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FM Cases > 11 arthritis > Flashcards

11 arthritis Flashcards

1
Q

children knee pain

A

patellar subluxation, tibial pophysitis, patellar tendonitis

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2
Q

adults knee pain

A

patellofemoral syndrome, overuse, traumatic, inflammatory arthropathies

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3
Q

without hx of trauma ____ less likely

A

ligament injuries and meniscal tears

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4
Q

gout often in

A

great toe

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5
Q

ra often in

A

three or more joints, hands and feet

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6
Q

oa often in

A

knees, hips, back

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7
Q

arthrocentesis

A

simple joint effusion = clear, straw colored, osteoarthritis/degenerative meniscal injuries

hemarthrosis with injury

cbc with diff, glucose/protein, cx and sensitivity, polarized light microscopy for crystals

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8
Q

rec prevention 74 yo woman

A

crc (50-75)
screen depression
bp
mammogram (50-74)

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9
Q

immunizations adult

A

tetanus - Td every 10, one time Tdap
pneumonia > 65
flu
zoster over 60

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10
Q

knee exam

A 
observe walk/climb
inspect
palpate
rom
tenderness with rom 
hip exam
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11
Q

lachmans

A

acl (move tibia anterior)

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12
Q

anterior and posterior drawer signs

A

acl and pcl

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13
Q

valgus and varus stress

A

medial and lateral collateral ligaments

push on lateral knee to apply valgus stress

medial knee to apply varus stress

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14
Q

mcmurray

A

medial and lateral mensci

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15
Q

carpal tunnel

A

tinel, phalen

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16
Q

first choice med for knee pain

A

acetaminophen for arthritis

4 g per day max

17
Q

joint injections

A

no more than three per year
long-acting triamcinolone > methylpred
1 ml steroid with 3-4 ml anesthetic

18
Q

other possible meds for knkee pain

A

glucosamine
chondroitin
SAM-e
tramadol

19
Q

chronic pain meds

A

opioids?
TCAs
anticonvulsants

20
Q

top 5 causes knee pain

A 
knee sprain
osteoarthritis
RA
gout
psoriatic arthritis
21
Q

septic arthritis aspiration

A

very opaque

wbc 15K to over 200K

FM Cases (15 decks)

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