Rheumatology

• Needle shaped crystals that are Negative Birefringence under light

• TZDs, Lasix

• Diarrhoea

Gout joint aspiration:

• Crystals seen?

• Drugs that can cause?

• Colcichine SE?

• Calcium pyrophosphate

• Chondrocalcinosis

• Rhomboid shaped, positive birefringence under polarised light

Pseudogout:

• Deposition of?

• XR showing?

• Joint aspiration crystals?

1mg/kg/day

Steroid dose in tx of GCA?

1. CCBs

2. Prostacyclin Infusions

Mngmt Raynauds?

• systemic vasculitis of unknown aetiology

• Multisystem presentation

• steroids

• common but dont progress to PE (no need for a/c)

Bechets disease:

• what is it?

• features?

• tx?

• dvts?

• slapped cheek syndrome (erythema infectiosum)

• small joint arthritis (similar to RA)

• HHV6

Parvovirus B19:

• in kids?

• in adults?

• caused by?

Stop methotrexate

Switch to azathioprine

RA and methotrexate in pregnancy?

Continue steroid and start Methotrexate

PMR relapse when steroid dose decreased - what to give ?

HLA B5

Bechets Disease HLA association?

Established tx = Bisphosphonates

Not tolerated = Give Denosumab

Prevention tx = Calcium and Vit D

established osteoperosis #1 tx?

if not tolerated?

Prevention of osteoperosis tx?

Steroids

DVT tx Bechets?

Necrobiosis lipodeica

associated with DM and RA

what is it?

MCP and PIPJs

Rheum joints aff?

DIPJs

OA joints?

Tophaceous gout

what is dgx?

Decrease osteoclast formation

MOA denosumab?

retinopathy

SE hydroxychloroquine eyes?

Anti-IF

B12 deficiency antibody ?