Extra Needs 5th

🛑Lec 7 SLE ♦️المحاضرة فيديو قديم ⛔️https://t.me/extraneeds_2021/9926 ♦️ريكورد السنة اللى فاتت ⛔️https://t.me/extraneeds_2021/9927 ♦️نوتس ⛔️https://t.me/extraneeds_2021/9928 ♦️تفريغ ⛔️https://t.me/extraneeds_2021/9929 ♦️MCQ ⛔️https://t.me/c/1712531098/9978 ♦️الريتين ⛔️https://t.me/c/1712531098/9980

SLE ✨

L 4 rheumatology " SLE " د.أميرة https://youtu.be/kM6vJc_NES0

شباب MCQ اللى بينزل ده حاجات مهمة وبتتكرر كتير فى الامتحانات لكن مش تحديدات علشان محدش يفكر بس ان الدكتوره مش هتطلع بره الحاجات دى

Lec 3 Gout ♦️ريكورد السنة اللى فاتت 🚫https://t.me/extraneeds_2021/9918 ♦️فيديو 🚫https://t.me/extraneeds_2021/9919 ♦️تلخيص 🚫https://t.me/extraneeds_2021/9920 🚫https://t.me/extraneeds_2021/9921 ♦️نوتس 🚫https://t.me/extraneeds_2021/9922 ♦️تفريغ 🚫https://t.me/extraneeds_2021/9923 MCQ♦️ 🚫https://t.me/c/1712531098/9938 ♦️ريتين 🚫https://t.me/c/1712531098/9936

Gout ✨the MC form of inflammatory arthritis inyoung men , old women. ✨Renal disease is the MC cause of gout. ✨D2 deposition of monosodium urate crystals in joints and other tissues. ✨crystals →d2 ↑serum uric acid > 6mg /dl.....to clinically diagnosed. ✨uric acid →the final product of PURINE. ✨ Formation of crystals need →↑SUA →some local condition. ✨PDF : →enzyme deficiency (pediatric gout ), →male after puberty →women after menopause, →leukemia, lymphoma →psoriasis, →raised ingestion of purine from foods or drinks , →renal disease ✨CP 1)Classic 3 periods →asymptomat hyperuricemia , →acute attacks + asymp interva → chronic gout. 2) symptoms →sever pain →swelleing →erythema →tenderness..... reach MAX :- 6:12hrs. ✨MC →LL monoarthiritis.... ✨1st MTP (podagra ) →hallmark of the disease ✨RF triggers of accute attacks →alchol , →red meats , beans , nut →surgery →trauma , →infections , →drugs :- diuretics,urate loweringtherapy shortly after ttt ✨Acute gout resolve within 6:12 h ✨Mc complications in neglected→disability, nephropathy, CVS dis. ✨chronic urate arthropathy →palpable tophi →destructive arthropathy→ bridging osteophytes in radiograph→punched out erosion. ✨1ry gout Associated with →alchol intake →HTN →type 2 DM →hypertriglyceridemia. ✨2ry gout associated with →Diuretics →Immunecompressed drug →Cyclosporine, tacrolimus →Low dose aspirin ✨Nephropathy→ MC is the presence of kidney stones. ✨Diagnosis →definitive dx :- identification of MSU crystals in synovial fluid →SUA levels tend to decrease during the attack..... mya be normal. ✨ TTT 1)acute attacks →colchicine :- drug of choice →NSAID &steroids... In CI cases of colchicine 2)chronic gout →allopurinol (best choice if cvs risk ), →febuxostat ...CI in - CVS risk. - uncontrolled HTN. →uricosuric drugs وطبعا هيقي في lifestyle modification هقوله خس و ابعد عن الأكل الغني بال purine وخلي اكلك hypocaloric diet

الgout ف ورقة واحدة L4 p1 #تلخيص_روماتولوچي

Gout ✨

⭕️ Lec 2 SPA ♦️ريكورد السنة اللى فاتت 🚫https://t.me/extraneeds_2021/9913 ♦️فيديو 🚫https://t.me/extraneeds_2021/9914 ♦️نوتس 🚫https://t.me/extraneeds_2021/9915 ♦️ريتين 🚫https://t.me/extraneeds_2021/9915 ♦️تلخيص 🚫https://t.me/extraneeds_2021/9916 ♦️تحديد MCQ 🚫https://t.me/c/1712531098/9937

SPA ✨

SPA ✨subgroups 1.unduferentiated 2.ankylosis →prototype , mc typ 3.juvenile 4.reactive 5.colitis / Crohn's 6.psoritic 7. Acute anterior uveitis. ✨ +ve HLAB27 →MI genetic type. ✨negative HLAB27 → -Late disease onset -Lower incidence uvitis -More associated with psorisis, Crohn's disease , ulcerative colitis. ✨Rheumatolog manifestation 1)Inflammatory back pain. →1st manifestation in 75%. →at lumbar / lumbosacral joint →dull pain of insidious onset ... ↓ excersice + NSAIDs. →Sign apears in syndesmophytes :- Bumbo sign. 2) sacroilitis →dominant clinical problem. →The GS Investigation :- MRI. →↓ROM. 3) Fracture →MC type :- spine osteoporosis d2 - Lack of mobility - Inflamatory Cytokines →Mc site for fracture :- Spine. 4) Peripheral arthritis →Asymetrical , oligoarticular , lower limp. →bilateral symmetrical polyarthritis in :- Distal interphalangeal other than RA. →hip and shoulder involved :- 1st 10 yrs. - bilateral -↓ROM -flexion deformity - sever destruction, disability. - ttt :- total hip replacement. →Ul MC in :- Psoritic 5) Dactylitis →MC in :- psoritic , undiferentiated , reactive SPA . 👉Sausage digit :- - Synovitis - Soft tissue swelling - Enthesitis - Tenosynovitis 6) Enthesis →Most typical enthesis :- heal pain.... Achilles tendon, planter fascia insertion. →mc in morning ✨EAM 1) Uveitis →Mc →MS →mc complications :-synechiae irreversible visual loss. →unilateral eye pain →redness →photophobia →↑Lacrimation. 2)Cardial , pulmonary →mc :- Heart BLock and aortic insufency →Restricive lung disease :- end stage . 3)GIT → diharea :- blood + mucus. →↓ weight. 4) Dermatology →MC with psoriasis, reactive. →Nail lesion with Rheumatoid m 5)Reactive arthritis →aseptic peripheral arthritis.. 1mon. →triad :- arthritis, conjunctivitis, urethritis. ✨Box 6 ASAS classification ✨ TTT →NSAID :- 1st line. →DMARD "MTX , SSZ" :- axial dis , SSZ in peripheral arthritis. →corticosteroid injection :- locally. →axial best ttt :- biologicics