Locomotor Flashcards
what is polymyalgia rheumatica?
stiffness in neck, back, shoulders, upper arms or hips that can be a/w fatigue, anaemia and low-grade fever
it does not affect muscles
a/w giant cell arteritis
what is the clinical finding in polymyalgia rheumatica?
raised ESR and CRP
what is the treatment of polymyalgia rheumatica?
oral prednisolone daily (corticosteroids)
also calcium, vit D and bisphosphonates
what is the triad of reactive arthritis?
arthropathy, conjunctivitis and urethritis
a 68 year old woman complains of bilateral buttock and thigh pain a/w back pain after walking 200 metres and sitting down relieves the pain
she does not experience and symptoms at rest
exam of the back and peripheral circulation is unremarkable
what is the diagnosis?
spinal stenosis causes claudication
a 28 year old woman has severe lower back pain and is incontinent of urine
exam reveals loss of sensation over the perineum and straight leg raising is limited bilaterally
what is the diagnosis?
central disc prolapse leading to saddle anaesthesia
which are the specific conditions for the following autoantibodies:
- anti-Jo
- anti-acetycholine receptor
- anti-La
- anti-dsDNA
- anti-scleroderma 70
- anti-Ro
- dermatomyositis and polymyositis
- myasthenia gravis
- SLE
- SLE
- scleroderma, systemic sclerosis
- Sjogren’s syndrome
what is the name for frozen shoulder?
adhesive capulitis - more common in diabetics and is a stiff shoulder that cannot internally and externally rotate and cannot abduct at all
what are the characteristics of Churg-Strauss syndrome?
i.e. eosinophilic granulomatosis with polyangitis
involves a triad of:
1. late onset asthma/allergic rhinitis
2. systemic vasculitis = fever, malaise, night sweats, rash, GI disturbances…
3. peripheral eosinophilia = elevated p-ANCA as well
at what point should alendronate be taken?
30 mins before eating with water
what is a common side effect of alendronate?
GORD
also necrosis of the jaw
