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MSK > Buzzwords > Flashcards

Buzzwords Flashcards

1
Q

Morning stiffness

A

RA or polymyalgia rheumatica

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2
Q

Pencil-in-cup

A

Psoriatic arthritis

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3
Q

DIP joint arthritis

A

Psoriatic arthrtis or OA (RA does NOT affect DIP joints)

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4
Q

Soft, boggy joints

A

RA (OA causes hard, bony joints)

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5
Q

Evening joint stiffness

A

OA

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6
Q

Sausage finger

A

Psoriatic arthritis

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7
Q

Dactylitis

A

(“Sausage finger”) - Psoriatic arthritis

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8
Q

Arthritis + genital involvement

A

Reactive arthritis/Reiter syndrome

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9
Q

Monosodium urate in joint aspirate

A

Gout

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10
Q

Negative bifringent, needle-shaped crystals

A

Gout

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11
Q

Calcium pyrophosphate crystals

A

Pseudogout

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12
Q

Positive bifringent, rhomboid crystals

A

Pseudogout

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13
Q

Fine calcium depositions

A

Pseudogout

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14
Q

Mouse bite lesions on XR

A

Gout

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15
Q

Punched out erosions on XR

A

Gout

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16
Q

Microaneurysms + arthralgia/myalgia

A

Polyarteritis nodosa

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17
Q

Hep B + arthralgia/myalgia

A

Polyarteritis nodosa

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18
Q

Livedo reticularis + arthralgia/myalgia

A

Polyarteritis nodosa

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19
Q

Proximal muscle weakness

A

Polymyositis
Dermatomyositis
Polymylgia rheumatica

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20
Q

Proximal muscle weakness + normal muscle enzymes

A

Polymyalgia rheumatica

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21
Q

Heliotrope rash

A

Dermatomyositis

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22
Q

Grotton’s nodules

A

Dermatomyositis

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23
Q

Shawl sign

A

Dermatomyositis

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24
Q

Malar rash

A

Lupus; dermatomyositis

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25
Q

Dry eyes

A

Sjogren’s syndrome

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26
Q

Thick, shiny skin

A

Scleroderma

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27
Q

Severe reflux + Raynaud’s

A

Scleroderma

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28
Q

Hooked acromion

A

Impingement syndrome

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29
Q

Popeye sign

A

Rupture of proximal biceps tendon

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30
Q

Decreased passive ROM in upper extremity

A

Adhesive capsulitis; possibly rotator cuff tear

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31
Q

Tenting of skin

A

Immediate referral

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32
Q

Hepatosplenomegaly + JIA

A

Systemic onset

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33
Q

Achilles tendon + JIA

A

Enthesitis-related

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34
Q

Easy scarring + lots of sprains in pediatric patient

A

Hypermobility syndrome

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35
Q

Pes planus

A

(Flat foot); may occur with hypermobility

36
Q

Genu recurvatum

A

(Ostrich knees?) Can occur with hypermobility

37
Q

Quotidian fever

A

Occurs in AM and PM (goes away during day) - associated with systemic-onset JIA

38
Q

Medial heel pain, worst first thing in morning

A

Plantar fasciitis

39
Q

“Someone hit me from behind while playing basketball”

A

Achilles tendon rupture

40
Q

Inability to push off with lower extremity

A

Turf toe

41
Q

Too many toes sign

A

Posterior tibial tendon dysfunction

42
Q

“Wrinkle in my sock”

A

Morton’s neuroma

43
Q

Disruption of second tarsometatarsal joint

A

Lisfranc fx

44
Q

MC heel pain in adults

A

Plantar fasciitis

45
Q

MC medial ankle pain in adults

A

Posterior tibial tendon dysfunction

46
Q

Bamboo spine

A

Ankylosing spondylitis

47
Q

Flowing, “artistically drawn” ossification of vertebrae

A

DISH

48
Q

Shopping cart sign

A

Relief when bending over; indicates neurogenic claudication, think spinal stenosis

49
Q

Bicycle Sign

A

No pain differentiates neurogenic claudication from vascular claudication; consider spinal stenosis

50
Q

Radiculopathy

A

Compression of nerve root

51
Q

Myelopathy

A

Compression of spinal cord

52
Q

Loss of bowel/bladder function

A

Cauda equina syndrome = emergency

53
Q

Bright spots on MRI of spinal cord

A

Spinal spondylosis

54
Q

Narrowing, sclerosis, osteophytes

A

Osteoarthritis signs

55
Q

Hemarthrosis

A

ACL tear

56
Q

Injury from valgus force

A

Medial collateral ligament tear

57
Q

Injury from varus force

A

Lateral collateral ligament tear

58
Q

Dashboard injury

A

PCL tear

59
Q

Injury from hyperflexion of the knee

A

PCL tear

60
Q

Injury from hyperextension of the knee

A

ACL tear

61
Q

“Pop” with injury and instability/can’t stand

A

ACL tear

62
Q

Twisting injury

A

Meniscal tear

63
Q

High-riding patella

A

Patellar tendon rupture

64
Q

Low-riding patella

A

Quad tendon rupture

65
Q

Pain with prolonged sitting/squatting

A

Patellofemoral disorder

66
Q

MC organism to infect joint, bursae, or bone

A

Staph (esp. S. aureus)

67
Q

Synovial fluid > 50k WBC/mL

A

Likely septic

68
Q

Synovial fluid 200 WBC/mL

A

Normal range; likely not septic

69
Q

Periosteum lifting

A

Osteomyelitis

70
Q

Lucency of bone on XR

A

Infection

71
Q

Pediatric ortho condition ass’d with ADHD, coagulopathy, and 2ndhand smoke exposure

A

Legg-Calve-Perthes Dz

72
Q

Obese adolescent with atraumatic hip pain

A

Slipped Capital Femoral Epiphysis

73
Q

Uneven skin folds and loss of adduction at the hip of a pediatric patient <5YO

A

Hip dysplasia

74
Q

Groin/buttock pain in adult

A

Arthritis, fx, or avascular necrosis of the hip

75
Q

Alcoholic patient with dull ache in the groin/buttock region

A

Avascular necrosis

76
Q

HLA-B27

A

Ankylosing Spondylitis

77
Q

Loss of bowel/bladder function

A

Cauda Equina syndrome

78
Q

Step off on PE

A

Consider spondylolisthesis

79
Q

Flaccidicty, hyporeflexia, and (-) Babinski sign

A

LMN injury

80
Q

Spasticity, hyperreflexia, and (+) Babinski

A

UMN injury

81
Q

Deltoid ligaments

A

Medial ankle: affected during eversion injury

82
Q

Ms Ervie in mic: “Do not splint ___ for a long time”!

A

Do not splint the elbow for a long time!!

83
Q

Fat Pad sign

A

Distal humerus fx: refer urgently

84
Q

Pain/swelling of snuffbox area

A

Consider scaphoid fx or DeQuervain’s tenosynovitis (if tenderness is ass’d with tendons)

85
Q

Finkelstein test

A

DeQuervain’s

86
Q

Thickened cords on palmar surface of hands

A

Dupuytren’s

87
Q

Nodules felt on palm

A

Trigger finger

MSK (4 decks)

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