By Diana Vradii M.D., Amy M. Wasserman M.D. (auth.), Massoud Mahmoudi (eds.)
Challenging circumstances in Rheumatology and ailments of the Immune approach is the most recent identify in a growing to be choice of thought-provoking case-based titles from Massoud Mahmoudi, D.O., Ph.D. Like his 3 previous titles, Challenging circumstances in allergic reaction and Immunology (2009), Challenging instances in Allergic and Immunologic ailments of the surface (2010), and Challenging circumstances in Pulmonology (2011), this easy-to-read identify offers the subject in a hard and relaxing case-based layout. constructed by way of 30 amazing participants, the e-book involves six components and sixteen chapters, with every one bankruptcy providing circumstances. the fashion of this name follows the former books: every one subject starts with an summary, via a case presentation, operating analysis, info, ultimate analysis, and dialogue. furthermore, to reinforce a evaluate of the topic and stimulate severe considering, there are five to ten a number of selection questions and solutions in every one bankruptcy. Challenging instances in Rheumatology and illnesses of the Immune process is an essential source for all clinicians who take care of sufferers with rheumatic and immunologic disorders.
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Extra info for Challenging Cases in Rheumatology and Diseases of the Immune System
His past surgical history includes a Nissen fundoplication in the 1960s to treat gastroesophageal reflux that was refractory to medical management. 2 Osteoarthritis 23 Medications/Allergies: His medications include lisinopril 20 mg twice a day, metoprolol 100 mg twice a day, oxycodone 1–2 tabs prn moderate pain, rosuvastatin 20 mg daily, and aspirin 81 mg daily. He has allergies to penicillin which has given him hives, angioedema, and dyspnea. Family history: His family history is significant for his paternal grandfather who died of myocardial infarction at age 55.
Mahmoudi (c) Use acetaminophen for breakthrough pain (d) Consider synovial fluid analysis in patients with effusions and acute pain (e) Assess for GI risk factors and renal insufficiency prior to starting therapy with NSAIDs. Answers: 1(c), 2(e), 3(b), 4(d), 5(b), 6(a), 7(d), 8(e), 9(c), 10(b). References 1. Lawrence RC, Helmick CG, Arnett FC, Deyo RA, Felson DT, Giannini EH, Heyse SP, Hirsch R, Hochberg MC, Hunder GG, Liang MH, Pillemer SR, Steen VD, Wolfe F. Estimates of the prevalence of arthritis and selected musculoskeletal disorders in the United States.
Calcium pyrophosphate dihydrate (CPPD) deposition disease: The knee is a commonly affected joint with bilateral involvement being a greater presentation vs. unilateral involvement. Symptoms are indistinguishable from osteoarthritis; however, the diagnosis is made by characteristic calcium deposition seen on X-rays. Workup Iron, Ferritin, Total Iron Binding Capacity (TIBC), Transferrin Saturation (Ferritin/ TIBC), Erythrocyte Sedimentation Rate (ESR), C-reactive protein (CRP), Rheumatoid Factor, and Cyclic Citrullinated Peptide antibody (anti-CCP) tested and all were within normal limits.