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Rheumatology > Rheum Treatments > Flashcards

Rheum Treatments Flashcards

(40 cards)

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1
Q

OA

General

A

Non-Pharm (PT, lifestyle, weight loss)
Topical Agents
Anti-inflammatories
Surgery

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2
Q

OA

Non-Pharm

A

PT, mucle toning, quad strength
Exercise bike, elliptical, walking fitness program
Cane, walker, shoe inserts, grab bars, toilet extenders, seat lifts chair
Parking permit
Weight loss 5kg (50% less chance of developing OA, slows progression)

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3
Q

OA

Topical Agents

A 
Capsain (depletes substance P)
Methysalicylate, menthol, camphor
Bio-Freeze
Diclofenac topical
Flector patch
Pennsaid lotion
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4
Q

OA

Anti-inflammatories

A 
NSAIDs
Acetaminophen (OTC)
Tramadol
Codeine III or IV
Oxycodone II
Morphine II & derivatives
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5
Q

OA

Procedures

A 
Joint aspirations
Joint injections (steroids, anesthetic, Aristospan, hyaluronic acid)
TKR if night pain doesn't respond to meds, major inability, interferes w/ daily living, unable to walk/work, bone-on-bone
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6
Q

RA

General

A 
DMARDs
NSAIDs
TNF inhibitors
B cells
T cells
JAK Kinase Inhibitors
BRMs (pre-drug screening)
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7
Q

RA

DMARDs

A 
Corticosteroids
Hydroxychloroquine
Sulfsalazine
Methotrexate
Leflunomide
Azathiprine
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8
Q 
RA
TNF Inhibitors (Biologics)
A 
Etanercept
Infliximab
Adalimumab
Golimumab
Certolizumab pegoles
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9
Q

RA

Others (non-DMARDs/TNF)

A 
B cells: Rituximab
T cells: Abatacept
I-6: Tocilizumab
JAK: Tofacitinib
BRMs (pre-drug screening)
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10
Q

JRA

General

A 
PT/exercise
Tylenol/NSAIDs
DMARDs
Corticosteroids
Enbrel
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11
Q

JRA

MC Tylenol/NSAID

A

Naproxen & Ibuprofen

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12
Q

OA

Treatment goal

A

Pain relief

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13
Q

RA

Treatment goal

A

Slow/stop disease progression

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14
Q

Ankylosing Spondylitis

General

A

Reduce pain & stiffness - NSAIDs, glucocorticoids, DMARDs
BRMs (TNFs)
Pt education
Joint protection
Lifelong PT for posture & slow Dz progression

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15
Q

Ankylosing Spondylitis

DMARDs

A

Methotrexate

Sulfsalazine

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16
Q

Ankylosing Spondylitis

BRMs

A 
Etanercept
Infliximab
Adalimumab
Golimumab
Certolizumab
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17
Q

Psoriatic Arthritis

General

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A 
NSAIDs
Glucocorticoids
DMARDs
BRMs
Pt education
Joint protection/lifelong PT
18
Q

Psoriatic Arthritis

DMARDs

Study These Flashcards
A

Methotrexate

Sulfsalazine

19
Q

Psoriatic Arthritis

BRMs

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A 
Etanercept
Infliximab
Adalimumab
Golimumab
Certolizumab
20
Q

Reactive Arthritis

General

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A

Abx based on pathogen

21
Q

Reactive Arthritis

Chlamydia

Study These Flashcards
A

3 mo Doxycycline or Tetracycline

D preferred over T

22
Q

Gout

General

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A 
NSAIDs
Colchicine
Steroids
ULT
Lifestyle/Dietary changes
Pegloticase
23
Q

Gout

NSAIDs

Study These Flashcards
A

Motrin
Indocin
Naprosyn
Celecoxib

24
Q

Gout

ULT

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A

Allopurinol
Febuxostat
Take w/ low-dose colchicine or NSAID 2 wks before starting ULT

25
Pseudogout | General
No Tx Intra-articular corticosteroids (acute) NSAIDs (moderate sx) Colchicine (Tx sx)
26
Acute LBP | General
Control pain | Minimize activity
27
Subacute LBP | General
Control pain | Maximize activity
28
Chronic LBP | General
Multidisciplinary
29
LBP | Pain Control
``` Anti-inflammatories Tramadol Opioids Muscle relaxants Epidural injections ```
30
LBP | Muscle relaxants
Methocarbamol
31
Fibromyalgia | General
Antidepressants Pain control Exercise, improve sleep, treat psychological distress
32
Fibromyalgia | Antidepressants
SNRIs Duloxetine Cyclobenzaprine
33
Fibromyalgia | Pain Control
Pregabalin Tramadol Milnacipran
34
Sjogren's | General
Tx oral dryness (OTC, Rx) | Tx eye dryness (OTC, Rx)
35
Sjogren's | OTC oral
Biotene products Sugar-free chewing gum Sugar-free lozenges (Xylitol)
36
Sjogren's | Rx oral
Muscarinic cholinergic agnoists Cevimeline Pilocarpine
37
Sjogren's | OTC eye
Systane | Refresh tears
38
Sjogren's | Rx eye
Ophthalmologist Rx | Restasis
39
Keratoconjunctivitis Sicca | OTC
Systane | Refresh tears
40
Keratoconjunctivitis Sicca | Rx
Ophthalmologist Rx | Restasis

Rheumatology (12 decks)

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