Internal Medicine RHEUMATOLOGY

Question 0

Fibromyalgia Trigger Points

Answer 0

General characteristics

a. The fibromyalgia syndrome is a central pain disorder whose cause and pathogenesis are poorly understood.
b. Fibromyalgia can occur with RA, SLE, and Sjögren’s syndrome.
2. Clinical features
a. Patients have nonarticular musculoskeletal aches, pains, fatigue, sleep disturbance, and multiple tender points on examination.
b. Anxiety, depression, headaches, irritable bowel syndrome, dysmenorrhea, and paresthesias are associated with this condition.

Question 1

Fibromyalgia

Answer 1

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Question 2

Fibromyalgia USMLE

Answer 2

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Question 3

Gout

Answer 3

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Question 4

Gout Hx/PE

Answer 4

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Question 5

Gout Dx

Answer 5

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Question 6

Gout Tx

Answer 6

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Question 7

Gout/pseudogout

Answer 7

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Question 8

Rheumatoid arthritis

Answer 8

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Question 9

Rheumatoid arthritis Hx/PE

Answer 9

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Question 10

Rheumatoid arthritis Tx

Answer 10

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Question 11

Rheumatoid arthritis Dx

Answer 11

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Question 12

Rheumatoid arthritis

Answer 12

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Question 13

Polyarteritis nodosa

Answer 13

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Question 14

Polyarteritis nodosa

Answer 14

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Question 15

Polyarteritis nodosa (PAN) is systemic vasculitis of small and medium-sized arteries that most commonly affects the kidney. Virtually every organ in the body can be affected , but the tends to spare the lung. Although it is of unknown etiology, it can associated with Hep B and all pt with PAN should be tested.

Answer 15

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Question 16

Polymyositis

Answer 16

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Question 17

Polymyositis Hx/PE

Answer 17

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Question 18

Polymyositis Dx

Answer 18

■ ↑ serum CK and anti-Jo-1 antibodies are seen (see Table 2.9-4). ■ Muscle biopsy reveals infl ammation and muscle fi bers in varying stages of
necrosis and regeneration.

Question 19

Polymyositis Tx

Answer 19

■ High-dose corticosteroids with taper after 4-6 weeks to ↓ the maintenance dose.
■ Azathioprine and/or methotrexate can be used as steroid-sparing agents.

Question 20

Common Antibodies and Their Disease Associations

Answer 20

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Question 21

Polymyalgia rheumatica

Answer 21

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Question 22

Polymyalgia rheumatica

Answer 22

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Question 23

Reactive arthritis

Answer 23

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Question 24

Reactive arthritis

Answer 24

Patients may have asymmetric arthritis that involves large joints usually below the waist (i.e., knee and ankle); *mucocutaneous lesions (balanitis, stomatitis), urethritis, and conjunctivitis are common.*

Question 25

Reactive arthritis USMLE

Answer 25

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Question 26

Systemic lupus erythematosus Hx/PE

Answer 26

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Question 27

Systemic lupus erythematosus Dx

Answer 27

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Question 28

Systemic lupus erythematosus Tx

Answer 28

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Question 29

Systemic lupus erythematosus

Answer 29

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Question 30

Systemic sclerosis (scleroderma) Part 1

Answer 30

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Question 31

Systemic sclerosis (scleroderma) Part 2

Answer 31

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Question 32

Systemic sclerosis (scleroderma) Part 3

Answer 32

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Question 33

Systemic sclerosis (scleroderma) Part 4

Answer 33

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Question 34

Systemic sclerosis (scleroderma) Hx/PE

Answer 34

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Question 35

Systemic sclerosis Dx

Answer 35

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Question 36

Systemic sclerosis Tx

Answer 36

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Question 37

Sjögren syndrome

Answer 37

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Question 38

Sjögren's syndrome

Answer 38

Sjögren's syndrome (keratoconjunctivitis sicca) is a | common ocular manifestation of rheumatoid arthritis.

Question 39

ITP is associated with

Answer 39

Lupus