CPR #17 Rheum Flashcards Preview

Jason's MD2 ED/Amb Rotation > CPR #17 Rheum > Flashcards

Flashcards in CPR #17 Rheum Deck (11):
1

anky spon and IBD usually affect what size joints?

larger joints

2

what are some seronegative polyarthropathies

ankylosing spondylitis, IBD, REactive arthritis

3

White cell count in Rheumatoid? in blood?

leukopaenia

4

how to check for kidney damage in RA without biopsy?

MSU for haematuria
look for casts

5

why do LFTs in RA?

check if their liver is ok to handle RA treatment

6

what can you see on RA x-ray?

periarticular erosions
osteopaenia
subluxations
fluffy erosion(RA)
DIP sparing
soft tissue swelling

7

What disease has arthralgia but no swelling?

lupus

8

Lupus monitoring investigations?

FBE: Hb, lymphopaenia, ESR, CSR
ANA (not usually vary), Anti-ds-DNA (correlated, down with good Rx)
Kidney Function: MSU
bone density: d/t steroids, might need Vit. D
cholesterol: atherosclerosis
immuno-suppression/infection

9

principles of management for lupus

sunscreen
immunosuppression: steroids/biologics
lupus nephritis

10

what happens when you stop steroids too fast?

electrolyte abnormalities
become Addisonian (fatigue etc.)
any stress, won't have extra cortisol surge: infection

11

what happens if you're on steroids long term and you get sick?

steroid action plan: if you become sick, then give extra steroids to mimic physiological response