PA Boards 57: Sjogren Syndrome
Medgeeks Clinical Review Podcast
Medgeeks
4.7 • 989 Ratings
🗓️ 3 June 2015
⏱️ 7 minutes
🧾️ Download transcript
Summary
Key points:
-Autoimmune disease of unknonw etiology
-Higher incidence of hodgkin lymphoma and oral candidiasis
-Presents with dry eyes, dry mouch, parotid gland enlargment, peripheral neuropathy
-Positive shirmer test and anti ro (SSA) and anti la (SSB) antibodies
-Half with positive RF. Majority with postive ANA
-Treat with artificial tears and lozenges
-Refractory cases treat with pilocarpine or cevimeline
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Transcript
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| 0:00.0 | Welcome to episode 57 of the Physician Assistant boards. |
| 0:04.3 | podcast. Today's topic is going to be on Shogrin syndrome and before we get |
| 0:09.0 | started with today's topic you know I want to once again thank you guys for all of the emails and I want to direct your attention to the website physician assistant boards.com. If you check that out, I cleaned up a lot of what was on the site. There was a lot of clutter, there was a lot of excess, you know, blog posts. So I really kind of cleaned it up, made things a little bit more organized. And if you go over to the exam prep section, I even reformated the entire section for you. |
| 0:36.0 | So it's a lot clearer as far as the introduction to the disease, what tests you're going to |
| 0:41.2 | order, you know, what the treatment is and things like that. |
| 0:44.0 | So it's a lot easier to see. |
| 0:46.0 | This took me an entire day of sitting behind the laptop just to reformat everything. |
| 0:52.0 | So hopefully you guys appreciate that. |
| 0:54.0 | But I really think it's going to help you guys, you know, understand the material a little bit better. |
| 0:58.0 | So yeah, check it out over at physician-assistedboards.com. If you guys have any suggestions if you guys want to see |
| 1:03.5 | anything just shoot me an email over at Andrew at physician assistant boards |
| 1:07.8 | and I'll be more than happy to chat with you and see how we can make the website |
| 1:11.9 | better. |
| 1:12.9 | So let's get into Shogun's Syndrome. |
| 1:15.4 | Now what is Shogun Syndrome? |
| 1:17.2 | Well it's an autoimmune disease and nobody really knows why it happens. |
| 1:21.8 | There are a couple of things that you need to be aware of though as |
| 1:24.4 | far as associations go. And patients with this auto-emute disease have an increased incidence of |
| 1:29.5 | having oral candidiasis and non-Hodgkin lymphoma. So just realize those two associations. |
| 1:36.4 | The patient is going to be presenting with dry characteristics, right? So this is a drying |
| 1:41.2 | syndrome. The Mikosa will be dry. So two things that the boards really want you to know are going to be dry eyes, which is also called karate conjunctibisica, or dry mouth, zerostomia. So these are the two things that you need to look out for. |
| 1:56.1 | Dry eyes and dry mouth. Now patients can also present with fatigue, dental carries and |
... |
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