Hallmarks/Triads Flashcards
klein/bloomberg/iced cream
safe
onion peel/moth eaten/codman’s triangle
Ewing’s sarcoma
widened epiphyseal plate/codman’s triangle/sunburst
osteosarcoma
risser score
Cobb angle
scoliosis
small radiolucent nidus
osteoid osteoma
scotty dog
spondylitis
negatively birefringent needle like w. polar light microscopy
gout
weakly positive birefringent rhomboid crystals by polarized light microscopy
pseudo gout
gel phenomenon
PMR
cotton wool patches, visual changes, jaw claudication
GCA
HLA-DR alleles
PMR
GCA
skin lesions
claudication
arthralgia
takayasu
rash on palms and toes
recent GI infxn/STDs
HLA-B27
reactive arthritis
morning stiffness >30 min
symmetric joint swelling off hands, ankles, knees
skin nodules
RA
boggy joints
ulnar deviation of MCP
swan neck
boutonnière
RA
HTN, renal insuficciency, abd pain after eating
rosary sign
PAN
pilocarpine
cevimeline
ocular cyclosporine
Sjorgen’s - symptomatic tx
hydrochloriquine
MTX
Sjorgen’s - immunosuppresive
Methotrexate
+/- Etenercept
RA
Etenercept → TNF inhibitor
MTX → DMARD
cyclophosphamide
PAN
immunosuppressant
bursal inflammation in wrists/knees
PMR
skin lesions, claudication, syncope, arthralgias, GI
takayasu
triamcinolone
pseudogout → steroid
recent GI infxn/STD
rash on palms/toes
reactive arthritis
purpura
fever
raynaud’s
symmetric arthralgia
sjorgen’s
synovial fluid: 1,500-25,000
RA
male
hep b/c
hairy leukemia
PAN
chronic pain/stiffness in all 4 quadrants
fibromyalgia
G6PD contraindication
Probenicid
Pegliocase
quotidian fever
salmon-colored evanescent macular rash
SOJIA/Stills
increased risk for uveitis
JIA:
oligoarticular
psoriatic
enthesitis-related
CREST
limited scleroderma
watermelon stomach
scleroderma
anti-SCL-70 = poor prognosis
scleroderma
DIP synovitis
dactylitis
nail pitting
rash
anterior uveitis
psoriatic arthritis
ACLE
acute cutaneous lupus → butterfly rash
maculopapular lesions in photosensitive pattern to any part of the body
acle
scle
subcutaneous lupus → scaly erythematous rash
ccle
chronic cutaneous lupus → discoid → plaques
CRP normal
ESR elevated
polyarticular JIA
palpable purple petechiae
sle vasculitis
wart like pericardial lesions
sle
(+) ANA, anti-dsDNA, anti-SM
SLE
MSA and MMA antibodies
polymyositis
elevated CK
+/- (+) ANA
polymyositis
inflammatory infiltrate on muscle bx
polymyositis
PAN
SADS
clinical presentations of psoriasis:
symmetric OR assymetric
distal → DIP
arthritis mutilans
spondyloarthritis → c-spine
nails:
pitting, ridging, oncholysis
psoriatic arthritis
SPADES
clinical domains of psoriatic arthritis:
pencil in cup deformity
psoriatic arthritis → damage to DIP and PIP
rf: estrogen and smoking
SLE
enthesitis
tenosynovitis
dactylitis
psoriatic arthritis
sugar tong cast
distal radial fx
terry thomas sign
wrist ligamentous injury
test for disorders of nerves and muscles
EMG/NCV
stack splint
mallet finger
figure 8 splint
boutonniere deformity
LRTI (ligament reconstruction and tendon interposition)
early wrist OA - CMCJ
skiers thumb
ulnar collateral ligament tear
cortical erosion, periosteal elevation, lucency, osteolysis
osteomyelitis
gaiter area of leg
venous stasis (ulcerations)
ulcer w. edema and weeping exudate
venous
CT is better for
bones
MRI is better for
soft tissue
abrupt, unilateral onset of back pain
aggravated by walking, standing, coughing
herniated disc
L2-S5
cauda equina
positive urinary sphincter test
greater than 150
CMT for non traumatic back pain
minor: 1 point each
etoh
night pain
dm
renal failure
3 or more visits in 20 days
major: 3 points each
→ 4 or more = ESR
less than 4 → avoid imaging
cmt for a traumatic back pain
any pt w. __ gets emergent MRI w. contrast
acute motor deficit
pt’s who do not meet NEXUS need
c-spine stabilization
xray or CT
pre-dentase:
pre-pharyngeal:
pre tracheal:
3
6
22
JA HOF
unstable fx:
jefferson
atlanto-axial
hoffman
odontoid
flexion tear drop
C2 burst fx
jefferson
chance fx
unstable lumbar fx → mva
SLIPPS
nerves of sacral plexus:
superior gluteal
lumbosacral
inferior gluteal
posterior femoral cutaneous
pudendal
sciatic
gunmetal gray lesions on hands
septic arthritis
pain that wakes a pt up and with abduction
supraspinatus tear
kanaval’s sign
flexor tenosynovitis
jersey finger
fdp
exsanguinate + traction splint
pelvic fx
shenton’s line
hip fx
peroneal n injury
lcl tear → foot weakness w. dorsiflexion and eversion
ottawa ankle
navicular pain
malleolus pain >6 cm (lat or med)
non wt bearing
smt base tenderness
ottawa foot
pain at navicular or base of 5th metatarsal
kid 2-12 limping
teansient synovitis
coags
steroids
etoh
rf for avascular necrosis
periosteal elevation
sts
osteomyelitis
mc location for osteomyelitis
long bones
vertebral bodies
mc location for osteosarcoma
long bones
jaw
what occurs on the metaphysis of long bones
osteochondroma
bone pain
ESR
anemia leukocytosis
ewing’s sarcoma
abnormal type I collagen development
osteogenesis imperfecta
biphosphanates
calcitonin
tx for paget dz
statins
found down
exertion
crush injury
rf for rhabdo
segond fx
acl tear w. tibial plateau fx
test to order for knee dislocation
ABI
synvisc
knee oa
weekend warrior
fluoroquinolones
achilles tendon rupture
iv dosing for osteomyelitis
vanco 1 gm IV q 12 hr +/- Rifampin
PLUS
ceftriaxone 2 gm IV q 24 hr