MSK Flashcards
most common cancers to metastasise to bone? list 10
breast
prostate
lung
colon
rectal
bladder
uterine
gastric
thyroid
kidney
NOT pancreatic or cervical or ovarian
Features of ank spondylitis - the As
Ant uveitis
Apical fibrosis
Aortic regurgitation
AV node block
Achilles tendonitis
Amyloidosis
3 clinical criterion of ank spon?
Chronic lower back pain improved on exercise and worse at rest
Reduced spinal mobility
Reduce chest expansion
IN spinal stenosis:
what is the classical presentation?
what position alleviates the pain?
Neurogenic claudication
- burning pain in both legs on movement
- pain better on leaning forwards
Vitamin D deficiency
- how does this affect Ca, Phosphate and PTH
reduced vit D –> less calcitriol–>
low Ca
low phosphate
secondary hyperparathyroidism
raised ALP
What is a mortons neuroma? where is it most commonly?
inflammation of interdigital nerve
commonly between 3rd and 4th MT heads
Bilateral plantar fasciitis?
consider inflammatory causes eg psoriatic and reactive arthritis
What is Freibergs disease?
What population does it tend to affect?
avascular necrosis of metatarsal heads
teenage girls
Pathognomic sign for calcaneal fracture?
bruising on sole of the foot tracking distally
Ottawa rules for knee xr
- unable to weight bear at time of injury + 4 steps in ED
- > 55yo
- isolated patellar tenderness
- fibular head tenderness
- unable to flex knee to 90 degrees
Gamekeepers thumb
thumb’s ulnar collateral ligament tear
from chronic wear and tear
Bartons fracture?
INTRAARTICULAR distal radius fracture + radiocarpal dislocation
most common part of the clavicle that is fractured?
junction of middle and outer 3rd of clavicle
apperance on AP view of anterior shoulder dislocation?
humeral head lies inferior to coracoid process
3 hallmark features of back pain indicating an inflammatory arthritis?
insidious onset
worse in the morning, better on exercise
Bloods tests to do in first instance if you suspect fibromyalgia?
FBE
ESR
CK
TFTs
rheumatoid factor
autoantibodies
commonest site of stress fracture in the foot?
2nd MT
flexor digitorum profundus - what movement does this facilitate?
DIP
flexor digitorum superficialis - what movement does this facilitate?
PIP
which nerve is at risk of damage in anterior shoulder dislocation?
axillary nerve
Features of crest syndrome
Calcinosis
Raynauds
Oesophageal dysmotility
Sclerodactyly
Telangiectasia
limited vs diffuse systemic sclerosis?
Limited - crest syndrome
Diffuse - solid organ effects:
- pulmonary fibrosis
- glomerulonephritis
antibodies in systemic sclerosis?
anticentromere
anti-scl70
tennis elbow signs and symptoms
lateral epicondyle pain
worse on supination and extension
key examination finding in SUFE?
on passive hip flexion, pt tries to externally rotate the hip also
what is anterior cord syndrome
what are the classical symptoms?
what is the most common cause
- affects spinothalamic and corticospinal tract
–> loss of pain and temperature sensation + motor - common cause - anterior spinal artery thrombosis
When to avoid giving colchicine for gout
renal impairment
taking CYPinhibitor - as colchicine toxicity is baaaaad. eg macrolides, antifungals
Maisonneuve fracture
medial malleolus + proximal fibula fracture
Mallet finger
damage to extensor tendon of finger
U1RNP antibodies
mixed conn tissue disease
initial mx of ank spon?
exercise
nsaids
