13 Flashcards
management steps RA
NSAIDs
DMARDs
Biologics
corticosteroids
how is a type 1 osteochondral lesion defined
cartilage intact
management patella dislocation
- repair medial ligament
- mobilise
- VMO exercises
what does VMO exercises stand for
vastus médiales oblique exercises
management physeal injury
cast immobilise
percutaneous fix
open reduction and internal fixation
epidemiology pauciarticular (<4) JIA type 3
- any childhood age
- FH psoriasis (40%)
classification of JIA with HLA B27 and back involvement
juvenile ankylosing spondylitis
order of medications for JIA
methotrexate
anti-TNF
IL-1 antagonist
IL-6 antagonist
RA - what does and OAS >5.1 indicate
eligibility for biologic therapy
signs of neurogenic shock
hypotension
bradycardia
hypothermia
signs spinal shock
hypotension
flacid paralysis
last several hours/ days
arreflexia
describe Brown-Sequard syndrome
lesion in spinal cord causing hemiparaplegia on one side, and hemianaesthesia on the other
describe anterior cord syndrome
ischaemia of anterior spinal artery, resulting in loss of function of anterior 2/3 of spinal cord
common causes central cord syndrome
older patients with arthritic neck
hyperextension injury
presentation slipped upper femoral epiphysis
- pain hip/ knee
- externally rotated posture and gait
- reduced internal rotation
presentation of bone tumour
dull ache, especially at night
limp
pathological fracture
overproduction causes of uricaemia
malignancy
severe exfoliatiative psoriasis
drugs
HGPRT deficiency e.g.Lesch–Nyhan syndrome
what is chondrocalcinosis
condition in which calcium forms crystals that build up in cartilage of joints
traditional management plantar fasciitis
- rest/ change training
- stretching
- NSAIDs
- physio
- weight loss
- steroid injections (make it worse in the long term)
- night splinting
non-operative management ankle arthritis
- weight loss
- activity modification
- analgesia
- physio
- steroid injections
is cam or pincer femeroacetabular impingement more common in young athletic females
pincer
is cam or pincer femeroacetabular impingement more common in young athletic males
cam
