This episode covers Ch 108 of Rosens (9th Ed.), SLE and the Vasculitides. These conditions can lead to some pretty varied ED presentations, so we need to know when to suspect lupus or vasculitis, and how to manage it.

Episode Overview:

1. What the pathophysiology of lupus
2. List diagnostic criteria for SLE
3. List drugs that induce lupus
4. Describe the clinical manifestations w/ Classic triad & Symptoms and signs by system in lupus
5. List 3 drug regimens to treat SLE
6. How does neonatal lupus present?
7. What is antiphospholipid syndrome? What is the unusual laboratory feature seen with this condition?
8. What is the pathophysiology of vasculitis?
   1. Large vessel vasculitis
   2. Medium vessel vasculitis
   3. Small vessel vasculitis
   4. Hypersensitivity vasculitis
   5. Subcutaneous vasculitis
9. Give examples of:
10. Compare the findings for vasculitis
11. List 5 criteria for dx of temporal arteritis + 2 associated features
12. Describe the features of Behcet's Disease
13. List 10 causes of Erythema Nodosum
14. Compare Buerger's, Serum sickness and Hypersensitivity Vasculitis
15. List the diagnosis Criteria for HSP

WiseCracks

1. What is the differential for SLE patient and Chest pain?
2. Name and identify 2 pathognomonic clinical features for lupus
3. When should Rheum be involved in the ED with a SLE patient?
4. Spot Diagnosis: A 36 year old female stock trader present with what appears to be necrosis of the nose and ears…
5. Spot diagnosis: 13 year old presents with abdo pain, polyarticular arthritis, foaming urine and the following rash…
6. Rounds Pimper: List 10 side effects of chronic steroid use