Integrative MSK Flashcards
MA woman, progressive weakness
problems rising from chair
dec strength in proximal LE bilateerally
CK is elevated
dx is ___/____
mechanism is ___ inflammation of muscle
polymyositis/dermatomyositis
immune mediated
elderly woman, progressive bilateral knee pain
no redness/swelling
hypertrophy over DIP/PIP, crepitus
dx is ___
osteoporosis
YAW, pain/swelling in wrists/knuckles/fingers
worse in AM
swelling in multiple joints
lump on extensor surfaces
no rash/ulcers
dx is ____
early antibody is ____
RA
anti-CCP
MA woman, dysphagia of solids/liquids
skin on hands/fingers is tighter, sensitive to cold weather
nodules on forearms
dx is ____
antibody is ____
CREST
anti-centromere
YA woman, diffuse joint pain, fatigue/myalgia, fever
rash on face, pleurisy
dx is ____
antibodies include __/___
SLE
ANA/ani DS DNA
MA woman w weakness, rash on eyelids, difficulty swallowing
dec strength in proximal muscles, purple rash on eyelids/knuckles
CK is inc
dx is ___
antibodies include /__/
dermatomyositis
anti-Jo1/anti SRP/anti Mi2
ma woman w dry, itchy eyes, dry mouth, ulcerated corneas
dx is ___
ab present ____
sjogrens
anti-Ro./La
elderly man, fatigue and low grade fevers
hip/shoulder pain, tenderness over trapezius/deltoid/trochanter
strength is ___
___is inc
dx is _____
normal
ESR
polymyalgia rheumatica
Arthralgia, photosensitivity, serositis, rash, cytopenias
dx is ____
sensitive Ab ___
specific ab for lupus nephritis __/___
SLE
ANA
anti-DS DNA, anti-Smith ab
AM stiffness, symmetric, small joints of hand/feet, sub q nodules, joint erosions
dx is ___
RA
dry eyes/mouth
dx is ___
ab nclude __/___
may be positive for __/___
sjogrens
anti SSA (Ro) or anti SSb (la)
ANA, RF
YA male, low back pain, worse in AM
bilateral, forward bend, tender in SI joints, cannot touch toes
erosions in SI joint
dx is ___
AS
painful, swollen, knee
high fever, effusion, red
inc WBC in arthrocentesis, no crystals
dx is _____
causative org is probably __
do __ to dx
septic arthritis
staph aureus
arthrocentesis
YA woman, wrist/knee swelling, migratory pains
effusion in knee, papules on lower extremities
scant mucoid discharge from pelvis
dx is ____
causative organism is ___
gonococcal arhritis
n gonorhea
MA man, swelling in ankle
red, warm, swollen, negatively birefringent crystals
dx is ___
gout
Elderly male, knee pain/sweling
xray shows chondrocalcinosis
dx is ____
may be associated w __/__
crystals are __
___ birefringent, __ in parallel
pseudogout
Hemochromatosis, hyperPTH
rhomboid
+, blue
tx acute gout w __ or __
chronic w ___ such as __
NSAIDs, colchicine
XO inhibitor, allopurinol
conjunctivitis, urethritis, uveitis
dx is ___
causative orgs S Y C C S
reactive arthritis
shigella yersinia campyl chlamydia salmonella
sausage shaped digits, arthritis, scaly rash on limbs
dx is __
psoriatic arthritis
popping sensation in knee, improved w ice/NSAIDs
medial joint line is tender
positive ___
dx is ___
McMurray
meniscal tear
MA man, shoulder pain, worse when lifting arm overhead
TTP, pain w abduction, can lower arm smoothly
dx is ____
if could not lower arm slowly, dx is ___
rotator cuff tendonitis
rotator cuff tear
immediate knee swelling, excess medial rotation to planted foot
dx is ____
ACL tear
valgus stresss
__ injury
varus stress
__ injury
MCL
LCL
hyperextension w knee pain
dx is ___
pcl tear
younger than 45, knee pain walking down steps
pain at rest when knee flexed
dx is ____
patellofemoral pain syndrome
teenage, ___ tenderness
dx is ___
aka
tibial tuberosity
Osgood schlatter
tibial tubercle apophysitis
roll ankle, damage to ___
anterior talofibular ligament
pain over distal radial styloid w repetitive use of thumb
dx is ____
swelling/stenosis of ___ and ___ tendon sheaths at wrist
De quervian tenosynovitis
abductor pollicus longus
extensor polllicus brevis
punch a wall w hand pain
dx is ___
fracture of ____
boxer fracture
metacarpal
forced dorsiflexion in elderly
fx is ___
avulsion of ___ from shaft of ___
colles fx
styloid process, radius
hand/wrist fracture, w ulnar nerve involvement
fx to __
hamate
fall on outstretched hand, pain in anatomic snuff box
dx is ___
scaphoid fracture
distal humerus injury
affects __
ulnar nerve
young boy, leg pain
family hx of retinoblastoma
elevation of periosteum
dx is ___
osteosarcoma
young boy, trauma to arm
good grow, poor dentition, skeletal fractures
blue discoloration to sclera
dx is ____
defect in ___
OI
type 1 collagen
young boy, post URI
resists RoM to hip
labs are normal
dx is ____
transient synovitis
young boy w limp for month
limited internal rotation of hip, antalgic gait
dx is ___
aka ___
tend to have ___
pain over __/___
dec hip __/___
legg calve perthe dx
idiopathic avascular necrosis of femoral head
short stature
anterior thigh/knee
internal rotation/abduction
SCFE
displaced ___ anteriorly
usually seen in ___
assc w ___ or ___ or ___
insidious hx of ___, localized to ___
no/minimal ____
femoral head
obese, adolescent male
hypoT, pseudohypoPTH, GH deficiency
dull pain, anterior hip
trauma
baby, dec hip abduction
clunk on exam
dx is ___
DDH
YA male, muscle aches/fever, ab pain, rash
numbness over fingers, foot drop
Hep B positive, inc creatinine, ESR
dx is ____
polyarteritis nodosa
old man, dffuse bony pain
worse in clavicles, legs bowed
worse hearing
ALP is inc, others normal
dx is ___
disorganized ___
paget dz of bone
bony matrix
comp of bisphosphonate therapy
osteonecrosis of the jaw
young boy, weak pelvic girld, Gower’s sign, prominent calves
dx is __ w deleted dystrophin gene
dx is ___ w mutated dystrophin gene
usually presents ___/__
duchenne
becker
older/milder
young boy, tumor in diaphysis of long bones/pelvis/scapula/rib
dx is ____
hisotology shows ___
xray w ___
translocation
ewing sarcoma
blue cells
onion skin
11, 22
EWS-FLI1
side effect of NSAID
__ via ___
A
U
AKI, constriction of AA
AIN
ulcer
SE of aspirin
T
H leading to ___ w anion gap ___
tinnitus
hyperventilation, RA, MA
muscle change w exercise
type 1 is __, __ fibers
abundant in __/___
used for ___
type 2 is __/__ fibers
used for __/___
inc anaeorbic ___
slow, red
mito/myoglobin
endurance
fast, white
strnegth/speed
glycolytic capacity
endurance athlete
__ to __ transition
resistance recruits/hypertrophies ____ fibers
fast, slow
type 2
