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RHEUMATOLOGY SECTION INTERNAL MEDICNE BOARD REVIEW COURSE
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ANATOMY REVIEW
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SERONEGATIVE SPONDYLOARTHROPATHIES
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SNSA’s
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SNSA UNIFYING FEATURES sacroiliac joint involvement (axial disease) with inflammatory back pain peripheral joint involvement (non-axial disease) no RF extra-articular features: HLA-B27 enthesopathy dactylitis mucocutaneous disease conjunctivitis/uveitis cardiac disease (valvular / conduction)
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SNSA’s
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HLA-B27
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ANKYLOSING SPONDYLITIS
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AS / PULMONARY DISEASE
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AS / CARDIAC DISEASE
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SACROILIITIS
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SPONDYLITIS
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REITER’S / REACTIVE ARTHRITIS
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PSORIATIC ARTHRITIS
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IBD-Related Arthritis Peripheral (parallels IBD activity) Axial (does not parellel, more HLA B27+) Other extraintestinal features –Uveitis –Sclerosing Cholangitis –E. nodosum –Pyoderma gangrenosum
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RHEUMATOID ARTHRITIS
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RA - PANNUS
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RA
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RA & C-SPINE
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FELTY’S SYNDROME
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FS & LGL
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RA EXTRAARTICULAR
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RA - EYE
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RA - PULMONARY
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RA & RHEUMATOID NODULE
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INFECTIOUS ARTHRITIS
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DISSEMINATED GC
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NONGONOCOCCAL BACTERIAL ARTHRITIS
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NONGONOCOCCAL ARTHRITIS
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INFECTIOUS BURSITIS
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TUBERCULOUS ARTHRITIS
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POTT’S DISEASE
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PARVOVIRUS
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LYME
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LYME - ECM
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ACUTE RHEUMATIC FEVER
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ACUTE RHEUMATIC FEVER E. MARGINATUM
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CRYSTALLINE ARTHRITIS
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GOUT
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CRYSTALLINE ARTHRITIS
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CPPD
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HADD HYDROXYAPATITE DEPOSITION DISEASE
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CALCIUM OXALATE
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FIBROMYALGIA
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HIV-ASSOCIATED ARTHROPATHIES
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HIV Incomplete Reiter’s PsA RA goes away.. Myopathies “DILS”
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OSTEOARTHRITIS
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NODAL OSTEOARTHRITIS
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OSTEOARTHRITIS HIP
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EROSIVE OA
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OSTEOARTHRITIS DISH
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OSTEOARTHRITIS OCHRONOSIS
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OSTEOARTHRITIS HEMOCHROMATOSIS
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OSTEOARTHRITIS NEUROPATHIC
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OSTEOARTHRITIS AVN
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AMYLOIDOSIS
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AMYLOIDOSIS PRIMARY
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AMYLOIDOSIS ABDOMINAL / RECTAL BX
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SARCOIDOSIS
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REFLEX SYMPATHETIC DYSTROPHY
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OFFICE ORTHOPEDICS
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1.Shoulder 2.Elbow 3.Hip 4.Knee 5.Back 6. Hand
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ENDOCRINE ASSOCIATED ARTHROPATHIES
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HYPERPARATHYROIDISM
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HEMOCHROMATOSIS
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DIABETIC ARTHROPATHY
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TUMOR ASSOCIATED ARTHROPATHIES
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TUMOR ASSOCIATED ARTHROPATHEIS DM / PM HPO Palmar fasciitis Raynaud’s Vasculitis MDS PMR Sweet’s Erythromelalgia
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SLE
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Drug-Induced SLE Clinically the same except no renal or kidney disease Anti-histone antibody No anti-Smith or anti-ds dna aby Complements normal Drugs: INH, procainamide, hydralazine Treatment. Short course of NSAIDs or steroids and DC offending drug
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SLE
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LIVEDO RETICULARIS
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SLE
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NEONATAL CUTANEOUS LUPUS
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MCTD
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Sjogren’s Syndrome Sicca complex –Keratoconjunctivitis (lacrimal gland) –Oral sicca (parotid) –Lymphocytic infiltrate (CD4) –SSA (Ro), SSB (La), RF, ANA, polyclonal gammopathy –Woman age 30-50 –Extraglandular ILD, PBC, vasculitis, neuropathy, arthritis, Raynaud’s, fever, fatigue, adenopathy/lymphoma, Hashimoto’s, myositis –Primary vs secondary (RA)
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VASCULITIS
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Cholesterol Emboli Syndrome -blue toes after an intervention - TIA - ARF - microhematuria - fever - ischemic bowel - eosinophilia - ESR increased - heparinization may worsen by releasing clefts from plaques
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HYPERSENSITIVITY VASCULITIS / HSP
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CRYOGLOBULINEMIA
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BEHCET’S
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ANCA C-ANCA (PR3)-Wegener’s P-ANCA (MPO)-CSS/MPA
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WEGENER’S
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POLYARTERITIS NODOSA
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KAWASAKI
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GIANT CELL ARTERITIS
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PMR
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GIANT CELL ARTERITIS
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TAKAYASU’S
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SCLERODERMA
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MORPHEA & LINEAR SCLERODERMA
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CREST
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PSS SKIN
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SCLERODERMA GI
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SCLERODERMA ANTIBODIES
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SCLERODERMA LUNG
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SCLERODERMA KIDNEY
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EOSINOPHILIC FASCIITIS
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POLYMYOSITIS / DERMATOMYOSITIS
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PM /DM
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DM
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GOTTRON’S (DM)
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IBM
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PM /DM
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DM
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