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RHEUMATOLOGIBIMBEL UKDI MANTAP
dr. Anindya K Zahra
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OSTEOARTHRITIS
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Diagnosis OA
OA Kriteria
KNEE Usia >50 thnKaku 2 sendi tangan> 2 sendi DIP, bengkak pada < 3 MCP
Deformitas
HIP LED
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Hand OA
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Bedakan OA Tangan dengan RA!
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SLE
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SLE
1. Mukokutan(4)
2. Sendi
3. Serosa4. Renal
5. Neuro
6. Hemato
7. Marker- Anti DNA, LE cell,
Anti Sm
- ANA
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Monoarthritis
Monoarthritis
Crystal
Goutmonosodium
urate
Pseudogoutcalcium
pyrophosphate
Septic
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Monoarthritis?
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Gout Arthritis
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Tophus
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Colchicine
NSAIDs
Corticosteroid
Allopurinol
Colchicine
Probenecid(uricosuric)
Allopurinol
Uricosuric
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Rheumatic Fever (Jones Criteria)
RequiredCriteria
Evidence ofantecedent Strep
infection: ASO / Strepantibodies / Strep
group A throat culture
Major Criteria(CaPoCES)
Carditis
Polyarthritis migratory
Chorea
Erythema marginatum
Subcutaneous Nodules
Minor Criteria
Fever
Arthralgia
Previous RF or RHD
Acute phase reactants:ESR / CRP
Prolonged PR interval
1 Required Criteria + 2 Major Criteria + 0 Minor Criteria
1 Required Criteria + 1 Major Criteria + 2 Minor Criteria
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Erythema marginatum
Subcutaneous nodule
Rheumatic Fever
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Osteoporosis
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Osteoporosis
• Frakturpatologis
• Kifosis
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Rheumatoid Arthritis
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Rheumatoid Arthritis
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Treatment RA
Goals of therapy
• Minimizing joint pain and swelling
• Preventing deformity (such as ulnar deviation) and radiographic damage(such as erosions)
• Maintaining quality of life (personal and work)
• Controlling extra-articular manifestations
Therapy
• Disease-modifying antirheumatic drugs (DMARDs) are the mainstay of RAtherapy.
• NSAIDs and corticosteroids (oral, intramuscular, or intra-articular) forcontrolling pain and inflammation only for short-term management.DMARDs are the preferred therapy.
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Paget Disease
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TERIMA KASIH
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Osteoporosis Treatment
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Steroid Ostoporosis
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