anaphylaxis - Answer usually includes urticaria or angioedema; airway obstruction
Tx anaphylaxis with? - Answer Epi, H1 and H2 blockers, corticosteroids if histamine blockers no
controlling swelling, glucagon to reverse BB
inflamed synovium, morning stiffness, better with activity, symmetrical joint swelling - Answer RA
DX RA? - Answer arthrocentesis for synovial fluid analysis, ANA negative to rule out SLE, Rheumatoid
factor, Anti-CCP antibodies
1st line treatment for RA? - Answer Methotrexate- DMARD; myelosuppression and hepatic fibrosis SE;
CI in child-bearing women
Non-biologic DMARDS continued through perioperative period? - Answer Methotrexate, Leflunomide,
Hydroxychloroquine, and Sulfasalazine
Dx of Giant cell arteritis (vasculitis - Answer temporal artery biopsy; MRA of CTA if unable to do biopsy,
elevated CRP >10
highly specific for Temporal Arteritis? - Answer jaw claudication
tx of giant cell arteritis - Answer high dose corticosteroids (prednisone), aspirin to decrease risk of
vision loss or CVA
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