Summary of Raynaud's disease
Flashcards on Raynaud's disease
Raynaud's phenomenon is treated with the drug class .
Questions on Raynaud's disease
A 67-year-old Caucasian woman comes to the office for a routine medical examination. Her medical history is relevant for major depressive disorder, esophageal dysmotility, and severe hypertension. She currently takes lisinopril and escitalopram. Upon medical interrogation, the patient complains that whenever she washes the dishes with cold water, her fingers turn white and become very painful. Her physical examination shows a puffy face without wrinkles, and fingertip pitting in her hands. Her temperature is 36.5°C (97.6°F), pulse is 64/min, respirations are 17/min, blood pressure is 110/70 mmHg. Laboratory studies show positive anticentromere antibodies, U3-RNP antibodies, and anti-RNA polymerase antibodies, and negative anti-Scl 70 and P-ANCA. Which of the following is the most appropriate initial treatment for this patient's major complaint?