MSK Flashcards
1
Q
What questions relate to site of PC?
A
- what is the pattern of joint involvement?
- which joints are affected?
- small or large joints?
- one or multiple?
- gradual or sudden onset?
- bilateral (If so, symmetrical/asymmetrical)?
2
Q
What should you ask about the onset of the PC?
A
- when did it start?
- is it episodic: frequency, regularity and duration
3
Q
Which conditions have an acute onset?
A
- acute: gout
- subacute: septic arthritis, rheumatoid
4
Q
What conditions have chronic onset?
A
- Osteoarthritis
5
Q
What should you ask about the character of the PC?
A
- ache, throbbing, sharp?
6
Q
What should you ask about radiation of PC?
A
- neck > upper limb
- lower back > buttocks/lower limb
- hip > knee
7
Q
What local symptoms are associated with MSK complaints?
A
- stiffness, swelling, crepitus
- erythema, inc local temp
- nodules
- rash, skin conditions
8
Q
What systemic symptoms are associated with MSK complaints?
A
- fatigue, malaise, depression
- fever, abdo pain, weight loss
- dry mouth, gritty eyes
9
Q
What are exacerbating factors?
A
- inflammatory (RA, ankylosing spondylitis): rest
- mechanical (OA): exercise
10
Q
What are alleviating factors?
A
- NSAIDs
- Exercise/rest
11
Q
What does PRISMS stand for?
A
- pain
- rashes, skin lesions, nail changes
- Immune
- Stiffness
- Malignancy
- swelling and sweats
12
Q
How do you complete an MSK HPC?
A
- recent infective episodes (joint sepsis)
- diabetes
- psoriasis, IBD, coeliac
- TB
- AI conditions
13
Q
What are the risk factors for gout?
A
- alcohol
- renal disease
- low dose aspirin
- diuretics
- metabolic syndrome
14
Q
What family history should you enquire about?
A
- RA
- OA
- psoriasis
- gout
- UC
- Crohn’s
- connective tissue disease
- autoimmune
