MSK 1 Flashcards
A heliotrope rash (symmetric violet-erythema, located periorbitally, especially about the eyelids), a cloak-like or cape rash (erythematous confluent macules on the neck, shoulders and chest), and Gottron’s papules (scaly, violaceous thickened knuckle skin, sometimes confused with psoriasis).
Dermatomyositis
Dx for Dermatomyositis?
CK and aldolase
Anti Jo-1
Patients usually experience progressive, symmetric, proximal muscle weakness with fatigue, malaise, and morning stiffness. Muscles often affected are those of the shoulder, neck, and pelvic girdle. Pulmonary (interstitial pneumonitis or fibrosis), cardiac (cardiomyopathy, congestive heart failure, arrhythmias), pharyngeal (dysphagia), and musculoskeletal (myalgias, arthralgias) symptoms might occur
Polymositis
Dx for polymyositis?
CK and aldolase
Anti Jo-1
Tx for Polymyositis and dermatomyositis?
High-dose glucocorticoids
What is the screening test of choice for SLE
ANA
This test is most sensitive to SLE
an Anti DSNA and Anti-smith are specific to SLE but a negative ANA rules out SLE
MC type of shoulder dislocation?
Anterior
MC extra-articular finding in patients with Ankylosing spondylitis?
Uveitis
Young male patient with insidious low back pain that’s worse in the morning. Positive HLA-B27
Ankylosing spondylitis
If a patient with an achilies tendon rupture is able to plantar flex their foot, is that sufficient or do you need a positve Thomson test?
Need positive Thompson test.
an autoimmune disease characterized by lymphocytic infiltration of the exocrine glands
Sjögren’s syndrome
Tx for Raynaud’s phenomenon
Nifedipine
What should you rule out in an obese child with a limp and knee pain?
SCFE
Prolonged corticosteroid use causes what bone problem?
Osteoporosis
Patient with a signific hx of corticosteroids are at much higher risk for spinal compression fx.
This sprain grade is characterized by a complete tear of the ligament. Severe pain, swelling, tenderness, and ecchymosis are noted with significant joint instability. There is a significant loss of range and function, and the patient cannot bear weight or ambulate.
Grade 3
