Osteoporosis Clinical cases and literature review

Osteoporosis Clinical cases and literature review
Presentation by Catherine Bakewell, MD

Overview
Risk Factors
Screening
Treatment of Osteopenia
EBM
Problems? Flaws?
Study limitations
What doses do you recommend?
Vitamin D
Calcium
Counselling
Bisphosphonates for Osteopenia
Physiologic effects
Guidelines
Conclusions
What about other therapies?
Calcitonin
Estrogen
Selective Estrogen Receptor Modulators
Intermittent PTH
Glucocorticoid induced bone loss
Mechanisms for glucocorticoid induced osteoporosis
General guidelines
Screening
Supplementation
HRT
Bisphosphonates
What would Schousboe say?
Calcitonin
Thiazides
References

Osteoporosis Clinical cases and literature review.ppt

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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

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Rheumatology

Rheumatology What you need to know for your ambulatory medicine experience
Presentation by Kevin Latinis, M.D./Ph.D.
Division of Rheumatology
Dept. of Internal Medicine

This Rheumatology presentation covers the following topics.

* Arthritis
-Inflammatory (RA, spondyloarthropathies)
-Mechanical (OA)
* Lupus
* Fibromyalgia
* Low back pain and other peri-articular complaints
* General musculoskeletal exam

Mechanical vs. Inflammatory Arthritis
Osteoarthritis-Background
Osteoarthritis-Distribution
Osteoarthritis-Diagnosis
* Clinical
* Supported by X-rays
* Non-inflammatory lab data, if any

Osteoarthritis-Treatment
Clinical Pearl:
Arthritis of the DIP joint
OA (non-inflammatory)
Psoriatic Arthritis (inflammatory)
Inflammatory Arthritis
Systemic Lupus Erythematosus-Background
Clinical features, classification criteria
Treatment of SLE
Steroids in Lupus
Fibromyalgia-Background -Diagnosis
Fibromyalgia-Treatment
General Musculoskeletal Exam

* Underutilized by primary care providers
* Should be simple and quick
* Goal is to recognize signs of rheumatological diseases and determine if it is appropriate to refer to a rheumatologist or manage independently

Rheumatology.ppt

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