FRACTURE MANAGEMENT/MSK

Question 1

What atraumatic knee swelling dx can you NOT MISS/have a high index of suspicion?

Answer 1

SEPTIC ARTHRITIS (aspirate)

Question 2

What traumatic knee swelling dx can you NOT MISS/have a high index of suspicion?

Answer 2

Fracture (get xray), Quad/patellar tendon rupture (check extension)

Question 3

What are your top dx for ATRAUMATIC knee swelling?

Answer 3

1. Spetic Knee
2. Gout/crystal arthritis
3. OA

Question 4

What are your top dx for TRAUMATIC knee injuries?

Answer 4

1. Fracture
2. Meniscal injury
3. ACL/PCL
4. Patellar dislocation
5. Quad/patellar tendon rupture
6. OCD

Question 5

What do we give pts in an active gout flare?

Answer 5

NSAID liek naproxen or indomethacin as well as colchicine or corticosteroids

Question 6

What do we give as gout ppx?

Answer 6

allopurinol

Question 7

72 yo female w/shoulder pain.

Answer 7

X ray shows marked joint space narrowing and changes consistent w/ OA.
First line tx: PT
Additional therapy: consider acetominophen or nsaids in pts w/out heart disease or kidney injury

Question 8

Highly suspected scaphoid fracture w/negative imaging, we would ______________

Answer 8

cast immobilize and repeat xrays in 2-3 weeks