JB MSK Flashcards
Acute compartment syndrome tx
emergent fasciotomy
Basilar skull fx PE
CSF otorrhea
bruising over mastoid (battle sign)
Basilar skull fx dx
GCS
CT
Cervical spine injury
C1- Jefferson (burst) atlas
C2- hangman’s, axis
Colles fx sx
Dinner fork deformity
distal radius fx w/ dorsal angulation
Congenital talipes equinovarus tx
Clubbed feet
ponseti method of manipulation and casting
Dermatomyositis labs
high creatine phosphokinase
increased ESR
+ anti mi 2 ab
Dermatomyositis tx
high dose CS
Distal radius fx tx
sugar tong splint
Knee joint effusion sx
bulge sign
ballottement
Patellar tap tests
Bennett fx
fx through base of 1st metacarpal MCP bone
Rolando’s fx
comminuted Bennetts fx
Boxers fx tx
ulnar gutter splint
Galeazzi fx
mid distal radial shaft fx w/ dislocation of DRUJ
Gout in synovial fluid MC?
sodium urate
Ankle dislocation tx
closed reduction + posterior splint +/- ORIF
Shoulder dislocation PE
R/o axillary nerve injury (pinprick sensation over deltoid)
Anterior shoulder dislocation
blow to extended abducted externally rotated arm
MC type
Lateral epicondylitis muscles
extensor carpi radialis brevis
Legg-Calve-Perthes dz sx
child painless limping
Marfan syndrome sx
MVP, aortic regurgitation, aortic dissection, aortic aneurisms
tall stature, precuts carinatum, ectopia lentis, myopia
Meralgia paresthetica tx
Pain to lateral thigh
nerve block w/ lido and steroids
surgical decompression @ inguinal ligament
Monteggia fx
proximal ulnar shaft fx with anterior radial head dislocation
myositis tx
high dose CS 1st line
OA tx
acetaminophen- elderly w/ bleed risk
NSAIDS more effective
Acute/chronic osteomyelitis MCC
Acute: S. aureus
Sickle cell dz: salmonella
Chronic: S. aureus
Osteoporosis tx
bisphosphonates (alendronate)
HRT, SERMs
Peroneal nerve injury sx
loss of sensation to lateral leg
Polymyalgia rhumatica labs
ESR very high (>50)
+/- increased plts
polymyalgia rheumatica tx
high dose CS 1st line
posterior tibial tendon dysfunction sx
flat feet
pain and swelling medial foot and ankle
flattened arch
too many toes sign
Proximal humerus fx tx
sling/swathe + ortho f/u in 1-2d
r/o brachial plexus or axillary nerve injuries
Reiters syndrome tx
NSAID mainstay
Methotrexate –> sulfasalazine, steroids
anti TNF: etanercept, infliximab
abx during precipitating dz
rhabdomyolysis labs
CPK > 20,000
increased LDH, increased ALT
hyperkalemia, hypocalcemia
Dark urine: + for heme, negative for blood
rhabdomyolysis tx
IV saline, hydration, mannitol, bicarbonate, calcium gluconate
Rheumatoid arthritis sx
joint stiffness (MCP, wrist, PIP, knee, MTP, shoulder, ankle) w/ rest morning stiffness >60m and improves later in the day Boutonniere deformity Swan neck deformity
Rheumatoid arthritis tx
methotrexate (1st line)
NSAIDS: 1st line for pain
CS 2nd line for pain
Rotator cuff syndrome muscles
SITS (supraspinatus, infraspinatus, teres minor, subscapularis)
Limited scleroderma
CREST syndrome: calcinosis cutis, raynauds, esophageal motility disorder, sclerodactyly, telangiectasia
SCFE tx
non weight bearing crutches –> ORIF
smith fx
distal radius fx w/ ventral angulation
SLE tx
sun protection
hydroxychloroquine for lesions
NSAIDs/acetaminophen for arthritis
torticollis tx
conservative therapy
