MSK

Question 1

SOCRATES RA

Answer 1

S - MCP, PIP, large joints 
O - acute
C - ache
A - stiffness, swelling, warmth, rheumatoid nodules, fever, dry mouth/gritty eyes
T - early morning stiffness >60min
E - rest
S - sever (less than gout/sepsis)

Question 2

4 questions about site of problem

Answer 2

One/more than one joint, pattern of joint involvement, small/large joints, symmetrical

Question 3

Eg. acute, sub-acute and chronic onset

Answer 3

Acute = gout, sub-acute = RA/septic, chronic = OA

Question 4

Where does neck pain radiate to?

Answer 4

Upper limb

Question 5

Where does lower back pain radiate to?

Answer 5

Buttock

Question 6

Where does hip pain radiate to?

Answer 6

Knee

Question 7

3 systemic symptoms for vasculitis/connective tissue disease/IBD?

Answer 7

Weight loss, fever, abdo pain, fatigue, malaise, depression

Question 8

3 conditions a rash may indicate

Answer 8

Psoriatic arthritis, SLE arthritis, IBD (erythema nodosum)

Question 9

10 completing questions MSK history?

Answer 9

Previous episodes/treatment/response, history trauma, IBD/psoriasis/coeliac, SLE/thyroid/autoimmune, recent infection (inc dental/pharyngeal), TB, RF for gout (alcohol, low dose asprin, renal disease, metabolic syndrome (hypertention/obesity/diabestes/vascular disease)

Question 10

6 social Hx questions?

Answer 10

Occupation (risk/impact), sports/hobbies, ADL, alcohol, smoking, home circumstances (stairs/dependants/carers/social support)

Question 11

6 family history questions/conditions?

Answer 11

RA, OA, psoriasis, gout, IBD, CTD, autoimmune