oligoarticular(less than 5 joints)
polyarticular(more than 5 joints)
spondyloarthritis
distal interphalangeal predominant (affects joints at the end of the fingers and toes→dactylitis)
arthritis multilans
NSAIDs,(for more severe)sulfasalazine,methotrexate(disease modifying anti-rheumatic drugs,DMARDs)
①when does it appear ②which types of HLA ③other diseases associated with(②) ④what does (②)gene code for①2-3weeks after sexually transmitted infection or gastroenteritis
②HLA-B27
③psoriasis,ankylosing spondylitis
④MHC1 musculoskeletalrheumatology HirotoShishido
differece between supracondylar fracture and lateral condylar fracture of humeruslateral→affect the growth plate leading to cubitus valgus
supra→can cause both cubitus varus and valgus musculoskeletal HirotoShishido
paget's disease of bone
①phases ②symptoms ③treatment①lytic phase,mixed phase,sclerotic phase
②usually asymptomatic, but can result in weak or misshapen bone which can lead to fracture,nerve compression
③osteoporosis medication(except for teriparatide which can increase the risk of osteosarcoma)as antiresorptive drug
two types of ulnar nerve palsy①guyon canal syndrome→手背の感覚障害がない(手背枝がguyon canalより中枢から分枝するため)
②cubital tunnel syndrome(osborne ligament etc) musculoskeletal HirotoShishido
which muscle does superior gluteal nerve and inferior gluteal nerve control respectively?superior gluteal nerve→gluteus medius,gluteus minimus,tensor fasciae latae(TFL)
formed elevation maneuver for reduction
stimson's method
→immobilization in external rotation musculoskeletal HirotoShishido
three types of chronic gout drugsxanthine oxidase inhibitors
-allopurinol
(oxypurinol)
-feboxostat
uricosuric medication
-probenecid
-sulfinpyrazone(not used in Japan)
→☆dosage adjustment for penicillin
(because organic anion transporter(OAT) is inhibited in the proximal convoluted tubule, and inhibits secretion of penicillin)