Podcast - Reumatologia

Episódio 175: Síndrome Anticorpo Antifosfolípideo - Como diagnosticar?

🎁 Os melhores descontos do ano! Clique no link e confira as promoções de BLACKFRIDAY do TdC!🔸 Guia TdC anual por 299 reais!🔸 Curso de pronto-atendimento 40%OFF🔸 Curso de antibióticos 40% OFFCompre pelo link: https://www.tadeclinicagem.com.br/blackfriday/Lucca Cirillo e Pedro Magno trazem um episódio bolus pra responder essa pergunta: como diagnosticar síndrome anticorpo antifosfolípideo? Manifestações clínicas, quais exames pedir, principais apresentações, tudo aqui nesse episódio.  🚨 www.tadeclinicagem.com.br/guia - Conheça o Guia TdC com 7 dias grátis 🚨 🔴 Junte-se aos mais de 2.000 assinantes. Assine o Guia, ganhe tempo e atualize-se sem esforço. 🟠 Um serviço de revisão e atualização continuados em clínica médica. A informação que você precisa, do jeito que você prefere. 📚 Confira agora mesmo a edição aberta do Guia TdC sobre a nova diretriz de Insuficiência Cardíaca (IC) da American Heart Association (AHA): https://www.tadeclinicagem.com.br/guia/2/diretriz-de-insuficiencia-cardiaca-aha-2022/. Referências: - Tektonidou MG, Andreoli L, Limper M, Amoura Z, Cervera R, Costedoat-Chalumeau N, Cuadrado MJ, Dörner T, Ferrer-Oliveras R, Hambly K, Khamashta MA, King J, Marchiori F, Meroni PL, Mosca M, Pengo V, Raio L, Ruiz-Irastorza G, Shoenfeld Y, Stojanovich L, Svenungsson E, Wahl D, Tincani A, Ward MM. EULAR recommendations for the management of antiphospholipid syndrome in adults. Ann Rheum Dis. 2019 Oct;78(10):1296-1304. doi: 10.1136/annrheumdis-2019-215213. Epub 2019 May 15. PMID: 31092409. - Limper M, de Leeuw K, Lely AT, Westerink J, Teng YKO, Eikenboom J, Otter S, Jansen AJG, V D Ree M, Spierings J, Kruyt ND, van der Molen R, Middeldorp S, Leebeek FWG, Bijl M, Urbanus RT. Diagnosing and treating antiphospholipid syndrome: a consensus paper. Neth J Med. 2019 Apr;77(3):98-108. PMID: 31012427. - West, Sterling G Rheumatology Secrets, 4th Edition - october 13, 2019 - Garcia D, Erkan D. Diagnosis and Management of the Antiphospholipid Syndrome. N Engl J Med 2018; 378:2010. - Doruk Erkan, MD, MPHThomas L Ortel, MD, PhD in: Diagnosis of antiphospholipid syndrome, UpToDate, Waltham, MA, Acessado em 12/22;

Episódio 168: Diagnóstico de Lúpus feat. Dr. Edgard Reis

🎁 Os melhores descontos do ano! Clique no link e confira as promoções de BLACKFRIDAY do TdC!🔸 Guia TdC anual por 299 reais!🔸 Curso de pronto-atendimento 40%OFF🔸 Curso de antibióticos 40% OFFCompre pelo link: https://www.tadeclinicagem.com.br/blackfriday/🚨 www.tadeclinicagem.com.br/guia - Conheça o Guia TdC com 7 dias grátis 🚨 🔴 Junte-se aos mais de 2.000 assinantes. Assine o Guia, ganhe tempo e atualize-se sem esforço. 🟠 Um serviço de revisão e atualização continuados em clínica médica. A informação que você precisa, do jeito que você prefere. 📚 Confira agora mesmo a edição aberta do Guia TdC sobre a nova diretriz de Insuficiência Cardíaca (IC) da American Heart Association (AHA): https://www.tadeclinicagem.com.br/guia/2/diretriz-de-insuficiencia-cardiaca-aha-2022/. Luisa, Fred e Dr. Edgard Torres discutem sobre o diagnóstico de lúpus eritematoso sistêmico usando 3 casos clínicos.  Referências em breve.

