21 results
Approach to Gout
Diagnosis: r/o septic arthritis! Needle-shaped, negative birefringent crystals
Treatment:
 • Weight loss, diet, d/c culprit
Acute and chronic treatment ... 1) 2+ flares/year ... gout #diagnosis #management ... #treatment #ULT ... #rheumatology
Treatment of giant cell arteritis (GCA)

1st Line Strategy - GC 0.7 mg/kg/day, except for:
 • Aortitis
Treatment of giant ... or SC for > 1 year ... arteritis #GCA #Treatment ... #Management #Relapses ... #Indications #rheumatology
Susac Syndrome - Clinical Triad
 - Central nervous system dysfunction
 - Branch retinal artery occlusion
 -
disease flares - 2-year ... arterioles - Treatment ... Triad #Diagnosis #Management ... #Rheumatology
HEART Score – A Tool For the ED The HEART score is an excellent tool that
further workup and treatment ... with follow-up instructions ... the ED to help focus ... #Diagnosis #Management
Hemophagocytic Lymphohistiocytosis (HLH)
Pathophysiology: Triggering factor (infection,...)→Activation of CD8 T cells (IFN-y) → Excessive activation of macrophages
Unknown cause Treatment ... Nicolas Taar ... Lymphohistiocytosis #diagnosis #management ... #treatment #summary ... #rheumatology
Epley Maneuver for Treatment of BPPV
1) The patient begins in an upright sitting posture, and the
Epley Maneuver for Treatment ... of the affected ear ... that the opposite ear ... vertigo #neurology #instructions ... #physicalexam #management
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
Giant retinal tears ... Arthritis, AS Treatment ... • Nonsurgical abdominal ... Syndrome #diagnosis #management ... signs #symptoms #rheumatology
Clarkson’s Disease - Capillary leak syndrome
Epidemiology: Roughly 150 published cases, Median age 50 years, No sex
, paresthesia, abdominal ... month at least 1 year ... syndrome #diagnosis #management ... #timeline #treatment ... #rheumatology
Gout - Management
Acute Gout Flare
 1) colchicine, NSAIDs, glucocorticoids
 2) Anakinra (IL-1 inhibitor)
When to Start Urate
Gout - Management ... 2+ gout flares/year ... MithuRheum #Gout #Management ... #treatment #rheumatology
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
Diagnosis and Management ... • Acute gout treatment ... 2 attacks in a year ... Gout #diagnosis #management ... #treatment #rheumatology