Rheumatologi MANTAP Tutor

8/18/2019 Rheumatologi MANTAP Tutor

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RHEUMATOLOGIBIMBEL UKDI MANTAP

dr. Anindya K Zahra


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OSTEOARTHRITIS


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Diagnosis OA

OA Kriteria

KNEE Usia >50 thnKaku 2 sendi tangan> 2 sendi DIP, bengkak pada < 3 MCP

Deformitas

HIP LED


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Hand OA


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Bedakan OA Tangan dengan RA!


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SLE


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SLE

1. Mukokutan(4)

2. Sendi

3. Serosa4. Renal

5. Neuro

6. Hemato

7. Marker- Anti DNA, LE cell,

Anti Sm

- ANA


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Monoarthritis

Monoarthritis

Crystal

Goutmonosodium

urate

Pseudogoutcalcium

pyrophosphate

Septic


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Monoarthritis?


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Gout Arthritis


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Tophus


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Colchicine

NSAIDs

Corticosteroid

Allopurinol

Colchicine

Probenecid(uricosuric)

Allopurinol

Uricosuric


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Rheumatic Fever (Jones Criteria)

RequiredCriteria

Evidence ofantecedent Strep

infection: ASO / Strepantibodies / Strep

group A throat culture

Major Criteria(CaPoCES)

Carditis

Polyarthritis migratory

Chorea

Erythema marginatum

Subcutaneous Nodules

Minor Criteria

Fever

Arthralgia

Previous RF or RHD

Acute phase reactants:ESR / CRP

Prolonged PR interval

1 Required Criteria + 2 Major Criteria + 0 Minor Criteria

1 Required Criteria + 1 Major Criteria + 2 Minor Criteria


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Erythema marginatum

Subcutaneous nodule

Rheumatic Fever


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Osteoporosis


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Osteoporosis

• Frakturpatologis

• Kifosis


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Rheumatoid Arthritis


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Rheumatoid Arthritis


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Treatment RA

Goals of therapy

• Minimizing joint pain and swelling

• Preventing deformity (such as ulnar deviation) and radiographic damage(such as erosions)

• Maintaining quality of life (personal and work)

• Controlling extra-articular manifestations

Therapy

• Disease-modifying antirheumatic drugs (DMARDs) are the mainstay of RAtherapy.

• NSAIDs and corticosteroids (oral, intramuscular, or intra-articular) forcontrolling pain and inflammation only for short-term management.DMARDs are the preferred therapy.


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Paget Disease


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TERIMA KASIH


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Osteoporosis Treatment


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Steroid Ostoporosis


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Documents

Rheumatologi MANTAP Tutor