MS Infection, OA and Neoplasm and more?

Question 1

Joint aspirate leukocyte count for

Osteo?
Inflammatory arth?
Septic joint?

Answer 1

2000
5-50 thousand
more than 50,000

Question 2

Septic arthritis meds for staph? NEisseria gon?

G negative?

Answer 2

Vanc
Ceft
Aminoglycoside

Question 3

IV drug user with osteomyelitis?

Answer 3

Think pseudomonoas

Question 4

Osteomyelitis imaging?

Answer 4

Bone edema on MRI

Question 5

Osteomyelitis tx?

Answer 5

IV ANTIBIOTICS 4-6 weeks with incision and drainage

Question 6

Lyme disease labs?

Answer 6

ELISA and western blot (like HIV0

Question 7

Tx of late lyme disease?

Answer 7

Carditis encephaltis and arthritis: get ceftriaxone

Question 8

Lung cancer affect on bone?

Answer 8

Lytic Lung
Breast is lytic and clastic
Prostate is clastic

Question 9

Most common primary malignant bone tumor?

Answer 9

osteosarcoma

Question 10

Labs osteosarcoma?

Answer 10

High ALK phos
High ESR
High LDH
need to biopsy

Question 11

sunburst pattern on xray?

Answer 11

Osteosarcoma

codman triangle periosteal stuff pushing up on bone (important)

Question 12

tx of osteosarcoma?

Answer 12

amputation

Question 13

Osteochondroma is what?

Answer 13

Benign bone spur on metaphysis

Question 14

H/P for osteochondroma?

Answer 14

irritated soft tissue

Tx: not necessary unless irritation to other stuff

Question 15

Herberden nodes?

Answer 15

DIP (D is sooner in herberden)

Question 16

Bouchard nodes?

Answer 16

PIP