rheumatoid arthritis Flashcards
1
Q
what is the x-ray findings in RA?
A
- loss of joint space
- juxtaarticular osteoporosis
- periarticular erosions
- subluxation
2
Q
what is the initial treatment of RA?
A
- methotrexate + another DMARD and paracetamol
3
Q
what must you monitor with methotrexate?
A
- FBC and LFTS (due to risk of myelosupression and liver cirrhosis)
4
Q
how might you treat RA if they have an inadequate response to two DMARDs?
A
- TNF inhibitors (etanercept, infliximab, adalimumab)
5
Q
if treating someone with hydroxychloroquine, what do you need be aware of?
A
- retinopathy: (bulls eye) may result in severe and permanent vision loss