Episódio 144: Osteoartrite

🎁 Os melhores descontos do ano! Clique no link e confira as promoções de BLACKFRIDAY do TdC!🔸 Guia TdC anual por 299 reais!🔸 Curso de pronto-atendimento 40%OFF🔸 Curso de antibióticos 40% OFFCompre pelo link: https://www.tadeclinicagem.com.br/blackfriday/Confira o Resumo Visual de Osteoartrite: https://youtu.be/Oj1_CxEqVsE. Assine o Guia TdC - ganhe tempo e atualize-se sem esforço. www.tadeclinicagem.com.br/guia Rapha e Marcela convidam Lucca Cirillo para falar sobre osteoartrite. O episódio aborda três blocos:  1. Como suspeitar e como diagnosticar? 2. Quando pensar em diagnósticos diferenciais? 3. Como tratar? Referências: 1. WANG, Qiuke et al. Effect of Intramuscular vs Intra-articular Glucocorticoid Injection on Pain Among Adults With Knee Osteoarthritis: The KIS Randomized Clinical Trial. JAMA network open, v. 5, n. 4, p. e224852-e224852, 2022. 2. KOLASINSKI, Sharon L. et al. 2019 American College of Rheumatology/Arthritis Foundation guideline for the management of osteoarthritis of the hand, hip, and knee. Arthritis & Rheumatology, v. 72, n. 2, p. 220-233, 2020. 3. Uptodate 2022. Overview of the management of osteoarthritis. Leticia Alle Deveza, David Hunter, Monica Ramirez Curtis 4. Uptodate 2022. Overview of surgical therapy of knee and hip osteoarthritis. Lisa A Mandl, Gregory M Martin, David Hunter, Monica Ramirez Curtis 5. O'CONNOR, Denise et al. Arthroscopic surgery for degenerative knee disease (osteoarthritis including degenerative meniscal tears). Cochrane Database of Systematic Reviews, n. 3, 2022. 6. Uptodate 2022. Pathogenesis of osteoarthritis. Richard F Loeser, David Hunter, Monica Ramirez Curtis 7. BROPHY, Robert H.; FILLINGHAM, Yale A. AAOS Clinical Practice Guideline Summary: Management of Osteoarthritis of the Knee (Nonarthroplasty). Journal of the American Academy of Orthopaedic Surgeons, v. 30, n. 9, p. e721-e729, 2022. 8. Uptodate 2022. Management of knee osteoarthritis. Leticia Alle Deveza, Kim Bennell, David Hunter, Monica Ramirez Curtis 9. O'CONNOR, Denise et al. Arthroscopic surgery for degenerative knee disease (osteoarthritis including degenerative meniscal tears). Cochrane Database of Systematic Reviews, n. 3, 2022. 10. da Costa BR et al, Effectiveness and safety of non-steroidal anti-inflammatory drugs and opioid treatment for knee and hip osteoarthritis: network meta-analysis. BMJ. 2021 Oct 12;375:n2321. doi: 10.1136/bmj.n2321 11. Derry S, Moore RA, Rabbie R. Topical NSAIDs for chronic musculoskeletal pain in adults. Cochrane Database Syst Rev. 2012 Sep 12;9(9):. 2016 12. Wernecke C, Braun HJ, Dragoo JL. The Effect of Intra-articular Corticosteroids on Articular Cartilage: A Systematic Review. Orthop J Sports Med. 2015 Apr. 14. Paskins Z, Bromley K, Lewis M, Hughes G, Hughes E, Hennings S et al. Clinical effectiveness of one ultrasound guided intra-articular corticosteroid and local anaesthetic injection in addition to advice and education for hip osteoarthritis (HIT trial): single blind, parallel group, three arm, randomised controlled trial BMJ 2022; 15. Wandel S et Al Effects of glucosamine, chondroitin, or placebo in patients with osteoarthritis of hip or knee: network meta-analysis. BMJ. 2010 16. van den Driest et al (2022), No Added Value of Duloxetine in Patients With Chronic Pain due to Hip or Knee Osteoarthritis: A Cluster-Randomized Trial. Arthritis Rheumatol 17. Liu X, Machado GC, Eyles JP, et al. Dietary supplements for treating osteoarthritis: a systematic review and meta-analysis. British Journal of Sports Medicine 2018;52:167-175. 18. Gallagher B et al l Chondroprotection and the Prevention of Osteoarthritis Progression of the Knee: A Systematic Review of Treatment Agents. The American Journal of Sports Medicine. 19. Ferreira GE, McLachlan AJ, Lin CC, Zadro JR, Abdel-Shaheed C, O'Keeffe M, Maher CG. Efficacy and safety of antidepressants for the treatment of back pain and osteoarthritis: systematic review and meta-analysis. BMJ. 2021 Jan 20 20. Zhang W et al, EULAR Standing Committee for International Clinical Studies Including Therapeutics (ESCISIT). EULAR evidence based recommendations for the management of hip osteoarthritis: report of a task force of the EULAR Standing Committee for International Clinical Studies Includin

Episódio 127: Gota - 7 armadilhas!

