MSK Flashcards
what drug causes reactivation of latent TB
TNF alpha inhibitor (infliximab)
tingling in pinky and ring finger
cubital (ulnar nerve compression in cubital fossa)
necrotising fasciitis treatment
debridement, penicillin, clindamycin
what DMARD causes interstitial pneumonitis
methotrexate
what rheumatoid drug causes black tarry stools
NSAIDs
what rheumatoid drug in nephrotoxic
penicillamine, gold
visual loss, mouth and genital ulcers
behcets
what hypersensitivity is RA
type IV
describe osteoarthritis on X-ray
articular cartilage failure asymmetrical loss of joint space osteophyte formation subchondral sclerosis subchondral cysts
OA hands
heberdens nodes (DIP), Bouchards nodes (PIP)
Tx carpal tunnel
corticosteroid injection, splint, workplace task modification, standard open carpal tunnel release, arthroscopic
Tx cubital
splint, neurolysis, anterior transposition
Tx dupuytren
radiation therapy, needle aponeurotomy, collagenase injection, surgery
Which nerve gets damaged in arm pathology –
Cubital tunnel issues – ulnar nerve; Humeral shaft fractures risk the radial nerve;
Supracondylar fracture of the distal humerus can cause median nerve damage (carpal tunnel)
Corticosteroids (e.g. prednisolone) can cause osteoporosis which often presents _____
with a Dowager’s hump due to multiple wedge fractures
hydroxychloroquine SE
retinopathy
Common peroneal nerve injury –
severe lateral knee pain with inability to move ipsilateral foot and generalised numbness following total knee replacement
Systemic sclerosis, characterised by fibrosis, vascular alterations (Raynaud’s) and autoantibodies, —–ANTIBODY?
anticentromere
identified by detection of anti-cardiolipin
antiphospholipid syndrome
Typical x-ray features of seronegative arthritis –
sacro-iliac joint erosions, soft tissue swelling, irregular peri-articular new bone formation, pencil-in-cup deformity and spinal ligament ossification
