Reumatología at

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Artritis reumatoide, características 

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Las muertes de AR Y LES son

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Vasculitis tipos
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Sd Fosfolipidíco, características 

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Infecciones imitadoras

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Anticuerpos anti

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Monoartritis, manejo? 
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Reumatología, llamamos a lo crónico? 

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Liquido sinovial, tipos

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Artritis piógena

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Artritis tuberculosis
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Artritis brucela

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Reumatología

Artritis reumatoide, características 
Mujer, presencia HLA DR4
Rigidez matutina: mayor igual 1 hora
Poliartritis
Simétrico
> 6 meses (crónico)
Dx y pronóstico: 
  • FR (+)  
  • Ac antisépticos citrulinados (+)

Reumatología

Las muertes de AR Y LES son
AR  por IMA

LES por infecciones intercurrentes

Reumatología

Vasculitis tipos
Grandes vasos
  • Arteritis Takayasu
  • Arteritis cell gigantes (Temporal, Horton) 
Mediano vasos
  • Poliarteritis nodosa (PAN) 
  • Enfermedad de kawasaki
Pequeños vasos
  • Enfermedad Weneger
  • Eosinofílica / Churg Strauss
  • Poliangeitis Microscopica (PAM)
  • IgA vasculitis / Henoch Schonlein
Variables vasos
  • Enfermedad behcet
  • Sd Cogan

Reumatología

Sd Fosfolipidíco, características 
Clínica 
  • TEP, trombosis venosa 
  • Abortos previos

Examen
  • Anticaadiolipina G y M
  • AB2GP Ig G y Ig M
  • ACL (anticoagulante lúpico) 

Reumatología

Infecciones imitadoras
Hepatitis
VIH
TBC
Neoplasia
Brucelosis

Reumatología

Anticuerpos anti
ADN nativo / DNAds
  • Dx, pronóstico, nefropatía
ADN desnaturalizado
  • Lupus x fármacos 
Anti histonas
  • Lupus Like / Lupus x drogas
Anti Smith
  • LES
Anti RNP
  • Reynaud, enf mix tej. conectivo
Anti Ro
  • Lupus cutánea / Neo (90%)
Anti La
  • Lupus Neonatal 75%
Anti ribosoma (Anti P) 
  • Psicosis lúpica
Anti scl70
  • Esclerosis sist. difusa
Anti centrómero
  • Esclerosis sist limitada
Anti Jo1
  • Polimiositis
Anti Mi2
  • Dermadomiositis

Reumatología

Monoartritis, manejo? 
EMG y tto séptico
Hospitalizar
Artrocentesis 
  • Recuentro celular
  • Cultivo
  • Cristales

Reumatología

Reumatología, llamamos a lo crónico? 
> 3 meses conareme
> 6 semanas vida real

Reumatología

Liquido sinovial, tipos
Mecánico/No inflamatorio
  • RC: 200 - 2000
Inflamatorio
  • RC: 2k - 50k
Séptico
  • RC: > 50k

Reumatología

Artritis piógena
S. aureus
Lumbar
Destrucción de epífisis

Reumatología

Artritis tuberculosis
Localización: Unión toracolumbar
Cuerpo vertebral: colapso severo
Giba, pott

Reumatología

Artritis brucela
Localización: Lumbar baja
Cuerpo vert: presentación relativa

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