Monica book Flashcards
Triad of urethritis, conjunctivitis, arthritis Associated lesions include circinate balanitis
Keratoderma blenorrhagica
Mouth ulcers
Reiter’s syndrome
Seronegative arthropathies
Reiter’s syndrome
Ankylosing spondylitis
Psoriatic arthritis
Enteropathic arthopathy
4 A’s associations of ankylosing spondylitis
Arthritis
Anterior uveitis
Apical lung fibrosis
Aortic regurgitation
What does the arthritis in UC/Crohn’s usually look like?
Asymmetrical, mainly affects lower limbs
More common in Turkish, Iranian patients
Orogenital ulceration, uveitis, arthritis
Pathergy reaction is pathognomonic
Behcets
Proximal muscle weakness, pain and tenderness
↑serum CK (creatine kinase)
Polymyositis
Granulomas in respiratory tract, generalized vasculitis
Classic anti-neutrophil cytoplasmic antibody (cANCA), anti-PR3 positive
Wegeners
Usually elderly patient with headache Scalp tenderness, jaw claudication very suggestive Amaurosis fugax, sudden unilateral blindness can occur associated with polymyalgia rheumatica
Temporal/giant cell arteritis
Usually child (particularly under age 5) Purpuric rash over buttocks, extensor surfaces Associated with arthritis, abdominal pain, nephritis
Henoch-Schonlein purpura
Usually middle-aged male
Asthma, rhinitis and systemic vasculitis
Churg-Strauss syndrome
Usually under 5 years: Main features are: – protracted fever (over 5 days) – acute cervical lymphadenopathy – bilateral non-purulent conjunctivitis – dry, cracked, fissured lips – redness, oedema of palms and soles Platelets, CRP (C-reactive protein) usually ↑↑
Kawasaki’s disease
Painful shoulder following seizure
Posterior dislocation
Failure to abduct shoulder after dislocation
Axillary nerve injury
Winged scapular
Damage to the long thoracic nerve
Dinner fork deformity
Colles fracture
Forced adduction and flexion of thumb elicits pain on radial side of wrist
De Quervain’s syndrome
Which movements will elicit pain in DeQuervains?
Forced adduction and flexion of thumb
Flexed, adducted and externally rotated leg
Femoral shaft fracture
Locked knee, positive McMurray’s test?
Meniscal tear
Drop foot after hip replacement
Sciatic nerve injury
Drop foot after knee injury
Common peroneal nerve injury
Excessive anterior glide on femur
ACL tear
Excessive posterior glide tibia on femur
PCL tear
Prominent tender tibial tubercle
Osgood-schlatter disease
Localized enlargement of bone with deformity (e.g. enlarged skull, bowed tibia)§
Paget’s disease
RA on x-ray
Loss of joint space Juxta-articular osteoporosis Erosions, subluxation joints
Onion peel sign on x-ray
Ewing’s sarcoma
“Sunray spiculation” on x-ray
Osteosarcoma
Hallmark sign of osteosarcoma
Osteoid production
Side effects of ciclosporin
Gum hypertrophy
Nephrotoxicity
Hyperkalaemia
Drugs which can cause big gums
Ciclosporin
Phenytoin
CCBs
Intramuscular DMARD which can cause el massive rash all over your body
Gold
Treatment for gout
Acute: colchicine
Prophylaxis: allopurinol
Question mark posture
Ankylosing spondylitis
Most common cause of posterior shoulder dislocation
Epileptic fit
Anterior shoulder dislocation might damage which nerve
Axillary
Which nerve might be damaged in a humeral shaft fracture
Radial nerve
Pre-patellar bursitis
Housemaids knee
This nerve supplies the extensors of the wrist
Radial nerve
Look for damage of this artery if you have supracondylar fracture
Brachial artery
Pott’s disease
Tuberculous spndylitis
-fever, weight loss, back pain
Biochem findings in myeloma
High calcium
High ESR
Which type of radiograph do you need in SUFE?
Lateral radiograph!
Adducted
Externally rotated
Shortened
Fractured NOF
Risk factors for pseudogout
Hypovolaemia, hyperparathyroidism, diabetes, haemochromatosis, acromegaly, arthritis
