- PACES station 1 abdomen
- PACES station 1 respiratory
- PACES station 2 history taking skills
- PACES station 3 cardiovascular
- PACES station 3 neurology
- PACES station 4 communication skill and ethics
- PACES station 5 (new station 5)
- PACES station 5 endocrinology
- PACES station 5 Fundus
- PACES station 5 rheumatology
- PACES station 5 skin
- record of PACES experience
Wednesday, 18 February 2009
about ankylosing spondylitis
chronic inflammatory disorder of the axial skeleton.
strong genetic predisposition associated with HLA B27.
incidious nature,characerized by:
inflammation of entheses,
formation of syndesmophytes.
traditional treatment begins with physiotherapy,regular use of NSAID's,local corticosteroids injections and sometimes sulphsalazine.
surgery has a place in manaement including fusion procedures or wedge lumber osteotomy.
TNF inhibitors has revolutionized the management of AS.
three drugs are currently available:
etanercept,infleximab and adalimumab.
treatment with TNF inhibitors should be considered for patients with persistantly high disease activity despite conventional tratments.
Question:AS is easy to spot in the exam.what are the steps of examination to score 4/4? what question you might want to ask the patient?
Labels: PACES station 5 rheumatology