Inflammation in The Muscoskeletal System Flashcards

1
Q

Rheumatology is

A

Medical sub speciality concerned with diagnosis and treatment of conditions affecting musculoskeletal system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Rheumatoid conditions

A

Musculoskeletal medicine
Multi system autoimmune disorders
Chronic pain
Non organ specific

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Classification of rheumatic diseases

A

Back pain

Regional periarticular or soft tissue diseases

Osteoarthritis

Inflammatory arthropathies

Osteoporosis and metabolic bone disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Inflammatory arthritis is

A

Urgent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Treatment for non inflammatory diseases

A

No point giving drugs for immune system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Inflammatory arthritis treatment

A

Antibiotics and surgical cleaning

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Multi system diseases

A

Connective tissue diseases

Vasculitis

Relapsing polychondritis

Periodic fever syndromes

Sarcoid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Connective tissue diseases

A

SLE, Sjogreens,sclederma, dermatomyositis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Vasculitis diseases

A

ANCA associated disease behcet takaysus

Polymyalgia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Diagnosis of rheumatology

A

History

Exam (urinalysis)

Radiological and antibody evidence

Pathological (synovial fluid/biopsy)
Lupus,skin rash
Myosotis
Vasculitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Diurnal variation common in

A

Chrohns

Asthma

Rheumatoid arthritis

(Autoimmune arthritis)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Presenting symptoms

A

Swelling
Stiffness
Weakness
Multisystem presentation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

How to examine joint

A

Look feel move

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Screening exam for musculoskeletal disorders

A

GALS

Gait
Arms
Legs
Spine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Test for GAIT

A

Ask patient to walk a few steps, turn back and walk back

Look for symmetry, smoothness and ability to turn

With patient in anatomical position observe from behind,side and front

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Arms GALS

A

Hands

Observe palmar and dorsal aspect for swellling or disformaties

Make first

Grip strength

Assess fine pinch

Squeeze mcps (watch face)

Elbows ask to extend them

Ask patient to put hands on head (examining shoulders)

17
Q

LEGS GALS

A

Knees
Extend knee
Feel for crepitus
Perform patellar tap

Assess internal rotation with hip and knee flexed at 90 degrees

Feet
Inspect feet for swelling ,deformity and callosities

Squeeze MTPs

18
Q

SPINE GALS

A

Stand patient up and look side and back

Assess lateral flexion neck

Can include jaw movements

Check flexion and extension (touch toe)