Galen 265 Exam 4 part 1 || with Errorless Answers.
Discoid Lupus correct answers Affects skin, isn't lethal
Discoid lupus presents with ... correct answers Macular Rash or Discoid Rash
Discoid rash correct answers red raised patches with scaling skin
Malar Rash correct answers Red flat or raised over cheeks (butterfly rash)
Discoid Lupus Diagnostics correct answers Skin Biopsy
SLE correct answers Chronic, progressive, Inflammation of connective tissue, and affects
multiple body systems
SLE in kidneys correct answers Leading cause of death, presents with high creatinine, low
hematocrit, proteinuria
SLE is most common in ... correct answers women 20yr- 40yr
SLE manifestations correct answers Rash, Photosensitivity, oral ulcers, polyarthritis, pericarditis,
plural effusion, FEVER, fatigue, weakness, anorexia,weight loss, proteinuria, seizures,peripheral
neuropathy, psychosis, Raynauds, alopecia
SLE diagnostics correct answers ANA test, C Reactive Protein test( is normal w/ SLE flare up),
CBC( shows pancytopenia)
SLE meds correct answers Topical steroids, NSAIDs (caution with kidneys),
Hydroxychloroquine, Glucocorticiods,
,Immunosuppressants: Methotrexate, Azathioprine, Belimumab
Glucocorticiods correct answers Give before breakfast, take C+ supp, monitor skin integrity.
Hydroxychloroquine correct answers Frequent eye exams.
eye exam before starting med and q 6 months
Belimumab correct answers DO NOT receive live vaccines for 30 days before tx
SLE teaching correct answers MONITOR TEMP!!( first sign of worsening), limit sun exposure,
wide brim hat, long sleeves, sunscreen SPF 30+ , clean w/ mild soap, pat dry, mosturize, avoid
alot of powder cosmetics, avoid large crowds, pregnancy can cause exacerbation. No harsh hair
tx.
scleroderma correct answers uncommon, chronic, autoimmune inflammatory disease.
Scleroderma causes... correct answers fibrosis in tissue and then hardening of tissue.
Diffuse cutaneous scleroderma correct answers = major organ problems
Limited cutaneous scleroderma correct answers = esophagus problems
Diffuse cutaneous scleroderma manifestations correct answers 1st sx= edema in hands an w/ or
w/o bilateral carpel tunnel
thickened skin on trunk, face, proximal and distal extremities. GERD, Dysphagia, Myocardial
fibrosis, malignant hypertension, lung fibrosis and PAH.
Complications are rapid
, Limited cutaneous scleroderma manifestations correct answers Calcinosis, Raynauds,
Esophageal dysmotility, Sclerodactyly, Telangienctasia
Skin thickens on distal extremities and neck and face
Scleroderma Meds correct answers CCBs for Raynuads
Steroids and Immunosupressants for inflammation
ACE in hibitors for high BP
Bosentan for tx of Pulmonary Artery Hypertension (monitor for lever toxicity)
Scleroderma: Management correct answers HOB 60 degreees during meals and at least 1 hr after
Maintain skin integrity ( especially when on steroids or vasospam drugs)
Small frequent meals w/ semisoft foods. thicken liquids
Avoid pepper, cafine, spices( because of increase gastric secretions)
Promote bowel elimination because pt can have both diarrhea and constipation
scleroderma teaching correct answers wear gloves and socks in cold, no ETOH, no smoking, no
cafine, eliminate high stress, disease gets worse
Fibromyalgia correct answers chronic pain syndrome, NOT an autoimmune inflammatory
disease
Fibromyalgia pain can be described as correct answers a tender stiffness, a burning and nawing
pain that comes and goes
fibromyalgia worsens w/... correct answers increased stress, activity, and weather conditions
fifbromyagia is most common in... correct answers women 30-50 ( commin in 40 yrs)
Discoid Lupus correct answers Affects skin, isn't lethal
Discoid lupus presents with ... correct answers Macular Rash or Discoid Rash
Discoid rash correct answers red raised patches with scaling skin
Malar Rash correct answers Red flat or raised over cheeks (butterfly rash)
Discoid Lupus Diagnostics correct answers Skin Biopsy
SLE correct answers Chronic, progressive, Inflammation of connective tissue, and affects
multiple body systems
SLE in kidneys correct answers Leading cause of death, presents with high creatinine, low
hematocrit, proteinuria
SLE is most common in ... correct answers women 20yr- 40yr
SLE manifestations correct answers Rash, Photosensitivity, oral ulcers, polyarthritis, pericarditis,
plural effusion, FEVER, fatigue, weakness, anorexia,weight loss, proteinuria, seizures,peripheral
neuropathy, psychosis, Raynauds, alopecia
SLE diagnostics correct answers ANA test, C Reactive Protein test( is normal w/ SLE flare up),
CBC( shows pancytopenia)
SLE meds correct answers Topical steroids, NSAIDs (caution with kidneys),
Hydroxychloroquine, Glucocorticiods,
,Immunosuppressants: Methotrexate, Azathioprine, Belimumab
Glucocorticiods correct answers Give before breakfast, take C+ supp, monitor skin integrity.
Hydroxychloroquine correct answers Frequent eye exams.
eye exam before starting med and q 6 months
Belimumab correct answers DO NOT receive live vaccines for 30 days before tx
SLE teaching correct answers MONITOR TEMP!!( first sign of worsening), limit sun exposure,
wide brim hat, long sleeves, sunscreen SPF 30+ , clean w/ mild soap, pat dry, mosturize, avoid
alot of powder cosmetics, avoid large crowds, pregnancy can cause exacerbation. No harsh hair
tx.
scleroderma correct answers uncommon, chronic, autoimmune inflammatory disease.
Scleroderma causes... correct answers fibrosis in tissue and then hardening of tissue.
Diffuse cutaneous scleroderma correct answers = major organ problems
Limited cutaneous scleroderma correct answers = esophagus problems
Diffuse cutaneous scleroderma manifestations correct answers 1st sx= edema in hands an w/ or
w/o bilateral carpel tunnel
thickened skin on trunk, face, proximal and distal extremities. GERD, Dysphagia, Myocardial
fibrosis, malignant hypertension, lung fibrosis and PAH.
Complications are rapid
, Limited cutaneous scleroderma manifestations correct answers Calcinosis, Raynauds,
Esophageal dysmotility, Sclerodactyly, Telangienctasia
Skin thickens on distal extremities and neck and face
Scleroderma Meds correct answers CCBs for Raynuads
Steroids and Immunosupressants for inflammation
ACE in hibitors for high BP
Bosentan for tx of Pulmonary Artery Hypertension (monitor for lever toxicity)
Scleroderma: Management correct answers HOB 60 degreees during meals and at least 1 hr after
Maintain skin integrity ( especially when on steroids or vasospam drugs)
Small frequent meals w/ semisoft foods. thicken liquids
Avoid pepper, cafine, spices( because of increase gastric secretions)
Promote bowel elimination because pt can have both diarrhea and constipation
scleroderma teaching correct answers wear gloves and socks in cold, no ETOH, no smoking, no
cafine, eliminate high stress, disease gets worse
Fibromyalgia correct answers chronic pain syndrome, NOT an autoimmune inflammatory
disease
Fibromyalgia pain can be described as correct answers a tender stiffness, a burning and nawing
pain that comes and goes
fibromyalgia worsens w/... correct answers increased stress, activity, and weather conditions
fifbromyagia is most common in... correct answers women 30-50 ( commin in 40 yrs)
