MSK Flashcards
what is Ottawa rule for ankle injury
should have an X-ray if the pt have pain in the malleolar region and any of the following;
bone tenderness at the tip of the lateral malleolus or medial mallelous
or if they are unable to bear wt at any time
a medication used for RA that causes irreversible retinopathy/visual disturbance
Hydroxycholroquine
which rheumatological medication can cause increased in BP
Leflunomaide;l
it also causes diarrhoea and hepatitis;dh
LDH
which medication given for RA can cause a low sperm count
sulfasalazine
other side effects of Sulfasalazine
mouth ulcers, depression, hepatitis and agranulocytosis
examples of DMARDS
Leflunomaide,hydroxycholroquine,sulfasalazine or penicillamine
vit d def causes
osteomalacia in adults
and rickets in kids
risk factors for osteoporosis
low BMI(<19)
Height loss more than 3cm
family hx of maternal hip fracture <75
any conditions associated with prolonged immobility
chronic conditions associated with bone loss(celiac,RA and T1DM)
high BMI is a risk factor for OA
how do we diagnose Ankylosing Spondyltiis
diagnostic criteria should include radiological finding and atleast one of the clinical criteria
Felty’s syndrome
RA,Spleenomegaly,Neutropenia
Ehler’s Danlos Syndrome features
Autosommal Dominant
Blue sclera
it is associated with both tall and short stature
hyperelasticity of the skin
hypermobility of the joint shape in type 3 of it
antibodies associated with Antiphospholipd Syndrome
Anti Cardiolipin
Anti b2 Glycoprotein
Lupus Anticoagulant
antibodies for Limited Cutaneous SS/CREST
anti centromere
antibodies for diffused SS
Anti Scl70/anti RNA Polymerase antibodies
drugs that can cause lupus
hydralazine
methyldopa
isoniazid
penicillamine
minocycline
osteoporosis mein alpaca and phosphate sub kaisay hotly hain
sb normal hotly hain
high ALP,normal ca and phos?
high ALP,low ca and phos?
Pagets
osteomalacia
RA effects all joints;polyarticluar
morning stiffness is present
when 2DmARDS are not working for a pt for RA then what should be added and when
anti TNF therapy after. following tests are done;
hiv,hepaitits,cxr
when are anti malarial indicated for SLE
when NSAIDS and low dose corticosteroids are not working we can start of hydroxycholorquine
treatment of felty’s syndrome
Rituximab and leflunomide
Caplan’s synd?
tx?
usually happens in coal miners and who had an exposure of silica and asbestos.
Pul fibrosis=multiple round nodules resembling TB+RA
tx;steroids,control of RA and smoking cessation
