Phys Written Answers · rheumatological
Crystal Arthropathies — Written Clinical Reasoning
DCE-style written reasoning for Crystal Arthropathies.
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Study tools
Target exams
FRACP DCEMRCP Part 2
Prompt
DCE-style written reasoning for Crystal Arthropathies.
SAQ 1 — Integrated plan (12 marks)
Prompt: Provide a prioritised problem list and management sequence for this presentation. [1] [2]
Model Answer
1. Frame and red flags (3 marks) [1]
State the working diagnosis/syndrome, acuity, and what would force emergency treatment now. [1] [2]
2. Discriminating assessment (3 marks) [2]
List the key history, examination and investigations that separate dangerous differentials from benign mimics. [1] [2]
3. Treatment sequence (4 marks) [1] [3]
Immediate stabilisation, disease-specific therapy, monitoring, and complications prevention. [1] [2] [3]
4. Follow-up and communication (2 marks) [2]
Disposition, safety-net advice, and who owns follow-up. [1] [2]
References3ShowHide
- [1]Vargas-Santos AB, Taylor WJ, Neogi T Gout Classification Criteria: Update and Implications Current rheumatology reports, 2016.PMID 27342957
- [2]Richette P, Doherty M, Pascual E et al. 2016 updated EULAR evidence-based recommendations for the management of gout Annals of the rheumatic diseases, 2017.PMID 27457514
- [3]Abhishek A, Tedeschi SK, Pascart T et al. The 2023 ACR/EULAR Classification Criteria for Calcium Pyrophosphate Deposition Disease Arthritis & rheumatology (Hoboken, N.J.), 2023.PMID 37494275