MSK Flashcards
Weak external rotation (shoulder)
adhesive capsulitis
Antiphospholipid syndrome
APTT
PT
Plts
APTT prolonged
PT normal
Plts low (sometimes)
Gottrons papules
roughened red plaques on extensor surfaces
associated with dermatomyosytis
De Quervain’s tenosynovitis clinical test
Finkelstein test positive ie. she has pain over her radial styloid on forced abduction/flexion of the thumb.
Hydroxychloroquine SE
visual acquity
Rheumatoid arthritis most specific test
anti CCP (anti cyclic citrullinated peptide)
knee meniscal tears Fx
knee locking, giving way
ankylosing spondylitis Mx
1st - NSAIDs/ exercise
2nd - DMARD (sulfasalazine)
3rd - Anti TNF (etanercept)
Gout chronic Mx
1st - Allopurinol + Colchicine/ NSAID cover
2nd - Febuxostat (xanthine oxidase inhibitor)
3rd - uricase
Ottawa rules for Ankle X ray
lateral malleolar pain
medial malleolar pain
unable to weight bear at time of injury and on assessment
Rheumatoid arthritis X ray findings
Early x-ray findings
loss of joint space
juxta-articular osteoporosis
soft-tissue swelling
Late x-ray findings
periarticular erosions
subluxation
cubital tunnel syndrome
compression of ulnar nerve - tingling of 4/5th fingers
carpal tunnel syndrome
compression of median nerve - tingling of thumb, index, middle finger
weak thumb abduction
thenar eminence wasting
antiphospholipid syndrome clotting profile
prolonged APTT
low platelets
antiphospholipid syndrome Mx
primary thromboprophylaxis: aspirin
secondary thromboprophylaxis: lifelong warfarin (INR 2-3); if recurrent despite warfarin, then INR 3-4
Ankylosing spondylitis associations (6)
Apical fibrosis
Anterior uveitis
Aortic regurgitation
Achilles tendonitis
AV node block
Amyloidosis
hydroxychloroquine SE (1)
retinopathy
Femeroacetablur impingement Fx
anterior groin pain in active young adults
phenytoin SE
dupuytrens contracture
Intertrochanteric (extracapsular) non displaced proximal femoral fracture Mx
dynamic hip screw