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Air clinic KKU 1
Take home massage for undergraduate (AIR clinic)1. patient-doctor relationship outcome
2. communication skill
3. autoimmune diseases RA
SLE morbidity disability 4. autoimmune disease RA 2
(1) anti-inflammatory drugs NSAIDs / corticosteroid ( 7.5 mg RA) disability RA
(2) DMARD(s) disability RA MTX antimalarial sulfasalazine MTX MTX +chloroquin + sulfasalazine antimalarial DMARD . MTX sulfasalazine RA .
NSAID (steroid) + DMARD
NSAID (steroid)
/ NSAID (steroid) + maintain DMARD ( SE)
NSAID (steroid)
remission DMARDs
DMARDs
Air clinic KKU 2
5. RA ? +
/ + ESR
mechanical pain inflammatory pain
mechanical pain reassure, , , simple analgesic
inflammatory pain anti-inflammatory drugs, DMARD (RA)
6. RA
7. SLE . NSAID anti-malarial NSAID maintain
anti-malarial drug photosensitivity, DLE topical steroid + sun screen (SPF>30) + anti-malarial
maintain sun screen + anti-malarial drug 6-12 anti-malarial drug major organ involvement lupus nephritis
combination steroid + immunosuppressive steroid 8. Rx of RA = MTX, Rx of SLE = anti-malarial drug 9. RA SLE prednisolone 1-2 tab(
Air clinic KKU 3
12. (1) RA early late RA(2) NSAIDs 6 (3) SLE major organ involvement(4) (5) ____________________________________
13. approach gout, acuterheumatic arthritis NSAIDs
14. ! RA HBV, HCV HIV infection
15. hyperuricemia gout allopurinol uric acid level < 5.5 mg %
16. gout BP DM, cholesterol, lipid, UA Cr serum uric acid
17. OA knee quadriceps strengthening exercise
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