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Carpal Tunnel Syndrome – TN2013

Definition Median nerve compression at level of flexor retinuculum Etiology Primary cause: idiopathic Secondary causes: Space occupying lesions: tumors, hypertrophic synovial tissue, fracture callus, osteophytes Metabolic / physiological: pregnancy, hypothyroidism, acromegaly, RA Infections Neuropathies: associated with DM or EtOH Familial

Posted in 55 Joint Disorder, 99 Priority Topics, FM 99 priority topics, msk

Gout – ACR 2012 Guideline Part 2

Summary: Acute gouty Tx should be initiated within 24hr of onset Established urate-lowering Tx should be continued during an acute attack 1st line: NSAIDS, corticosteroids, or coral colchicine (combination for severe or refractory attacks) Anti-inflammatory prophylaxis for all gout pt

Posted in 55 Joint Disorder, 99 Priority Topics, FM 99 priority topics, Rheum

Gout – ACR 2012 guideline Part 1

Gout carries a risk of long-term morbidity and impaired quality of life. Risk factors for gout Male > FemaleĀ (7x) Age (7% >65yo men, 3% >85 women) hyperuricemia – consider the reasons and possible measures to alleviate it Chronic kidney failure,

Posted in 55 Joint Disorder, 99 Priority Topics, FM 99 priority topics, Rheum
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