OA, RA, Gout, Lupus, Sleep Apnea, Dizziness Flashcards Preview

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Flashcards in OA, RA, Gout, Lupus, Sleep Apnea, Dizziness Deck (34):
1

Common sites for OA?

DIP, PIP, CMJ, great toe, hips, knees

2

Vertebral sites for OA?

C5, T8, and L3

3

Physical examination of fingers?

Huberden's Nodes (DIP) and Bouchard's Nodes (PIP)

4

Physical findings for hand OA?

No welling over joint, minimal tenderness, reduced passive and active ROM

5

Diagnosis of OA?

Largely clinical, but x-ray may show thinning of of the internal joint space

6

Complimentary treatment for OA?

Physical therapy, exercise, weight loss

7

Treatment for hand OA?

Topical capcasin, topical NSAID, oral NSAID, tramadol

8

Treatment for Knee OA?

Oral NSAID, topical NsAID, Tramadol, IA injection

9

Treatment for hip OA?

APAP, oral NSAID, tramadol, IA injection

10

Consitutional symptoms of RA?

Alaise, wieght loss, low grade fever

11

Symptoms of RA?

Peripheral symmetric polyarthritis >1 hour, warm, tender to palpation

12

What is a Boutonniere Deformity?

PIP is in a state of continuous flexion

13

Labs for RA?

Anti-CCP, ESR, C-reactive protein, RA, ANA antibodies, antiphospholipd antibodies, consider parvovirus, lyme disease, and hepatitis
-X-rays to monitor progress of disease

14

What shouldn't you do for RA?

Start corticosteroid right before seeing rheumatologist.

15

What do patient's need who take methotrexate?

Folic acid supplementation

16

Who manages RA?

Rheumatologists

17

Precpitating factors of gout?

Metabolic syndrome, alchol intake, lots of protein intacke

18

Drugs that cause gout?

Diuretics, salicylate, niacin, cyclosporine, levodopa

19

PE for gout?

Tophi in pinnae, olecranon tips, distal joints of hands and feet, helix and antihelix

20

What's the only way to make a definitive diagnosis of gout?

Joint aspirate with sodium rate crystal

21

What's the usual serum concentration for gout?

7.5 or greater

22

What should you consider with acute gout?

Acute septic arthritis

23

Mediations for gout?

Indomethacin 50 mg q 8 hours until pain decreases
-Colchicine 1.2 mg and then .6 mg every hour
-Steroids

24

Medications to prevent gout?

Probenecid and allopurinol

25

What food should you avoid with gout?

Meats, seafood, gravies, yeast, ETOH, lentils, asparagus, cauliflower, mushroom

26

4/11 signs that must be present for Lupus

1. Arthritis
2. Photosensitivity
3. Oral or nasal ulcers
4. Malar Rash
5. Discoid rash
6. Serositis of pleura or pericardia
7. Renal Disease
8. hematological disorders
9. Neurological disease
10. Positive ANA
11. Positive other test

27

Subjective findings of lupus?

Malaise, fever, anorexia, blurred vision, joint problems, vague abdominal pains, multiple miscarrages

28

Objective findings for lupus

Rash, alopecia, slinter hemorrages, fingertpi lesions, adenopathy, reaynauds, joint pains, perasthesias, diminished DTRs, systolic mumur, oral ulcer, RUQ pain, RLQ pain from vasculitis

29

Common labs for lupus?

CBC, CMP, serum albumin, ANA, UA, antibody screen for anti ds DNA, antiphospholipid antibodies, antismith antibodies

30

Other labs and tests to order?

Anti ro, anti La, anti RNP, complement, VDRL, EKG, Echo

31

Differential diagnosis with lupus?

Vasculitis, RA

32

Common drugs causing lupus?

Procainamide, hydralzine, minocycline, andti TNF immunomodulators

33

What antibiotics to avoid with lupus?

Bactrim and tetracycline because they cause light sensitivity

34

Other drugs to treat lupus?

Hydroxychloroquine, coriosteroids, DHEA