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Introduction to Rheumatology
United States
Приєднався 29 чер 2022
This is a series of lectures that were given to sophomore medical students about rheumatology disease including arthritis, lupus, autoimmune disease, fibromyalgia, etc. The diseases, approach to diagnosis and treatments are discussed.
15 Scleroderma (Systemic Sclerosis)
This is an updated lecture that was originally given to Sophomore Medical students that discusses Scleroderma (Systemic Sclerosis).
The Lecture Notes and Bibliography are at: drive.google.com/file/d/1OHnEdKC4Y_sUMA47Fv9gG6WO1Lc1V5t3/view?usp=sharing
The Lecture Notes and Bibliography are at: drive.google.com/file/d/1OHnEdKC4Y_sUMA47Fv9gG6WO1Lc1V5t3/view?usp=sharing
Переглядів: 39
Відео
14 Inflammatory Myopathy: Dermatomyositis, Polymyositis, Inclusion Body Myositis, and others
Переглядів 9587 місяців тому
Lecture on inflammatory myopathies (Myositis) including immune mediated necrotizing myopathy, antisynthetase syndrome, overlap syndromes. Lecture Notes: drive.google.com/file/d/1A3_8FtFeD6WuAkk9v8akh7IPmcOBp6DI/view?usp=sharing EULAR/ACR Classification Calculator: www.imm.ki.se/biostatistics/calculators/iim/ These lectures were originally written for sophomore medical students but this is now a...
13 Polymyalgia Rheumatica (PMR)
Переглядів 4,2 тис.Рік тому
This talk discussed Polymyalgia Rheumatica also known as PMR. This is a very common condition that doesn't get a lot of attention but can severely affect one's ability to function. Some people think that they are "just old" when they have an inflammatory condition that is easily treated. Reference List for the Talk: drive.google.com/file/d/1hqBeVrgLvzdl1pVWpuZEgVlAO9j1Wh2N/view?usp=drive_link
12 Approach to Monoarthritis: Joint Aspiration
Переглядів 332Рік тому
This is a lecture that was initially intended for Sophomore Medical Students about the approach to acute inflammatory monoarthritis. Basically joint aspiration (drainage) and analysis of synovial fluid. The New England Journal of Medicine has a nice demonstration of joint aspiration at: ua-cam.com/video/fZ2dcZhoGP8/v-deo.html
11 Septic (Infectious) Arthritis
Переглядів 1,7 тис.Рік тому
This video discusses the medical emergency of an infection in a joint. This is called Septic Arthritis. This lecture was originally given to Sophomore Medical Students. References: drive.google.com/file/d/1Gr3MJgyRe3FZQjDqqH_Y9oweMSp2J61H/view?usp=drive_link
10 Calcium Pyrophosphate Deposition Disease (Pseudogout)
Переглядів 4,3 тис.Рік тому
This is a sophomore medical Student discussion about Calcium pyrophosphate deposition disease (CPPD) / Pseudogout. Reference List: drive.google.com/file/d/1ty0TT_GHmsoWem5e_D2xfnkdNCnxlC7c/view?usp=share_link
9 Gout
Переглядів 2862 роки тому
This is lecture originally written for sophomore medical students discussing gout. There is emphasis on treatment. Gout generally is easy to treat. Reference List: drive.google.com/file/d/1oBSkAyLqCQbjm-wzVOPlrxHzq289Yxrr/view?usp=share_link
8 Psoriatic Arthritis
Переглядів 1,3 тис.2 роки тому
This is a continuing lecture in the series of rheumatology videos targeted at sophomore medical students. In this lecture I complete the discussion of psoriatic arthropathies with a presentation on psoriatic arthritis. The literature references are at: drive.google.com/file/d/1llgKxvX_b9Dkj7e1q76iIB8Sf9WMSf2B/view?usp=sharing
7 Spondyloarthropathy: Ankylosing Spondylitis & Reactive Arthritis
Переглядів 2792 роки тому
This is a sophomore medical student lectures that discusses the seronegative spondyloarthropathies ankylosing spondylitis and reactive arthritis (Reiter's Syndrome). The Reference list is at: drive.google.com/file/d/1llgKxvX_b9Dkj7e1q76iIB8Sf9WMSf2B/view?usp=sharing
6 Fibromyalgia
Переглядів 1072 роки тому
Fibromyalgia is discussed including what is believed to be happening in the body, its diagnosis and treatment. The reference list is at drive.google.com/file/d/1WPyi7li9qQQgHtnsV7wS-ppa3-fbGZQd/view?usp=sharing
5 Osteoarthritis
Переглядів 1352 роки тому
This video discusses how osteoarthritis affects the body, how it is diagnosed, and treatment issues. The reference list is: drive.google.com/file/d/1D6AV12pMTv0-vY8x_xX1KSk_alpY23ej/view?usp=sharing
4 Systemic Lupus Erythematosus (Lupus)
Переглядів 1332 роки тому
In this video I discuss systemic lupus, how it affects the body, and diagnosis. Treatment is briefly discussed. The reference list: drive.google.com/file/d/1pEvVFAZz1_XDjSojJUVUXxbxOm_gFHrg/view?usp=sharing
3 Rheumatoid Arthritis Treatment
Переглядів 2342 роки тому
This is a continuation of the Rheumatoid Arthritis Talk, where I discuss treatment of Rheumatoid Arthritis in Detail. The reference list is the same as the other talk on rheumatoid arthritis which is: drive.google.com/file/d/1oQPy_QwiwxDTu-mrTE8miidSIdLWuSOA/view?usp=sharing
2 Rheumatoid Arthritis Description and Diagnosis
Переглядів 3622 роки тому
In this video I discuss rheumatoid arthritis, how it affects the body and how it is diagnosed. Treatment is not discussed and presented in the next video. My Reference List for this talk: drive.google.com/file/d/1oQPy_QwiwxDTu-mrTE8miidSIdLWuSOA/view?usp=sharing
1 Introduction: Approach to Rheumatology
Переглядів 8452 роки тому
This is the first in a series of talks about the field of rheumatology and diseases that the rheumatologist treats. In this I discuss the anatomy of the joint and how the rheumatologist begins to approach diseases such as arthritis and autoimmune disease.
