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cyclic fever and arthritis
familial meditereaina fever
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FMF responds to what
colchicine
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rx for arthritis pain if cant use nsaid due to bleed
duloxetine
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rx for interstitil lung disease asociated with SS
cyclophosphamide
-
diffuse idiopathic skeletal hyperostosis
multiple vertebrae involved
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in dd of scleritis, what should you consider
anca vasculitis
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in which causes of myopathy are ESR and Ck elevated
inclusion body myositis
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CK and ESR in polymyositis vs Polymyalgia rheumatica
- CK in polymyositis
- ESR in polymyalgia rheumatica
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next med after flare of SLE is controlled on steroids
hydroxychloroquine
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components of reactive arthritis
- dactylitis
- keratoderma blennorrhagicum
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pt on mtx, wants to get pregnant, wtd
stop mtx 3 weeks before
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lymphoplasmacytic infiltrate on biopsy, mass infiltrates every organ and l.n, dx
IgG4 related disease
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how does diffuse alveolar hemorrhage present
hypoxemia, dropping H/H and diffuse pulmonary infiltrates in the setting of SLE
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Sarcoidosis + Eryrthema nodosum + arthitirs is what syndrome
Lofgren syndrome, rx is nsaids
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how long do you continue gout prophylaxis for gout
as long as there is tophi or active disease
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rx for AS
NSAIDS but if not responding, MTX
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is there an increased risk of malignancy with polymyositis
yes
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pink(salmon )colored, rash, fever, high ferritin
adult onset still disease
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primary angitis of central nervous system
rapid encephalopathy, must do angiography
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febuxostat should not be given with what med
azathioprine
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decreased pulses in bilateral arms, dx
takayasu
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what drug should be stopped in SLE prior to pregnancy
mycophonetil
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nerves at 2 different sites affected, dx
mononeuritis complex
-
what ab in SLE correlates with increasing disease activity
ds-dna
-
pt failed allopurinol, failed or cannot take febuxostat, next step
pegloticase
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rx for relapsing polychondritis
steroids and other immunosuppressives
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how to dx takayasu
aortography
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rx for takayasu
steroids and CCB
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causes of painfull loss of vision
- glaucoma
- ulcer-corneal
- neuritis
- keratitis
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how to dx PAN
abdominal angiogram
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rx for PAN
steroids and cyclophosphamide
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rx for familiar mediterranean fever
colchicine
-
FMF can lead to what
ammyloidosis which can lead to RF and proteinuria and cardiomyopathy
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wegeners refractory to steroida and cyclo, wtd
rituximab
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what can cause amyloidosis
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pt with SLE started on steroids, now has encephalopathy, wtd
control BP for progressive leukoencephalopathy syndrome
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what dose of prednisone for steroid induced psychosis? vs SLE
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rx for systemic sclerosis affecting skin
PUVA
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bacterial overgrowth will have what b12 and folate
low b12 and high flolate
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rx for raynauds phenomenon
nifedipine
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how to recognize pirmary vs secondary raynauds phenomenon
nail fold capillary
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eosinophilic fascitis after playing outside
rx is steroids
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what can mimic polymyositis
colchicine and inclusion body myositis
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what predicts poor outcome in dermatomyositis
dysphagia
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rx for PMR and myositis is steroids
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what are the esr and CK in steroid induced myopathy
normal
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causes of painless loss of vision
- Retinal detachment
- Retinal artery occlusion
- Retinal Vein occlusion
- Ischmic optic neuropthic
- CVA
- Hemorrhage Vitreouis
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