CORTICOSTEROID INJECTIONS II

Question 1

corticosteroid injection considerations?

Answer 1

rest affect foot/ankle
steroid flare***
max benefit is 2 weeks
limit joint injections 3-4 mo
stop if no symptom relief

Question 2

this happen due to unknown cause and persists for hours/days

patient concern of infection appearance

Answer 2

steroid flare

Question 3

size of needle?

Answer 3

draw with 18 g

inject with 25,27,30 g

Question 4

order of drawing up fluid?

Answer 4

local

corticosteroid

Question 5

usual spots for corticosteroid injections?

Answer 5

plantar fascia
sinus tarsi
STJ
ankle joint

Question 6

injectable corticosteroid CI?

Answer 6

infection
cellulitis
prosthetic joint
fracture
coagulopathy
lack of response
into achilles tendon

Question 7

injectable corticosteroid complications?

Answer 7

iatrogenic infection of joint
hemarthrosis
steroid flare
soft tissue atrophy
skin de pigmentation

Question 8

methylprednisolone (medrol dosepak) dosage?

common PO corticosteroid?

Answer 8

4 mg dose pack (21 pills in a blister pack)

day 1, 6 pills and so forth for 6 days with 1 less pill each day

Yes

Question 9

complication from PO steroid?

Answer 9

glaucoma
fluid retention
increased BP
weight gain
increased risk of infection
hyperglycemia
thin skin

Question 10

topical corticosteroid from most potent to least potent?

Answer 10

hydrocortisone acetate cream 0.5-2.5%

triamcinolone acetonide cream 0.05-0.5%

betamethasone diproprionate cream 0.05%

clobetasol propionate cream 0.05%