Exam 1: Remaining Flashcards
Altered pyrophosphate crystals deposited in joints
Calcium Pyrophosphate deposition disease (CPDD)
CPDD MC affects what part of body
Knee
CPDD affects what age
50 and up
___ less severe than gout
CPDD
Treatment for CPDD
NSAIDS
Corticosteroids
___ is acute and ____ is subacute
Gout
Pseudogout (CPDD)
Hydroxyapatite deposition disease (HADD)
Hydroxyapatite into tendons
Hydroxyapatite aka
Crystalline calcium phosphate
HADD MC affects what part of body
Monoarticular in rotator cuff
Risks for HADD
Age 40-70
Adhesive capsulitis
Frozen shoulder aka
Adhesive capsulitis
Forestier Disease
Diffuse idiopathic skeletal hyperostosis
Flowing ossification describes
DISH
DISH MC in
ALL
Cervicals
DISH more rare in
Lower thoracics
DISH not observed in
Lumbar
DISH is not painful, but can cause
Dysphasia
Risks for DISH
Age 50-70
Hyperglycemia
Diabetes
HLA-B27
Infectious Arthritis aka
Septic arthritis
Bacterial infection of joint
Infectious arthritis
Infectious arthritis causes
Rapid joint destruction
___ is acute and severe with infectious arthritis
Pain
Types of infectious arthritis
Suppurative arthritis
Lyme arthritis
Treatment for infectious arthritis
IV antibiotics
Analgesics
Suppurative Arthritis
Pus forming
Suppurative arthritis MC in
Knee (monoarticular)
Microbe MC in suppurative arthritis
Staph aureus
Gonococcal arthritis is ___ and MC among ___
Polyarticular
Females
Cause of Lyme disease
Borrelia burgdorferi (spirochete)
If untreated, Lyme disease can cause
Arthritis
Stages of Lyme disease
Multiplication
Spreads
Chronic
Multiplication stage of Lyme
Fever
Lymphadenopathy
Erythema chronicum migrans
Bullseye rash of Lyme aka
Erythema chronicum migrans
Spreading stage of Lyme
Secondary skin lesions Lymphadenopathy Migratory joint pain Myalgia Meningitis Arrhythmia
Chronic stage of Lyme
2-3 years post infection
Soft tissue
Any non-epithelial tissue
Includes adipose, fibrous, muscle, vessels, PNS
Soft tissue tumors: Benign tumors are ___ MC than malignant , except for ___
100X
Skeletal muscle tumor
MC location for soft tissue tumors
Thigh
Lipoma
Benign adipocytes tumor
How common is a lipoma?
1% population
MC soft tissue tumor
Lipomas are usually ___ and ____
Painless
Mobile
Types of adipose tumors
Lipoma
Liposarcoma
Liposarcoma
Malignant adipocytes tumor
Age for liposarcoma
50-70
Liposarcoma can Mets to
Lungs
Nodular Fasciitis is example of
Fibrous tumor like mass
Nodular fasciitis is a benign
Fibroblast tumor
Characteristics of nodular fasciitis
Solitary
Rapid growth
Rarely recur
Myositis ossificans is usually hard and ____ and due to ___
Painless
Trauma
Myositis ossificans commonly seen in ___ of athletes
Proximal extremities
Fibromatoses
Benign tumor of fibroblast
Fibromatoses is painful and ___
Disfiguring
Types of fibromatoses
Superficial
Deep
Superficial fibromatoses common in
Males
Deep fibromatoses aka
Desmoid tumors
Deep fibromatoses MC in
Females, abdominal area
Deep fibromatoses are ___ and commonly recur
Aggressive
Superficial fibromatoses can be due to
Peyronie Disease
Dupuytren contracture
Peyronie Disease
3% population
MC 40-70 yo
Dupuytren contracture
4% population
MC older males of European descent
Fibrosarcoma
Malignant tumor of fibroblast
Fibrosarcomas are slow growing but
Invasive
Location for fibrosarcoma
Thigh or retroperitoneal
1/4 of fibrosarcomas Mets to
Lungs
Age range for fibrosarcomas
35-55 yo
Herringbone histology observed in
Fibrosarcoma
Virtually 100% of ____ are malignant
Skeletal muscle tumors
MC pediatric soft tissue sarcoma
Rhabdomyosarcoma
Areas of rhabdomyosarcoma are areas of
Little skeletal muscle
Rhabdomyosarcoma made up of
Rhabdomyoblasts
Benign smooth muscle tumor
Leiomyoma
Malignant smooth muscle tumor
Leiomyosarcoma
Leiomyosarcoma MC in
Adult females
Characteristics of leiomyosarcoma
Spindle cells with cigar shaped nuclei
Rhabdomyosarcoma commonly Mets to
Bone
Leiomyoma commonly called ___ in reproductive aged women
Uterine fibroids
Synovial sarcoma
Soft tissue cancer
Synovial sarcoma MC age
20-40
Synovial sarcoma MC location
Near Knee
Synovial sarcoma is ____ and painless
Aggressive
Synovial sarcoma can Mets to
Lungs
Bone
Nodes