Rheuma and Immuno Flashcards
(23 cards)
Middle Aged Woman, enlarged Parotid, tooth decay, sandy/gritty under eyelids
Sjogren’s syndrome
Sjogren often presents with
Renal tubular acidosis and Raynauds
Most accurate test for Sjogren
Labial Biopsy
Sensitive for teat flow in SJOGREN
Schirmer
Tx for Sjogren
Pilocarpine and Cevimeline
Sclerodactyly (Tightened fingers), Thickened Skin, Raynaud’s Phenomenon, GERD
Scleroderma
CREST Syndrome
CREST Calcinosis Cutis Raynauds Esophageal Dysmotility Sclerodactyly Telangiectasia
Tx for Sclerodactyly
PPI - GERD
Cyclophosphamide - Fibrosis
CCB - Raynauds
ACEi for HPN
Palpable rashes at buttocks and lower extremities
Henoch Schonlein/ IgA Vasculitis
Most common Ab seen in immune complex
IgA
Leukocytoclastic Vasculitis with IgA and C3 deposition in IF
Henoch Schonlein
Tx with Henoch Schonlein
Steroids
Right arm claudication, right brachial and radial pulses absent
Takayasu Arteritis
Most common carotid affected by Takayasu
Subclavian
Manifestation if common carotid is affected
Syncope
Dx of Takayasu
Arteriography
Rashes 30 mins after drug administration, hypotensive, inc HR
Anaphylaxis
Best inital step for anaphylaxis
Epinephrine IM (within 20 mins)
Most common presentation of anaphylaxis
Cutaneous manifestations
M/C sites of Urticaria
Extremities and Face
M/C site of angioedema
periorbital
lips
Hallmarks of Allergic Rhinitis
Rhinorrhea
Nasal Obstruction
Itching - Pharyngeal
Standard of Management for Nasal Congestion
A Adrenergic + Anti Histamine
