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on 21-Jun-2015 (Sun)

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Flashcard 150897183

Tags
#medicine #rheumatology
Question
Is weakness a feature of Polymyalgia Rheumatica ?
Answer
Weakness is not a feature


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Flashcard 150897190

Tags
#medicine #rheumatology
Question
What are the systemic features of Vasculitis ?
Answer
  • fever
  • malaise
  • weight loss
  • arthralgia
  • myalgia


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Flashcard 150897197

Tags
#medicine #rheumatology
Question
What are the effects of vasculitis on Eyes ?
Answer
  • Episcleritis
  • Scleritis
  • Visual loss


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Flashcard 150897204

Tags
#medicine #rheumatology
Question
What are the renal features of Vasculitis ?
Answer
  • Hypertension
  • Haematuria
  • Proteinuria
  • Casts
  • Renal failure (renal cortical infarcts; glomerulonephritis in ANCA + ve vasculitis)


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Flashcard 150897211

Tags
#medicine #rheumatology
Question
What are the skin symptoms of Vasculitis ?
Answer
  • Purpura
  • Ulcers
  • Livedo reticularis
  • Nailbed infarcts
  • Digital gangrene


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Flashcard 150897218

Tags
#medicine #rheumatology
Question
What are the cardiac features of Vasculitis ?
Answer
  • Angina or MI (due to coronary arteritis)
  • Heart failure
  • Pericarditis


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Flashcard 150897225

Tags
#medicine #rheumatology
Question
What are the Neurological features of Vasculitis ?
Answer
  • Stroke
  • ​Fits
  • Chorea
  • Psychosis
  • Confusion
  • Impaired cognition
  • Altered mood
  • Arteritis of the vasa nervorum (arterial supply to peripheral nerves) may cause mononeuritis multiplex or a sensorimotor polyneuropathy.


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Flashcard 150897235

Tags
#medicine #rheumatology
Question
What age group does Polymyalgia Rheumatica affect ?
Answer
Age >50 yrs


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Flashcard 150897242

Tags
#medicine #rheumatology
Question
What is presentation of Polymyalgia Rheumatica ?
Answer
  • Subacute onset ( <2 weeks) of bilateral aching
  • Tenderness
  • Morning stiffness in shoulders and proximal limb muscles ± mild polyarthritis
  • Tenosynovitis
  • Carpal tunnel syndrome (10%)


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Flashcard 150897249

Tags
#medicine #rheumatology
Question
How is Polymyalgia Rheumatica Treated ?
Answer
Prednisolone


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Flashcard 150897256

Tags
#medicine #rheumatology
Question
How long does treatment for Polymyalgia Rheumatica usually take ?
Answer
Most need steroids for ≥ 2 yrs, so give gastric and bone protection.


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Flashcard 150897263

Tags
#medicine #rheumatology
Question
What are the Yellow Flags (Psychological Risk Factors) for developing long-term disability or Chronic Pain ?.
Answer
  • Belief that pain and activity are harmful.
  • Sickness behaviours such as extended rest.
  • Social withdrawal.
  • Emotional problems such as low mood, anxiety or stress.
  • Problems or dissatisfaction at work.
  • Problems with claims for compensation or time off work.
  • Overprotective family or lack of support.
  • Inappropriate expectations of treatment, eg low active participation in treatment


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Flashcard 150897270

Tags
#medicine #rheumatology
Question
What is the Diagnose Criteria for Chronic Fatigue Syndrome ?
Answer
Persistent disabling fatigue lasting >6 months, affecting mental and physical function, present >50 % of the time, plus ≥ 4 of:
  • Myalgia (~ 80 %),
  • Polyarthralgia
  • Decrease memory
  • Unrefreshing sleep
  • Fatigue after exertion >24 h
  • Persistent sore throat
  • Tender cervical/axillary lymph nodes


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Flashcard 150897277

Tags
#medicine #rheumatology
Question
What are the management options for Chronic Fatigue Syndrome ?
Answer
  • Graded exercise Programs
  • CBT

    No medications have evidence in Chronic Pain Syndrome


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Flashcard 150897284

Tags
#medicine #rheumatology
Question
What skin changes are seen with Diabetes Mellitus ?
Answer
  • Ulcers
  • necrobiosis lipoidica
  • granuloma annulare
  • acanthosis nigricans


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