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Flashcards in Rheum - Random Deck (21):
0

Carpal tunnel syndrome associated with?

#Pregnancy
#RA
#Diabetes
#Hypothyroidism
#Amyloidosis
#Acromegaly

1

Carpal tunnel syndrome presents with?

Signs?

#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

2

Most accurate diagnostic test for carpal tunnel syndrome? Best initial therapy? Other therapies

Electromyography and nerve conduction testing

Wrist splints > Steroids > surgery

3

Dupuytren's contracture associated with? Medical therapy? When surgery?

#Alcoholism and cirrhosis

#Triamcinolone
#lidocaine
#collagenase injection

When function is impaired

4

Rotator cuff injury – history? Most accurate test? Treatment? When surgery?

Pain when lying on the shoulder

MRI

#NSAIDs, rest, physical therapy
#then steroids

Complete tear or not responding to therapy

5

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

Normal x-rays

Physical therapy and strength training

6

Planter fasciitis versus tarsal tunnel syndrome? X-Ray May show?

Improves with use versus worsens with use

Bony spurs (but imaging is useless)

7

CREST?

Calcinosis
Raynaud's
Esophageal dysmotility
Sclerodactyly
Telangiectasias

8

Non-esophageal Gastrointestinal findings in scleroderma? Renal? Pulmonary? Cardiac?

Large mouth diverticula of intestines

hypertensive crisis

restrictive lung disease and pulmonary hypertension

Myocardial fibrosis, pericarditis, right ventricular hypertrophy and heart block

9

Antibodies associated with scleroderma? ESR?

Anti-topoisomerase and Antiicentromere

Normal

10

Scleroderma treatment?

Specific treatment for:
1. Renal crisis
2. Esophageal dysmotility
3. Raynaud's
4. Pulmonary fibrosis
5. Pulmonary hypertension

Methotrexate

1. ACE inhibitor
2. PPI
3. Calcium channel blocker
4. Cyclophosphamide
5. Sildenafil, Bosentan, Prostacyclin analogs

11

Dermatomyositis associated with which cancers?

Lung, G.I., ovarian, lymphoma

12

Best initial Diagnostic tests for inflammatory myopathies? Most accurate test?

Anti-Jo antibody associated with?

CPK and aldolase

Muscle biopsy

Lung fibrosis

13

Treatment for inflammatory myopathy?

Treatment for skin lesions in dermatomyositis?

Steroids > methotrexate/mycophenolate

Hydroxychloroquine

14

Sjogren's syndrome associated with?

#RA & SLE
#polymyositis
#Primary biliary cirrhosis
#Hashimoto's

15

Most dangerous complication of Sjogren's syndrome?

Lymphoma

16

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

17

Sjogren's syndrome – best initial therapy?

#Wasting mouth and eyes

#pliocarpine to increase acetylcholine (increase saliva)

18

Complement levels in SLE versus Hep C?

SLE - decreased C3 (3 letters in SLE)
Hep C - decreased C4 (4 letters in Hep C)

19

Best initial test for psoriatic arthritis?

Treatment?

X-ray of hand showing pencil in a cup deformity

NSAIDs then methotrexate then anti-TNF

20

Pustular psoriasis on the penis? Suggests?

Keratoderma Blennorhagicum

Reactive arthritis

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