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11 Cards in this Set

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Older patient wiith generalized non-articular problems: differential diagnosis
Rheumatoid arthritis
Polymyalgia rheumatica
Fibromyalgia
Myopathy/myositis
RA bloodwork findings
Normocytic anemia
Thrombocytosis (inflammation)
Mildly elevated CRP, ESR
Positive RF
Positive anti-CCP
Polymyalgia Rheumatica: Clinical features
Stiffness and pain in muscles of neck, shoulder girldle and pelvic girdle for >4wks
<50yo
Rapid onset
Mild synovitis
Malaise, wt loss, sweats, fever
Polymyalgia Rheumatica: bloodwork
Everything normal except ESR very high (>40mm/hr)
What disease is polymyalgia rheumatica associated with?
Giant cell arteritis - need to look for scalp pain, jaw claudication and headache to rule out
Myositis: Clinical Features
Painless proximal muscle weakness (deltoid, hip flexors, neck, trunk)
+/- associated arthritis
Myositis: bloodwork abnormalities
Elevated CK is key
Fibromyalgia syndrome: clinical features
Chronic, diffuse neuromuscular pain in the absence of observable pathology
Fibromyalgia syndrome: associated complaints
diffuse aching/stiffness
fatigue
sensation of swelling of hands/feet
parasthesias
tension headaches/migraines
IBD symptoms
anxiety/depression
weight gain
Fibromyalgia syndrome: physical exam findings and bloodwork
Tender points
no abnormalities in bloodwork
Polymyalgia rheumatica: Treatment
Prednisone - should have rapid response