | polymyositis |
Cytoxan | wegeners granulomatosis responds to this |
prolonged morning stiffness | fibromyalgia |
no joint abnormalities | fibromyalgia |
seen w/IBS | fibromyalgia |
seen w/ mult drug allergies | fibromyalgia |
NSAIDS/analgesics dont work here | fibromyalgia |