9 results
Approach to Gout
Diagnosis: r/o septic arthritis! Needle-shaped, negative birefringent crystals
Treatment:
 • Weight loss, diet, d/c culprit
Approach to Gout ... 1) 2+ flares/year ... 2) Gouty tophi ... #diagnosis #management ... treatment #ULT #rheumatology
AAA is defined as a localized balloon-like dilatation of the abdominal aorta greater than 3cm. Risk
dilatation of the abdominal ... greater than 1cm/year ... move the bowel out ... the way in any abdominal ... #Ultrasound #AAA
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
and Management ... not possible • Ultrasound ... 2 attacks in a year ... #diagnosis #management ... #treatment #rheumatology
Gout - Management
Acute Gout Flare
 1) colchicine, NSAIDs, glucocorticoids
 2) Anakinra (IL-1 inhibitor)
When to Start Urate
Gout - Management ... Acute Gout Flare ... /year 4) consider ... #Management #treatment ... #rheumatology
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
Giant retinal tears ... • Nonsurgical abdominal ... Syndrome #diagnosis #management ... signs #symptoms #rheumatology
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
- GI tract: abdominal ... well as inner ear ... Vessels: Supply gut ... -> abdominal pain ... differential #diagnosis #rheumatology
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
multiplex • GI tract: Abdominal ... purpura, joint & gut ... involvement, abdominal ... well as inner ear ... Differential #Diagnosis #Rheumatology
Polymyalgia Rheumatica (PMR) Diagnosis and Management Summary

WHAT?
 • Polymyalgia rheumatica (PMR) is a common systemic inflammatory
Diagnosis and Management ... chair, getting out ... universally used, ultrasound ... PMR #Diagnosis #Management ... #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