05-10-2007, 10:13 AM
skype/ketty or anyone please do rhematoid arthritis case
please do ccs rheumatoid arthritis - glucose
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05-10-2007, 10:13 AM
skype/ketty or anyone please do rhematoid arthritis case
05-10-2007, 10:32 AM
pe
------------------- cbc bmp esr ana rf factor xray of involved joint indomethacin, oral pt/ptt arthrocentesis synovial fluid ana- cellcount, crystals, culture, gm stain ------------------------------ call when results are available --------------------------- interval f/up educate pt lft methotrexate folinic acid consult rheumat ------------------------------ call after 2 weeks ----------------------------- f/up cbc lft safe sex seat belt no smoking limit alcohol no illicit drug use
05-10-2007, 10:52 AM
Add exercise program
05-10-2007, 11:29 AM
why you start with methotrexate?
05-10-2007, 12:02 PM
The RA treatment is NSAIDs to stop the inflamatory process and early disease modifying antirheumatic drugs (DMARD) are used to stop the joint damage, actually the new tendency is use 2 of them.
05-10-2007, 01:32 PM
I agree with malak, if no erosion from xray result, no need MTX, NSAIDs are good enough for initial uncomplicated RA, if BMI is high, I would add weight reduction, and physical rehab
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