LESGOO Flashcards
(25 cards)
Giant cell arteritis =
Temporal arteritis
Temporal arteries inflamed > unable to brush hair as scalp is so sensitive, vision in one eye is blurred
Tests for Sjögren’s syndrome (including antibodies)
Schirmer’s test - ocular dryness (tears)
Bloods: Anti-Ro and Anti-La
Lymphocytic infiltrates on a lip gland biopsy
SLE symptoms
General: Fever, fatigue, weight loss
Cutaneous: Malar rash, alopecia, oral/nasal ulcers, Raynaud’s, Discoid lupus erythematosus
MSK: Arthritis, arthralgia, myalgia, Jaccoud’s arthropathy
Renal - lupus nephritis
Neurological - seizures, delirium, psychosis, headache, cranial nerve disorder
Serositis - pleural/pericardial effusion, acute pericarditis
Haematological - leukaemia, thrombocytopenia, hemolytic anaemia, lymphadenopathy
Anterior knee pain at the inferior pile of the patella - chronic
Patellar tendinitis / Jumper’s knee
Exacerbated by exercise - moderate pain present all the time
Rheumatoid arthritis, splenomegaly, neutropenia
Felty’s syndrome triad
Paediatric fracture where the cortex surface breaks but the bone itself doesn’t
Greenstick fracture
What does CREST syndrome stand for?
Calcinosis
Raynaud’s phenomenon
Esophageal dysmotility
Sclerodactyly
Telangectasia
Test for giant cell arteritis
ESR
(often levels greater than 50mm/hr)
Most concerning side effect of Carbimazole
Sore throat
(Also fever and throat/mouth ulcers)
Shows bone marrow suppression which could lead to agranulocytosis which could then lead to life-threatening sepsis
Granulomatosis with polyangiitis triad
Upper respiratory tract involvement
Lower respiratory tract involvement
Renal involvement
What class of drug are -gliflozins?
SGLT2 inhibitors
Antiphospholipid antibodies:
(3 of them)
Anticardiolipin
Anti-B2 glycoprotein I
Lupus anticoagulant
Acromegaly common features
Coarse facial features, oily skin, carpal tunnel syndrome, joint pain, snoring, erectile problems, irregular periods, large hands and feet, abnormally tall
SIADH symptoms
Hyponatraemia, water retention, low mood, nausea, vomiting, cramps, tremors
Garden classification is used for ?
Intra-capsular fractures of the femoral neck
(Grades 3 and 4 require open surgery)
First line for mild acne vulgaris
Topical benzoyl peroxide + adapalene
Graves disease patient. What in the main risk factor for thyroid eye disease?
Smoking !
Drugs that can cause medication-induced diabetes
Steroids
Atypical neuroleptics
Thiazides
Beta-blockers
Dermatomyositis presentation
Heliotrope rash
Gottron’s papules
Macular erythematous rash on head, neck, trunk, hands
Periungual erythema
(Can be a paraneoplastic phenomenon)
First line management of Type 1 diabetes
Basal-bolus insulin
Results to diagnose impaired fasting glucose:
Fasting glucose 6.8mmol/L on two occasions
Treatment for acute flame of rheumatoid arthritis
Intramuscular steroids e.g. methylprednisolone
T2DM + Cardiovascular disease
What class of drug should be added?
SGLT2 inhibitors
e.g. Empagliflozin
Fat embolism main risk factor
Long bone fracture e.g. femur
