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* rheumatology review
 #136742  
  upsups - 11/08/06 20:37
 
  1) RF- is it used as a diagnostic factor/ prognostic factor/both? what does it indicate in the latter?

2)what is antiphospholipid antibody syndrome? what is its significance wrt pregnancies?

3)seronegative arthropathies -- name the extraarticular manifestations assoc with each of them

4)diarrhoea + arthropathy + skin manifestation =?
diarrhoea + arthropathy + cns manifestations =?

5)only seronegative arthropathy which can be effectively treated?

6)best measure of treatment for osteoarthritis?

7) drugs which can ppt an attack of gout?

8)causes of pseudogout in the young? what are its characteristic features on xray of affected joint?how can you prevent its frequent recurrences?


9) causes and treatment of septic arthritis in young and old?

10)infl myopathies - most sensitive test? definitive test? skin manifestations of dermatomyositis? which muscles are never involved?

11)main cause of death in scleroderma?

12)why does crest have better prognosis than full blown scleroderma?

13)lupus nephritis- which anas are increased? how do u conform this diagnosis?

14)why must you do a renal biopsy before starting treatment for sle with renal involvement?

15)can you give oc pills to a woman with sle?

16)what is the marker for neonatal lupus?

17)how do you treat the malar rash of sle?

18)mcc death in sle?

19) drugs which cause sle? which components are not involved here? what are their marker ana?

20) which joint disease is rare in hiv/ improves with aids? why?

21)which are the joints never involved in ra?


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* Re:Rheumatology review
#349167
raskolnikov - 06/13/06 18:58

good one arc!!!! i will come with my ans do not post answers fast pls
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* Re:Rheumatology review
#349171
raskolnikov - 06/13/06 19:20

1 RF is not Dxic , its absence does not guarantee good prognosis
2 its significance -recurrent abortion due to placental infarction
3 ankylosing spondylitis - uveitis
reiter's syndrome - conjuctivitis and urethritis
psoriatic arthritis - skin involvement
inflammatory bowel disease - GI involveent
4 a. inflamatory bowel disease
b. ?
5 ?
6 thiazide
can we give answers in divided doses b/c i am using public computer
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* Re:Rheumatology review
#349180
cutegujuboy - 06/13/06 19:28

5. reactive arthritis
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* Re:Rheumatology review
#349184
sensibledoc - 06/13/06 19:33

11) resp failure or infection
12) Diffuse scleroderma involves the organs and causes multiorgan failure
13) dsDNA, diagnosis confirmed by kidney biopsy
14) to see the prognosis and extent oif disease and modify treatment accordingly
15) NO OCPs for sle due to increased risk for thrombosis
16)?
17) local steroid ointment
18) renal failure
19) HIPPA- hydralazine, INH, procainamide,
20) autoimmue.......related
21) hip

Please post your answers. Nice review
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* Re:Rheumatology review
#349280
kyr - 06/13/06 22:11

4. b) ?
5?
6. NSAIDS
7. Diuretcs, Anti Tb meds, steriod withdrawl, also remember OH.
8) metabolic ds, hyperPTH, hemochromatosis, hypomagnesemia, hypophophatemia
9) young: gonococcal, old : non gonococcal, mcc: staph aureus
10) most senstive: Inc CK, and aldolase, most definitive: ms Bx, ms never inv: ocular
12)?
16) anti Ro Ab
17) chloroquine??
19) no organ inv, only rash, antihistone Ab
20) Rh arthritis
21) DIP and lower spine
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* Re:Rheumatology review
#349282
arc - 06/13/06 22:13

sure thing rask!! im in no tearing hurry to post ans:) post your answers when you are able . ill leave this thread open for a while more in case any else wants to attempt. ill post my version of answers only after youre done.

good job sensible doc..most of your half of answers are right.

if anyone else wants to try, go ahead!
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* Re:Rheumatology review
#349301
kyr - 06/13/06 22:35

i agree with the rest which have been answrerd earlier.

Great review, active learning.
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* Re:Rheumatology review
#349354
ajeet - 06/14/06 00:05

1. RF is one of the diagnostic criterias but many other conditions and healthy population might be positive. High titres are associated with progresive disease and extraarticular manifestations.
2. antibidies against phospholipids or anticardiolipin antibodies are associate with SLE and might be present without it. Gives false positive RPR, prolongs APTT test, and can be detcted by ELISA and dilute russel viper venom test. Patient presents with arterila and venous thrombosis, thrombocytopenia and recurrent fetal loos. might require lifelong anticoagulation, with heparin to be used in pregnancy.
3. ankylosing spondylitis - uveitis, amyloidosis
reiter's syndrome - conjuctivitis and urethritis
psoriatic arthritis - skin involvement
inflammatory bowel disease - GI involvement, PBC, ocular
4. IBD, whipples
bechets, whipples
5. IBD and psoriatic
6. supervised exercise programme to strengthen muscles.
7. diuretics, ethanol, ACTH, hypouricemic therapy.
8. hyperparathyroidism, hemochromatosis, hypomagnesemia, hypophosphatemia::: chondrocalcinosis is present on xray
9. young sexually active N. gonnorhea, old staph
10. CPK, muscle biopsy, ocular, guttron papules, heliotrope rash.
11. pulm and cardiac causes, earlier scleroderma renal crises but with treatment not.
12. no renal pulm or cardiac involvement
13. perinuclear ana, other test is antiDs DNA
14. to definitely diagnose type of renal involvement, decide therapy and prognosticate.
15. presence of APL is contraindication.
16. anti ro antibodies , patient may have skin manifestations and complete heart block
17. chloroquine.
18. sepsis.
19. procainamide, hydralazine, INH. many patients have asymptomatic presence of ana. cns and renal involvement rarely occurs. associated with anti histone antibodies.
20. Rh arthritis
21. dip and lower back( spine)

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* Re:Rheumatology review
#349412
edu - 06/14/06 01:55

very good job
20-cell involved in RA is t lymphocyte , & in HIV t cell count decreses, which charateistically improves prexisting RA.
can somebody do hepatology review like this.
this reveiw is really helpful









 
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* Re:rheumatology review
#549908
  upsups - 11/08/06 20:39
 
  1) RF- is it used as a diagnostic factor/ prognostic factor/both? what does it indicate in the latter?

2)what is antiphospholipid antibody syndrome? what is its significance wrt pregnancies?

3)seronegative arthropathies -- name the extraarticular manifestations assoc with each of them

4)diarrhoea + arthropathy + skin manifestation =?
diarrhoea + arthropathy + cns manifestations =?

5)only seronegative arthropathy which can be effectively treated?

6)best measure of treatment for osteoarthritis?

7) drugs which can ppt an attack of gout?

8)causes of pseudogout in the young? what are its characteristic features on xray of affected joint?how can you prevent its frequent recurrences?


9) causes and treatment of septic arthritis in young and old?

10)infl myopathies - most sensitive test? definitive test? skin manifestations of dermatomyositis? which muscles are never involved?

11)main cause of death in scleroderma?

12)why does crest have better prognosis than full blown scleroderma?

13)lupus nephritis- which anas are increased? how do u conform this diagnosis?

14)why must you do a renal biopsy before starting treatment for sle with renal involvement?

15)can you give oc pills to a woman with sle?

16)what is the marker for neonatal lupus?

17)how do you treat the malar rash of sle?

18)mcc death in sle?

19) drugs which cause sle? which components are not involved here? what are their marker ana?

20) which joint disease is rare in hiv/ improves with aids? why?

21)which are the joints never involved in ra?
 
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