Corrections 2 Flashcards
In what 2 scenarios should you avoid giving sulfalazine?
1) G6PD deficiency
2) Allergy to aspirin or sulphonamides (cross-sensitivity)
Which DMARD can cause oligospermia?
Sulfalazine
When should bisphosphonate treatment be re-assessed?
After 5 years
Repeat FRAX score and DEXA scan to assess need for ongoing treatmnet
Where is the most common site of metatarsal stress fractures?
2nd metatarsal shaft
Typical mechanism of injury in meniscal tears?
Twisting injuries
Features of meniscar tears?
- pain worse on straightening the knee
- knee may ‘give way’
- displaced meniscal tears may cause knee locking
- tenderness along the joint line
What is Raynaud’s?
An exaggerated vasoconstrictive response of the digital arteries and cutaneous arteriole to the cold or emotional stress.
It may be primary (Raynaud’s disease) or secondary (Raynaud’s phenomenon).
Who does Raynaud’s typically present in?
Young women e.g. 30 y/o with bilateral symptoms
Does Raynaud’s typically present with unilateral or bilateral symptoms?
Bilateral
What is the most common 2ary cause of Raynaud’s?
Scleroderma
Typical age of onset in 1ary vs 2ary Raynaud’s?
1ary - onset <40 y/o
2ary - onset >40 y/o
Marfan’s syndrome is caused by a mutation in which protein?
Fibrillin
What would you expect to see on an XR in a Colle’s fracture?
Dorsally displaced distal radius fracture
1st line mx of carpal tunnel syndrome?
1st –> conservative: wrist splint +/- steroid injection
Trial for 6 weeks
2nd line –> surgical decompression: flexor retinaculum division
What accounts for the majority of ocular complications in temporal arteritis?Anterior ischemic optic neuropathy
Anterior ischemic optic neuropathy
What condition is a common cause of BILATERAL carpal tunnel syndrome?
RA
In ulcers with associated cellulitis, what does the initial improvement of cellulitis with antibiotics but persistent discharge and localised tenderness/swelling indicate?
Abscess formation –> requires surgical drainage
What is Simmond’s triad?
1) palpation of tendon
2) calf squeeze test
3) examination of angle of decline at rest
This is used for examining an Achilles’ tendon rupture
What score is a useful tool to assess hypermobility?
Beighton score
What is involved in a Salter-Harris IV fracture?
Fracture involves the physis, metaphysis and epiphysis
What rash may be present in APS?
Livedo reticularis (lace or net-like appearance, which can be blue or purple)
What does a positive straight leg test indicate?
Sciatic nerve pain
Mx of lower back pain caused by prolapsed disc (i.e. sciatica)?
1st line –> analgesia, physiotherapy, exercises
Trial for 4-6 weeks
2nd line –> consider referral for MRI
What may patients who are allergic to aspirin also react to?
Sulfalazine
