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RHEUMATOLOGI

BIMBEL UKDI MANTAP


OSTEOARTHRITIS
Diagnosis OA
OA Kriteria
KNEE Usia >50 thn
Kaku <30 min
Krepitasi + osteofit

HAND > 2 sendi tangan


> 2 sendi DIP, bengkak pada < 3 MCP
Deformitas

HIP LED <20 mm/jam


Osteofit + pada femur/acetabulum (Ro)
Penyempitan celah sendi (Ro)
Hand OA
SLE
SLE
1. Mukokutan
(4)

2. Sendi
3. Serosa
4. Renal
5. Neuro
6. Hemato

7. Marker
- Anti DNA, LE cell,
Anti Sm
- ANA
Monoarthritis

Monoarthritis

Crystal Septic

Gout Pseudogout
monosodium calcium
urate pyrophosphate
Monoarthritis?
Gout Arthritis
Tophus
Colchicine Allopurinol Allopurinol
NSAIDs Colchicine Uricosuric
Corticosteroid Probenecid
(uricosuric)
Rheumatic Fever (Jones Criteria)
Required Major Criteria
Minor Criteria
Criteria (CaPoCES)
Carditis Fever

Polyarthritis migratory Arthralgia


Evidence of
antecedent Strep
infection: ASO / Strep Chorea Previous RF or RHD
antibodies / Strep
group A throat culture Acute phase reactants:
Erythema marginatum
ESR / CRP

Subcutaneous Nodules Prolonged PR interval

1 Required Criteria + 2 Major Criteria + 0 Minor Criteria


1 Required Criteria + 1 Major Criteria + 2 Minor Criteria
Rheumatic Fever

Subcutaneous nodule

Erythema marginatum
Osteoporosis
Osteoporosis

• Fraktur
patologis
• Kifosis
Rheumatoid Arthritis
Rheumatoid Arthritis
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 RA
therapy.
• NSAIDs and corticosteroids (oral, intramuscular, or intra-articular) for
controlling pain and inflammation  only for short-term management.
DMARDs are the preferred therapy.
Paget Disease
TERIMA KASIH

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