Rheum Misc

Question 1

Treatment for Reynauds:

Answer 1

White —> blue —> red

Avoid triggers
-Cold
-Anxiety
-Stress
Keep warm

Only if severe/ischaemia: VASODILATORS
- Nifedipine 30mg daily
- Amlodipine 20mg daily

Question 2

Effects of chronic steroid use:

Answer 2

Buffalo hump
Moon facies
Obesity
Striae
Thin skin

Poor wound healing
Immunosuppression
Adrenal suppression

Hyperglycaemia
HTN

Osteoporosis
Weakness

Question 3

Causes of Carpal Tunnel:

Answer 3

Pregnancy
Oedema states
Trauma
Overuse
Compressive structure

Question 4

Clinical features of Carpal Tunnel:

Answer 4

Paraesthesia in median n. distribution
LOAF weakness (Lumbricals: thumb Opp, Abd, Flex)
Thenar muscle wasting

Tinels (tap)
Phalen (flex wrists)
Durkan (manual compress)