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Week 62: Inflammatory Joint Disease > Case Based Potpourri > Flashcards

Flashcards in Case Based Potpourri Deck (8)
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1
Q

Fibromyalgia syndrome

A
Common form of non-articular rheumatism
Soft tissue disorder
Widespread pain
Believed to represent an increase in the centralized pain response
Patients often have mood/sleep disorders
No inflammation
Normal lab tests
2
Q

How can you identify gout crystals?

A

Negatively birefringent

Yellow parallel, blue perpendicular

3
Q

Mobilization gout

A

Happens if you start allopurinol during an acute attack

Will prolong it

4
Q

CPPD arthropathy

A
Calcium pyrophosphate dihydrate
Chondrocalcinosis on xray
Pseudogout
Crystals positively birefringent
Can cause OA of a severe and inflammatory nature
5
Q

Polymyalgia rheumatc

A

In patients over 55 years
Aching and stiffness of shoulder and hip girdle region
ESR or CRP often very high
Responds within 72 hours to low dose prednisone
About 1/3 associated with temporal arteritis

6
Q

Temporal arteritis

A
Large vessel vasculitis
New onset of headaches in pts over 55
May/may not have swelling and/or tenderness of temporal artery
Jaw claudication can be present
High ESR characteristic
Emergency because can go blind very fast
Tx with prednisone
7
Q

Scleroderma

A

Tissues in your body develop fibrosis

Skin, lungs, kidney

8
Q

What is the most important initial treatment for AS?

A

Instruction and postural exercises