Rheumatology for Internal Medicine

Rheumatology for Internal Medicine Boards
Presentation by:Victoria K. Shanmugam, MD

Assistant Professor of Medicine
Georgetown University Hospital

What is the diagnosis?
Rheumatoid Arthritis

CRITERIA
EPIDEMIOLOGY
RHEUMATOID FACTOR
CCP
Extra-articular manifestations of RA
Cardiac 3x increased risk of atherosclerosis

Pericarditis
NSAID associated
Pulmonary
Interstitial fibrosis
Anemia of chronic disease
Extra-articular manifestations of RA
DMARDS
DRUG MOA ADMINISTRATION SIDE EFFECTS MONITORING
Bone marrow suppression
DRUG MOA ADMINISTRATION SIDE EFFECTS MONITORING

ANA
ANA Patterns
ACR Criteria For Lupus
Discoid rash
Photosensitivity
Mucocutaneous Ulcers
Lupus Arthritis
Pleuritis
Pericarditis
Nephritis
Neurologic manifestations
Cardiac involvement in Lupus
Cardiovascular risk and Lupus
Disease activity parameters
Symptomatic treatment
PRIMARY AND SECONDARY APS
Myositis
Myositis Antibodies
GOUT vs. PSEUDOGOUT
What is the diagnosis
Disseminated Gonococcal Infection
SYNOVIAL FLUID ANALYSIS
The Antibodies
Scleroderma Renal Crisis
Pathology of renal crisis
Steroids and renal crisis
Management of Renal Crisis
BP Elevated
Risk factors for Renal Crisis
Presentation of Renal Crisis
Raynaud’s Syndrome
DDx Raynaud’s
Wegener’s Granulomatosis
Churg Strauss Syndrome
Giant Cell Arteritis
Polymyalgia Rheumatica

and much more are discussed in this presentation

Rheumatology for Internal Medicine Boards.ppt