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MSK > Hancock > Flashcards

Hancock Flashcards

1
Q

osteoarthritis risk factors

A

age, obesity, excessive joint loading, athletics military

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2
Q

osteoarthritic joints mc

A

neck, hip, knees

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3
Q

DIP nodes osteoarthritis

A

Heberdens node

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4
Q

PIP nodes osteoarthritis

A

Bouchard node

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5
Q

osteoarthritis

A

degenerative progressive wear and tear of the joints cartilage at articulating joints

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6
Q

osteoarthritis joint pain

A

asymmetrical joint pain d/t bone on bone contact loss of cartilage

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7
Q

pain in osteoarthritis characteristic

A

dull ache, deep, relieved with rest and worse w/ activity

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8
Q

Osteoarthritis presentation

A

insidious onset w/ progression taking years to present, morning stiffness goes away after 30 minutes

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9
Q

Osteoarthritis findings

A

joints squaring of thumb, joint narrowing, osteophytes

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10
Q

hip osa pain

A

groin pain pain with internal and external rotation w/ knee full extension

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11
Q

osa management and workout

A

weight loss for every 5 lbs lost = 50 lbs in knee strains and swimming good, Tylenol , nsaids, injections, visco injections go to ortho

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12
Q

RA general characteristics

A

more common in women 3-1 and ages of 20-40 years age genetic predisposition necessary

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13
Q

RA clinical manefesations

A

joints involved hands, and wrist McPhersons, pip

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14
Q

Rheumatoid arthritis hand and bony characteristics

A

ulnar deviation of the MCP joint the swan neck contractors will remain ugly af, take care of c spine XR before surgery

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15
Q

Rheumatoid arthritis and pulmonary involvement

A

Caplan syndrome: multiple rheumatoid nodules with hx of exposure to asbestos and silica dust

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16
Q

Rheumatoid arthritis triad felty syndrome

A

seropositive ra, neutropenia and splenomegaly

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17
Q

felty santa

A

splenomegaly, anemia, neutropnenia, thrombocytopenia, arthritis (ra)

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18
Q

rheumatoid arthritis diagnosis

A

RF+ anti ccp ab: anti cyclic citrullinated peptide protein antibodies

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19
Q

Rheumatoid managemnt

A

nsaids, steroids short terms

20
Q

Seronegative spondyloarthropathies

A

Ankylosing spondylitis, reactive arthritis,

21
Q

ankylosing spondylosis

A

hla-b27 Bl sacroilitis, characterized by ascending fusion of back “bamboo back” XR

22
Q

ankylosing spondylitis onset and characteristics

A

young males stiffness worse in butt and low back worse with rest and better with exercise + fmhx, WITH ANTERIOR UVIETES

23
Q

Ankylosis hallmarks

A

anterior uveitis, sacrolitis, and bamboo spine

24
Q

psoriatic arthritis findings

A

sausage fingers, and pencil in a cup XR apperance

25
Q

reactive arthritis characteristics

A

can’t see, climb or pee. inflmatorry condition that occurs after certain infections GI or GU, chlamydia, Camplybacter , typically involves 20-40 year old ppl

26
Q

reactive arthritis involves more?

A

TOES

27
Q

reactive arthritis rash

A

keratoderma blennorrhagicum- waxy papular rash on palms and soles

28
Q

reactive arthritis diagnostics findings

A

synovial fluid: cloudy viscous with reiterating cells XR: fluffy periostitis

29
Q

reactive arthritis TRIAD rosh

A

conjunctivitis urethritis arthritis, Hal b 27

30
Q

septic arthritis definition

A

joint infected with a pathogen that can cause rapid destruction of cartilage and synovium

31
Q

septic arhtritis pathogen MC

A

Staph Aures

32
Q

Gout crystals involved

A

monosodium urate

33
Q

gout definition

A

hyperurecemia is the hallmark of this dz

34
Q

gout patho

A

1) too much uric acid 2) decreased excretion of uric acid

35
Q

gout stages 1

A

asymptomatic hyperuricemia

36
Q

gout stage 2

A

acute gouty arthritis - impacts big toe at MTP joint-Podagra

37
Q

gout stage 3

A

intercritical gout symptomatic period after initial attack

38
Q

gout stage 4

A

chronic tophaceous gout- noted in poorly controlled gout - conglomerations of rate crystals TOPHI

39
Q

gout crystal characteristics

A

negative needle shaped birefringent crystals

40
Q

XR gout

A

punched out erosions

41
Q

gout management

A

reduce: alcohol, seafood, red meats, and medication that increase uric acid levels

42
Q

gout and colchicine

A

N/V/D change for CKD

43
Q

Pseudogout crystals

A

calcium pyrophosphate crystal deposition

44
Q

pseudogout definition

A

common in elderly patients with DJD, classically monoarticular with larger joints

45
Q

Pseudogout crystals

A

weakly positive rod shaped razor like calcium pyrophosphate crystals

46
Q

XR gout vs pseudo gout

A

gout: rat bite erosions pseudo XR: white lines of chonedrocalcinosis

47
Q

when do you not do arhtrocentesis

A

atrificial joint and INR check do that

MSK (4 decks)

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