Term
Cough, erythema nodosum, anterior uveitis, arthritis.
Xray shows hilar adenopathy and reticular opacities.
African american woman |
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Definition
Sarcoidosis.
Give corticosteroids. Some use of azathioprine and methotrexate if severe. |
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Term
| Hypothyroid rheum association? |
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Definition
| Accumulation of matrix substances. One association is carpal tunnel due to matrix accumulation in the median never and tons of carpal tunnel. |
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Term
| Acute onset polyarticular and symmetric arthritis. MCP, PIP, wrist. Normal ESR. Worse in the morning last 15 minutes. No fevers, chills, rash. Works in a day care. |
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Definition
Viral arthritis. Similar to rheumatoid but acute onset, stiffness <30 minutes, no swelling, doesn't last >6 weeks.
Anti B19 IgM diagnostic for Parvovirus |
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Term
| Chronic diffuse musculoskeletal pain. Fatigue, mood, insomnia, abd pain, irritable bowel. Tenderness at 11 of 18 trigger sites. Worsens with exercise. |
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Definition
| Fibromyalgia. Give tricyclic antidepress |
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Term
| Arthritis of DIP. Dactylitis (sausage digit), messed up nails, psoriasis of skin. |
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Definition
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Term
| Polyarthritis, carditis, chorea, erythema marginatum, subcutaneous nodules. First in lower extremities, recent strep infection |
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Definition
| Acute rheumatic fever. +ASO titers |
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Term
| Pain and weakness proximal joints. Shoulders, back, hips, neck. ESR elevated |
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Definition
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Term
| First thing to consider in inflammatory monoarthritis. Especially if Hx of rheumatoid |
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Definition
| Septic arthritis. Get fluid analysis. IV antibiotics |
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Term
| Narrowing of joint space w/ osteophyte formation |
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Definition
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Term
| Punched out erosions with rim cortical bone |
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Definition
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Term
| Periarticular osteopenia and joint margin erosions |
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Definition
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Term
| Polyarthralgia, tenosynovitis, painless vesiculopustular skin lesions |
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Definition
| Disseminated gonococcal infection. |
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Term
| Proximal muscle weakness with fatigue, tremor, anxiety, weight loss |
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Definition
| Hyperthyroid. Both byo/hyper can be associated with proximal muscle weakness |
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Term
| Chalky white urate crystals. |
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Definition
| Chronic tophaceous gout. Likely taking hydrochlorothiazide. Diuretics in general result in hyperuricemic states |
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Term
| Complication of giant cell or temporal arteritis |
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Definition
| Aortic aneurysms. Follow with serial CXR |
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Term
| 21F 4 months low back pain. Morning stiffness that improves. Limited ROM of back. Bilateral sacrooliitis on XR. Risk for... |
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Definition
| Anterior uveitis. Ankylosing spondylitis has associated. HLA B27 (also associated with IBD). P-ANCA ( IBD as well, specifically UC) |
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Term
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Definition
| Inflamed synovium causes excessive fluid production. Accumulates in popliteal bursa. |
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Term
| What is the most serious side effect of hydroxychloroquine? |
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Definition
| Retinopathy. Eye exams q6m |
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Term
| Treatment for rheumatoid arthritis |
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Definition
| DMARDS such as methotrexate. Common side effect is macrocytic anemia. |
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Term
| Nongonococcal urethritis, asymmetric oligoarthritis, conjunctivitis. Usually knee and sacroiliac |
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Definition
| Reiter syndrome (reactive arthritis). Look for achilles tendon pain too. Maybe mouth ulcers. NSAIDs are firt line therapy. |
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Term
| Acute gout can represent what? |
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Definition
| Myeloproliferative disorder. Polycythemia vera. |
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Term
| Elevation in alk phos, nl ca, asymptomatic. Nl psa |
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Definition
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Term
| Painful subcutaneous pretibial nodules. |
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Definition
| Erythema nodosum. May represent sarcoidosis, TB, histo, strep, inflammatory bowel. May be nenign and heal on its own in a few weeks. |
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Term
| subjective/objective dry eyes, mouth. Evidence of lymphocytic infiltration into salivary. SSA (Ro) or SSB (La) antibodies. |
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Definition
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