Flashcards in Rheum - Random Deck (21):
Carpal tunnel syndrome associated with?
Carpal tunnel syndrome presents with?
#Pain in the hand worse at night
#Atrophy of the thenar eminence
#Tinel Sign – reproduction of pain with tapping median nerve
#phalen sign – reproduction of pain with flexion of the wrists
Most accurate diagnostic test for carpal tunnel syndrome? Best initial therapy? Other therapies
Electromyography and nerve conduction testing
Wrist splints > Steroids > surgery
Dupuytren's contracture associated with? Medical therapy? When surgery?
#Alcoholism and cirrhosis
When function is impaired
Rotator cuff injury – history? Most accurate test? Treatment? When surgery?
Pain when lying on the shoulder
#NSAIDs, rest, physical therapy
Complete tear or not responding to therapy
Patellofemoral syndrome – Where is the pain? Provoked by? Improves after?
X-ray findings? Treatment?
#In front of the knee or under the patella
#Pain worse when climbing stairs or walking after being seated for prolonged periods
Physical therapy and strength training
Planter fasciitis versus tarsal tunnel syndrome? X-Ray May show?
Improves with use versus worsens with use
Bony spurs (but imaging is useless)
Non-esophageal Gastrointestinal findings in scleroderma? Renal? Pulmonary? Cardiac?
Large mouth diverticula of intestines
restrictive lung disease and pulmonary hypertension
Myocardial fibrosis, pericarditis, right ventricular hypertrophy and heart block
Antibodies associated with scleroderma? ESR?
Anti-topoisomerase and Antiicentromere
Specific treatment for:
1. Renal crisis
2. Esophageal dysmotility
4. Pulmonary fibrosis
5. Pulmonary hypertension
1. ACE inhibitor
3. Calcium channel blocker
5. Sildenafil, Bosentan, Prostacyclin analogs
Dermatomyositis associated with which cancers?
Lung, G.I., ovarian, lymphoma
Best initial Diagnostic tests for inflammatory myopathies? Most accurate test?
Anti-Jo antibody associated with?
CPK and aldolase
Treatment for inflammatory myopathy?
Treatment for skin lesions in dermatomyositis?
Steroids > methotrexate/mycophenolate
Sjogren's syndrome associated with?
#RA & SLE
#Primary biliary cirrhosis
Most dangerous complication of Sjogren's syndrome?
Best initial test for suspected Sjogren's syndrome? Best initial blood test?
Most accurate test?
Schirmer test - filter paper is placed against the eye to observe amount of tears
SS-A and SS-B (Ro and La)
Lip or parotid gland biopsy for lymphoid infiltration
Sjogren's syndrome – best initial therapy?
#Wasting mouth and eyes
#pliocarpine to increase acetylcholine (increase saliva)
Complement levels in SLE versus Hep C?
SLE - decreased C3 (3 letters in SLE)
Hep C - decreased C4 (4 letters in Hep C)
Best initial test for psoriatic arthritis?
X-ray of hand showing pencil in a cup deformity
NSAIDs then methotrexate then anti-TNF