Thanks a lot for such amazing approach of flexible data about AS , but I have a question about incidence of prostatitis and uveitis, because I have read that the most common extra articular feature of AS is uveitis, but in the video prostatitis is common than uveitis , so can you, doctor Lockwood helping me with such a data ?
I have some confusion about the tapering process. As you are decreasing the amount of prednisone, what is the PMR doing? Is the point of all this to lower the inflammation and that will lower the effectiveness or intensity of pmr?
I'm not a doctor... The taper is to see if your system is recovering and able to supply its own cortisol. As you slowly reduce the amount of prednisone, you are testing whether you are ready to taper, and coaxing your system to start producing on its own. The PMR is doing what it is doing. You taper to know when it is ending.
@topbuilder3790 thanks for responding. I'm not a doctor either, but if you're tapering down the amount of medicine that controls the inflammation pain, doesn't that mean that the PMR is also slowly going into remission even if it might take months or years? I just don't get the correlation
@@Richie07a1 The longer term goal, is to be on the least amount of Prednisone that controls the PMR for the shortest duration. So, for me, after a couple months of 40mg/day (2x20) I started a taper to find out what my body actually needed. Fast forward 3 months, my limit is 10x2mg /day. Life is much better at the level where you hardly know you are taking it! I have tried to go lower twice. Did not go well. So, post holiday events and family staying with us, I will try going down 1/2 mg at a time. Yes, I believe as you are able to go lower this is in concert with your body producing it's own cortisol and PMR going into remission. My uncle had PMR for two years before he was able to get off the Prednisone completely. I have been warned of the possibility that some people end up on a maintenance dose for life.
Hi everyone, please be in mind previously OA traumatic spine and joints will significantly deteriorate with flares. Contact me for alternative treatments. Take care and I might produce a video soon.
Thank you very much!
Thank you for this talk on PMR. I am taking prednisone - second time around and tapering 1mg per month down to zero. I am intrigued by your comment on tapering every two months below 5mg and will ask my doctor about that.
Clear explanation Thank you Doc.
I wish, sir you would educate the doctors out there, sadly so many people are not diagnosed and left to fend for themselves. Sadly, I had to get prednisone from Mexico on my trips. There are other countries in order to treat myself.
Sadly. So many doctors don’t know or are not aware to look at these symptoms.. I would tell them I went from 48 to 90 and some mornings I was in such pain.. morning gs were awful.. day it would be better, but after sitting for a while it was painful and not easy.. thank god by coincidence my foot doctor gave me prednisone pack and first two pills helped
Thank you Dr,
Thanks
Very educational material, much appreciated!🫡😎👍
Thanks
Thanks
Thank you so much from Iraq ♥️♥️♥️♥️
شلونه شرحه؟
Thanks
Thanks
Thank you for this information. I live with PMR and this helps me to understand the disease. My Rheumatologist is putting me on Kevzara to get me off of a long term treatment with prednisone.
If you think prednisone side affects are bad make sure you read Kevzaras!🙏
Would the xray have to be taken when you have the flare up? Or can it be taken anytime and it would show the crystals.
Constitutional symptoms such as fever have been reported and The vigorous inflammation attacks that occur can last weeks to months whereas in go it is typically days to weeks flares can be poly articular as in OA could look just like RA on some occasions especially when affecting the flanges of the hand and wrist x-ray of neck or CT can show calcium deposit can look much like angina severe damage can look like charcoal joints asymptomatic Condro calcinosis discovered incidentally OA found in unusual places should raise suspicion the diagnostic criteria aren't clear but typically one of two is probable and two of two is definitive the two be in observable signs on x-ray as well as tangible evidence from fluid draw in a joint upon positron light spectrum aspirate the deposited crystals from the synovial fluid polarize light microscopy x-ray evidence of Condro calcinosis not as easy to control acute episodes as is gout medication's used for RA such as hydrochloric Quinn rheumatoid like picture
Muy buena explicación
Thank you for the presentations! this is incredible
excellent teaching, thank you
Excellent presentation! Would you be open to questions?
Thank you! Great presentation. Are you open to questions?
I'm a CPPD patient not a medical student, but this video was very helpful in understanding my situation. I'm definitely in the acute category with CPPD symptoms in my shoulders, wrists, fingers and right foot. Until I viewed this video, I thought my foot might be a separate issue, but the CPPD symptoms occur there too. I believe I now have some fresh information to take back to my rheumatologist for discussion when we next meet. Thanks very much!
I took have been diagnosed with a severe case. I have it in most of my joints. Including my neck. Very Painful during a flairs ups .
This is very well described in the book "What Your Doctor May Not Tell You About Fibromyalgia" by St.Amand and Marek, 1999. It is caused by inability to excrete phosphate by the kidney leading to buildup and accumulation. Treated with guaifenesin to open up the tubules. Worked for me.