Rheumatology

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Author:
jstaylor
ID:
240711
Filename:
Rheumatology
Updated:
2013-10-15 02:33:46
Tags:
Medicine
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Description:
medicine shelf
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  1. Osteoarthritis
    six classic criteria
    • age > 50
    • minimal or no morning stiffness (less than 30 to 60 minutes)
    • bony tenderness
    • bony enlargement
    • crepitus on active motion
    • no warmth of the joint
    • sensitive > specific
  2. Giant cell arteritis
    symptoms, complications
    • sx: headache, jaw claudication, muscle fatigue, visual disturbance
    • Exam: tender scalp, decreased temporal artery pulses
    • Complications: aortic aneurysm (follow with serial chest x-rays)
  3. Septic arthritis
    presentation,
    • presentation: acute onset of painful, swollen joint, limited range of motion, fever
    • Synovial fluid: WBC 50,000-150,000/microL
    • Most common cause in prosthetic joint spetic arthritis:¬†Staphylococcus aureus
    • Most common cause in young, sexually active: Neisseria gonorrhea
  4. Reactive arthritis
    • often linked to GU infection with¬†chlamydia trachomatis
    • triad: arthritis, conjunctivitis, urethritis
  5. Lyme disease
    Borrelia burgdorferi
  6. Non-gonococcal arthritis
    • 1. Staph aureus
    • 2. Streptococcal species
  7. Sjogren syndrome
    • autoimmune condition
    • Women, fifth to sixth decade of life
    • clinical findings: keratoconjunctivitis sicca (xerophthalmia, dry eyes), xerostomia (dry mouth)
    • lymphocytic inflitration of salivary glands
    • serum autoantibodies: Anti SSA (Ro) and/or SSB (La)
  8. Primary biliary cirrosis
    antibodies
    • progressive jaundice, varicies, other signs of cirrhosis
    • Antibody: antimitochondrial antibodies

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