20 Flashcards
out of hours protocol for open fractures
photograph injury
how to management acute rotator cuff tears
- early surgical repair
presentation of polymyalgia rheumatica
- sudden onset shoulder +/- pelvic girdle stiffness
- malaise
- fever
- weight loss
- depression
- arthralgia
- synovitis
describe Paget disease of bone
impaired bone replacement. osteoclasts destroying bone quicker than osteoblasts can make bone
SUFE investigations
lateral view plain x-rays
what occurs 2-3 weeks after open nerve injury
distal portion of nerve undergoes Wallerian degeneration 2-3 weeks after injury
investigations for lumbar disc prolapse
MRI
haemangioma
benign vascular tissue tumour
common causes antalgic gate
- spinter
- sprained ankle/ foot
- OA
- tendonitis
describe Wegners granunomatosis
necrotising granulomatous inflammation affecting predominantly small to medium vessls
epidemiology pauciarticular JIA type 2
8-9
boys
epidemiology pauciarticular JIA type 3
any age
FH psoriasis
girls
management of type II and III osteochondral lesion
drilling/ fixing
symptoms femeroacetabular lesion
groin pain worse with flexion
block to movement
pain squatting/ lunging
management plantar fibromatosis
- avoid pressure
- excision
- radiotherapy
- combination of above
most common organisms chronic osteomyelitis
staph aureus
ecoli
strep pyogenes
describe extrusion lumbar disc prolapse
nucleus pulposes through annulus fibrosis but in continuity
differential diagnosis acute osteomyelitis
acute septic arthritis acute inflammatory arthritis trauma transient syncvitis haemophilia sickle cell crisis rheumatic fever
what is perthes disease
blood supply to HOF is temporarily disrupted, causing avascular necrosis
define osteogenesis imperfecta type III
progressive deformity with severe bone dysplasia and poor growth
sclera blue/ grey
antenatal fractures in many
rheumatic causes osteoporosis
- RA
- ankylosing spondylitis
- polymyalgia rheumatica
describe lumbar disc prolapse
annulus fibrosis tears, nucleus pulposes prolapses
