Rheumatology PDF
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Summary
This document discusses various rheumatology topics, including gout arthritis, rheumatoid arthritis, and other related conditions. It provides information on symptoms, treatments, and potentially diagnosis. The document is for reference purposes.
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RHEUMATOLOGY - kadar asam urat (+) tinggi - Gout nefropati Tx List of Diseases: - allopurinol 3x100mg (xantin oxidase) → DDx Gout G...
RHEUMATOLOGY - kadar asam urat (+) tinggi - Gout nefropati Tx List of Diseases: - allopurinol 3x100mg (xantin oxidase) → DDx Gout Gout Arthritis (akut, inter kritikal, kronik) mengubah xantin jadi hipoxantin Pseudogout & pseudogout - probenecid 2x50mg - Gejala gout (+) Rheumatoid Arthritis (DD Polimialgia ↓ - Arthrocentesis (aspirasi cairan sendi) → reumatik) Gout Arthritis kristal birefringent positive lemah warna Osteoarthritis Fase Akut merah Septic Arthritis - gejala (+) - Asam urat → normal Osteoporosis - nyeri, bengkak, merah - Tx: NSAID Systemic Lupus Erythematosus Tx Spondylolistesis - kolkisin 2. Rheumatoid Arthritis Spondilolisis Loading dose: 1-1,2mg/hari Fx Spondilosis Maintenance: 2x(0,5-0,6) mg selama 7 - autoimun → Reaksi Hipersensitivitas Ankylosing Spondylitis hari Tipe 3 (TIGA) - NSAID Predileksi Skoliosis - kedua pergelangan tangan, Tenosinovitis (Supurativa akut, Nb: BILATERAL (wajib) Dequarvain) - diberikan kolkisin dan nsaid secara Keluhan bersamaan → bila gagal → ganti steroid - Nyeri sendi >30 menit 1. Gout Arthritis → methyprednisone - Kebas & kaku sendi pagi hari Predileksi - saat serangan TIDAK BOLEH beri - Nodus boutonniere (+) → benjolan di - malleolus lateralis/mata kaki, ibu jari ALLOPURINOL → maka → beri 3 proksimal jari PP awal/poliklinik - kadar asam urat MINGGU setelah serangan normal asam urat: laki-laki:
