Connective tissue disorders

[CUBuffsgrad98]

How does everyone feel about treating a patient with Raynauds in hands and feet, controlled medically with nifedipine? No clear dz of a connective tissue disease, but not sure he has been treated by other than anyone but primary with medication only (no true work up). Any increased risk, esp in a post op setting? (a generic question, not disease specific).

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[medgator]

How does everyone feel about treating a patient with Raynauds in hands and feet, controlled medically with nifedipine? No clear dz of a connective tissue disease, but not sure he has been treated by other than anyone but primary with medication only (no true work up). Any increased risk, esp in a post op setting? (a generic question, not disease specific).

In some ways though, it probably is disease specific, not generic. I'd be more nervous treating someone's lung/med vs skin

 

[CUBuffsgrad98]

In otherwords, do you feel Raynauds (not in relation to something like SLE, but on its own as a symptom), significantly increases the risk of severe ADRS as opposed to no Raynauds?

 

[Gfunk6]

If it is isolated Raynaud's and not a symptoms of something more systemic (like C.R.E.S.T.) then I would feel comfortable treating.

Assuming you are not talking about treating an extremity sarcoma . . .

 

[SloanePeterson]

Something like 95-98% of raynauds is primary with no underlying disease. Even if they're on meds, you're probably fine

 

[SloanePeterson]

*75% according to Cleveland clinic

 

[CUBuffsgrad98]

75% leave a lot of wiggle room for underlying disease.