🎁 Os melhores descontos do ano! Clique no link e confira as promoções de BLACKFRIDAY do TdC!🔸 Guia TdC anual por 299 reais!🔸 Curso de pronto-atendimento 40%OFF🔸 Curso de antibióticos 40% OFFCompre pelo link: https://www.tadeclinicagem.com.br/blackfriday/🚨 www.tadeclinicagem.com.br/guia - Conheça o Guia TdC com 7 dias grátis 🚨 🔴 Junte-se aos mais de 1.000 assinantes. Assine o Guia, ganhe tempo e atualize-se sem esforço. Marcela, Pedro e Fred discutem 7 armadilhas sobre a crise de gota. Pode usar alopurinol na crise? Precisa puncionar toda monoartrite? Colchicina, AINEs ou corticoide, qual é o melhor?  Referências:  Richette P, Doherty M, Pascual E, et al. 2016 updated EULAR evidence-based recommendations for the management of gout. Ann Rheum Dis 2016. Hill EM, et al. Does Starting Allopurinol Prolong Acute Treated Gout? A Randomized Clinical Trial. JCR - Journal of Clinical Rheumatology Apr 2015. Vol21 Issue 3. Taylor TH. Initiation of Allopurinol at First Medical Contact for Acute Attacks of Gout: A Randomized Clinical Trial. The American Journal of Medicine. Vol 125, Issue 11. Nov 2012.  Xin Feng, Yao Li, Wei Gao. Significance of the initiation time of urate-lowering therapy in gout patients: A retrospective research. Joint Bone Spine Volume 82, Issue 6, December 2015.  Park Y, Park Y, Lee S, et al. Clinical analysis of gouty patients with normouricaemia at diagnosisAnnals of the Rheumatic Diseases 2003;62:90-92.  LOGAN JA, MORRISON E, McGILL PE. Serum uric acid in acute goutAnnals of the Rheumatic Diseases 1997;56:696-697.  FitzGerald, J. D., Dalbeth, N., Mikuls, T., Brignardello‐Petersen, R., Guyatt, G., Abeles, A. M., ... & Neogi, T. (2020). 2020 American College of Rheumatology guideline for the management of gout. Arthritis care & research, 72(6), 744-760. Ragab, Gaafar, Mohsen Elshahaly, and Thomas Bardin. "Gout: An old disease in new perspective–A review." Journal of advanced research 8.5 (2017): 495-511. Janssens, H. J., Janssen, M., Van de Lisdonk, E. H., van Riel, P. L., & van Weel, C. (2008). Use of oral prednisolone or naproxen for the treatment of gout arthritis: a double-blind, randomised equivalence trial. The Lancet, 371(9627), 1854-1860. Parperis, K. (2021). Open-label randomised pragmatic trial (CONTACT) comparing naproxen and low-dose colchicine for the treatment of gout flares in primary care. Annals of the Rheumatic Diseases, 80(12), e202-e202. Barthélémy, I., Karanas, Y., Sannajust, J. P., Emering, C., & Mondié, J. M. (2001). Gout of the temporomandibular joint: pitfalls in diagnosis. Journal of Cranio-Maxillofacial Surgery, 29(5), 307-310. Terkeltaub, R. A., Furst, D. E., Bennett, K., Kook, K. A., Crockett, R. S., & Davis, M. W. (2010). High versus low dosing of oral colchicine for early acute gout flare: twenty‐four–hour outcome of the first multicenter, randomized, double‐blind, placebo‐controlled, parallel‐group, dose‐comparison colchicine study. Arthritis & Rheumatism, 62(4), 1060-1068. Lumezanu, E., Konatalapalli, R., & Weinstein, A. (2012). Axial (spinal) gout. Current rheumatology reports, 14(2), 161-164. Kienhorst, Laura BE, et al. "The validation of a diagnostic rule for gout without joint fluid analysis: a prospective study." Rheumatology 54.4 (2015): 609-614. Clebak, Karl T., Ashley Morrison, and Jason R. Croad. "Gout: Rapid evidence review." American family physician 102.9 (2020): 533-538. Robin, F., et al. "External validation of Gout-calculator performance on a cohort of acute arthritis (SYNOLACTATE) sparing distal joints such as hallux and midfoot. A cross-sectional study of 170 patients." Clinical Rheumatology 40.5 (2021): 1983-1988. Ma, Lingling, Ann Cranney, and Jayna M. Holroyd-Leduc. "Acute monoarthritis: what is the cause of my patient's painful swollen joint?." Cmaj 180.1 (2009): 59-65. Yu, K. H., et al. "Concomitant septic and gouty arthritis—an analysis of 30 cases." Rheumatology 42.9 (2003): 1062-1066. NBR 6023Janssens, Hein JEM, et al. "A diagnostic rule for acute gouty arthritis in primary care without joint fluid analysis.Archives of Internal Medicine170.13 (2010): 1120-1126