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Internal Medicine - rheumatology
internal med
52
Health Care
Graduate
08/08/2011

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Cards

Term
2 conditions that cause hemmorrhagic arthritis:
Definition
1. hemophilia
2. scurvy
Term
describe gout crystals in synovial fluid
Definition
monosodium urate, needle shaped, negatively bifringent
Term
describe pseudogout crystals
Definition
calcium pyrophosphate, rhomboid shaped, positively bifringent
Term
2 most common causes of septic arthritis
Definition
1. gonorrhea
2. staph
Term
bacteria to keep in mind for sickle cell pts with osteo or septic joint
Definition
salmonella
Term
cat bites: bacteria? tx?
Definition
pasturella multocida; augmentin
Term
septic joint in fisherman -
Definition
mycobacterium marinum; PPD+
Term
2 conditions where synovial glucose is low
Definition
1. septic arthritis
2. RA
Term
charcots joint: AKA, define
Definition
aka: neuropathic arthropathy
progressive degeneration of a weight bearing joint
Term
morning stiffness, swan neck, boutinnier's, vasculitis, effusions
Definition
RA
Term
Treatments for RA: 5
Definition
DMARDs
1. methotrexate
2. hydrochloroquine
3. steroids
4. etanercept (TNF-a blocker)
5. anti-CCP ab
Term
fever, rash, lymphadenopathy, hepatosplenomegaly, RF and ANA negative.
Definition
JRA
Term
treatment for JRA
Definition
aspirin
Term
#1 etiology of gout
Definition
decreased excretion of uric acid
Term
4 causes of secondary hyperuricemia
Definition
1. DM
2. diuretics
3. tumor (tumor lysis syndrome)
4. xs cell states
Term
treatments for gout
Definition
1. indomethacine (acute attacks)
2. colchicine (diarrhea) (acute attacks)
3. allopurinol (maintenance
Term
what do you want uric level to be in gout pts
Definition
<6
Term
young men, sacroilliitis, restrictive lung, aortic valve problems
Definition
ankylosing spondylitis
Term
serum marker for ankylosing spondylitis
Definition
HLA B27
Term
treatments for ankylosing spondylitis
Definition
1. indomethacin
2. etanercept
3. infliximab
4. methotrexate
Term
urethritis, conjunctivitis, arthritis
Definition
reiter's - chlamydia
Term
sausage digits, erosive arthritis
Definition
psoriatic arthritis
Term
treatment for psoriatic arthritis
Definition
1. NSAIDs
2. methotrexate
3. etanercept
Term
define enteropathic arthiritis
Definition
associated with: inflammatory bowel dz or after salmonella/shigella/campylobacter/yersinia infections
Term
anti-acetocholine receptor ab's
Definition
myesthenia gravis
Term
C-ANCA
Definition
wegeners
Term
anti-transglutaminas, anti-endomysial
Definition
celiac sprue
Term
anti-GBM
Definition
Goodpastures
Term
Anti-mitochondrial ab
Definition
primary biliary cirrhosis
Term
anti-parietal cell, anti-intrinsic factor
Definition
pernicious anemia
Term
anti-platelet ab
Definition
ITP
Term
Anti-smooth mm ab
Definition
autoimmune hepatitis
Term
anti-microsomal
Definition
graves and hashimotos
Term
peroxidase antibodies
Definition
graves and hoshimotos
Term
livedo reticularis
Definition
purple mottling associated with SLE
Term
femoral complication of SLE
Definition
avascular necrosis of femoral head
Term
lung pathologies in lupus
Definition
pleural effusion
Term
heart complications associated with lupus
Definition
endocarditis, pericarditis
Term
tests for SLE
Definition
1. ANA
2. DS-DNA ab
3. Anti-smith ab
Term
platelet compx with SLE
Definition
TTP
Term
test for scleroderma
Definition
Anti-Scl-70
Term
proximal mm weaknes, dysphagia, high CPK/aldolase, mm bx w lymphocytes
Definition
polymyositis
Term
tx for polymyositis
Definition
high dose steroids
Term
tests for polymyositis
Definition
1. CPK
2. aldolase
3. Anti-Jo-1
Term
sjogrens is associated with 2 other dzs
Definition
1. SLE
2. RA
Term
anti-Ro and anti-La
Definition
sjogren's
Term
presentation of sjogrens
Definition
1. dry eye
2. cavities
3. big parotids
Term
treatments for osteoporosis
Definition
1. bisphosphonates (pill esophagitis) 2. Ca++ 1200-1500mg/d 3. Vit D 400-800 IU/day 4. calcitonin nasally 5. raloxifine (SERM
Term
progressive weakness after repetition
Definition
myesthenia gravis
Term
lateral epicondylitis: Aka, TX
Definition
AKA: tennis slbow
Tx: NSAIDs, steroid inj, forearm wrap 2in below elbow
Term
medial epicondylitis: aka
Definition
golfers elbow
Term
Dequervains tenosenovitis: location, +sign, tx
Definition
location: lateral wrist
+finklstein sign
Tx: steroid injection
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