1 Flashcards

1
Q

presentation osteogenesis imperfecta

A
  • growth deficiency
  • defective tooth formation
  • hearing loss
  • blue sclera
  • scoliosis
  • barrel chest
  • ligamentous laxity
  • hyper mobility
  • easy bruising
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2
Q

presentation osteomalacia

A
  • weak
  • fall over a lot
  • find it difficult to get out of their chair
  • small fracture @ ends of long bones
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3
Q

presentation rickets

A
  • bandy legs when a child starts walking

- soft bone bends

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4
Q

treatment of symptomatic pagets disease

A

IV bisphosphonate therapy

one off zoledronic acid

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5
Q

how do bisphosphonates work

A

absorbed onto hydroxyapatite crystals in bone, slowing both their rate of growth and dissolution, and therefore reducing the rate of bone turnover

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6
Q

management enteropathic arthritis

A
  • sulfasalazine
  • steroids
  • methotrexate
  • anti-TNF
  • bowel resection
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7
Q

acute treatment reactive arthritis

A

NSAIDs
joint injection
antibiotics if chlamydia primary

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8
Q

bacteria most commonly associated with endocarditis

A

staph aureus

strep viridians

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9
Q

what is juvenile idiopathic arthritis

A

group of systemic inflammatory disorders affecting children <16 years

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10
Q

presentation cavovarus foot

A
  • shoe problems
  • clawing of toes
  • ankle instability
  • altered gait
  • stress fractures of lateral metatarsals
  • upward and inward curving of foot
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11
Q

what is tarsal coalitions

A

abnormal connecting bridge between 2 normally separate tarsal bones

fibrous or osseus tissue

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12
Q

if ulnar nerve is not working properly, what will a patient do to compensate

A

use flexor pollicis longs (median) instead of adductor pollicus (ulnar)

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13
Q

presentation ulnar claw hand

A

MCPJ in hyper extension

IPJs in flexion

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14
Q

which nerve(S) supplies elbow joint

A

median, musculocutaneous and radial nerves anteriorly, and the ulnar nerve posteriorly

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15
Q

origin musculocutaneous nerve

A

C5,6,7

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16
Q

presentation Klumpkes palsy

A

affects small muscles of hand causing claw hand

17
Q

presentation:

  • shoulder adducted and internally rotated
  • elbow extended and pronated
  • wrist is flexed
A

Erbs palsy

18
Q

loss of sensation in hand after being in handcuffs

A

radial nerve palsy @ wrist

19
Q

what area of skin does the axillary nerve supply

A

regimental badge areas on lateral arm

20
Q

typical presentation osteoporosis

A
  • vertebral compression fractures
  • kyphosis
  • wrist fractures
21
Q

medications which can cause osteoporosis

A
  • steroids
  • PPI
  • enzyme inducing antiepileptic
  • aromatase inhibitors
  • GnRH inhibitors
  • warfarin
22
Q

GI causes osteoporosis

A
  • coeliac
  • IBD
  • alcoholic cirrhosis
  • chronic pancreatitis
  • whipples disease
  • short gut syndrome
  • ischaemic bowel