CMN 574 UNIT 3 STUDY GUIDE
Psoriatic Arthritis treatment - Answer -Mild: NSAIDS, methotrexate
Mod-Severe: DMARDS
Psoriatic Arthritis labs - Answer -High uric acid, high ESR, low iron stores
Giant Cell Artheritis (Temporal) S/S - Answer -HA, scalp tenderness, vision changes,
jaw claudication
Giant cell arteritis labs - Answer -Elevated ESR, elevated alk phos, anemia
Giant cell arteritis treatment - Answer -High dose prednisone, temporal artery biopsy
Giant cell arteritis is frequently associated with what? - Answer -Polymyalgia
rheumatica
Polymyalgia rheumatica s/s - Answer -Pain and stiffness of shoulder & pelvic girdle,
fever, malaise
polymyalgia rheumatica tx - Answer -Prednisone 2-4wk (can require long term such as
6m)
Acute Bacterial Septic Arthritis - Answer -Acute onset, monoarticular (often large joints
and wrists)
Acute Bacterial Septic Arthritis common bacteria: - Answer -Staph aureus, e. Coli, p.
Aeruginosa
Acute Bacterial Septic Arthritis diagnosis - Answer -Fluid analysis: positive cultures,
gram stain, elevated leukocytes >50,000
CT or MRI: help in diagnosis and finding fluid in joints that aren't visible on exam such
as hips
Acute Bacterial Septic Arthritis Treatment - Answer -Always hospitalize, IV Vanc &
cephalosporin (tx for 4-6weeks), drain fluid, ortho consult
Acute Pyogenic Osteomyelitis Treatment - Answer -Debridement & long term ABX,
Quinolones (Cipro 6-8wks)
Fibromyalgia Treatment - Answer -CBT, amitriptyline, tramadol and tylenol
What does not work to treat Fibromyalgia? - Answer -Opioids, steroids, NSAIDS,
accupuncture
Psoriatic Arthritis treatment - Answer -Mild: NSAIDS, methotrexate
Mod-Severe: DMARDS
Psoriatic Arthritis labs - Answer -High uric acid, high ESR, low iron stores
Giant Cell Artheritis (Temporal) S/S - Answer -HA, scalp tenderness, vision changes,
jaw claudication
Giant cell arteritis labs - Answer -Elevated ESR, elevated alk phos, anemia
Giant cell arteritis treatment - Answer -High dose prednisone, temporal artery biopsy
Giant cell arteritis is frequently associated with what? - Answer -Polymyalgia
rheumatica
Polymyalgia rheumatica s/s - Answer -Pain and stiffness of shoulder & pelvic girdle,
fever, malaise
polymyalgia rheumatica tx - Answer -Prednisone 2-4wk (can require long term such as
6m)
Acute Bacterial Septic Arthritis - Answer -Acute onset, monoarticular (often large joints
and wrists)
Acute Bacterial Septic Arthritis common bacteria: - Answer -Staph aureus, e. Coli, p.
Aeruginosa
Acute Bacterial Septic Arthritis diagnosis - Answer -Fluid analysis: positive cultures,
gram stain, elevated leukocytes >50,000
CT or MRI: help in diagnosis and finding fluid in joints that aren't visible on exam such
as hips
Acute Bacterial Septic Arthritis Treatment - Answer -Always hospitalize, IV Vanc &
cephalosporin (tx for 4-6weeks), drain fluid, ortho consult
Acute Pyogenic Osteomyelitis Treatment - Answer -Debridement & long term ABX,
Quinolones (Cipro 6-8wks)
Fibromyalgia Treatment - Answer -CBT, amitriptyline, tramadol and tylenol
What does not work to treat Fibromyalgia? - Answer -Opioids, steroids, NSAIDS,
accupuncture
