MSK Flashcards
1
Q
Investigations for acute osteomyelitis
A
- FBC + diff WBC
- ESR, CRP
- Blood cultures x 3 (at peak temp.)
- U&Es
- X-ray (normal in the first 10-14 days)
- Ultrasound
- Aspiration
- Isotope bone scan
- MRI
2
Q
Investigations for subacute osteomyelitis
A
- X-ray
- Bone scan
- Biopsy (50% +ve) grow organism
3
Q
Investigations for acute septic arthritis
A
- FBC, WBC, ESR, CRP, blood cultures
- X-ray
- Ultrasound
- Aspiration
4
Q
TB investigations
A
- FBC, ESR
- Mantoux test
- Sputum culture
- X-ray
- Joint aspiration + biopsy
5
Q
Investigation for RA
A
Immunology
- Rheumatoid factor (IgG, IgM)
- Anti cyclic citrullinated antibodies
X-ray
6
Q
Investigations for suspected bone tumours
A
- Plain X-ray
- CT
- Isotope bone scan
- MRI (gold standard)
- Biopsy
7
Q
How to diagnose polymyalgia rheumatica
A
- Compatible Hx (age >50)
- ESR > 50
- Dramatic steroid response
- No specific diagnostic test
8
Q
Investigations for OA
A
- Plain radiograph (shows LOSS)
- CRP may be slightly elevated
- Aspiration of joint fluid (look for blood, pus +/or crystals) + send it for gram stain + polarised light microscopy
9
Q
3 investigations for cerebral palsy
A
- Gait analysis
- Radiographs
- MRI
10
Q
Investigation for Duchenne’s Muscular Dystrophy
A
- Creatinine kinase is raised (measure in all boys not walking by 18mths)
- Muscle biopsy
11
Q
How to diagnose hallux valgus
A
-Clinical
-X-ray
Determines the severity of underlying bony deformation
Excludes associated degenerative change
12
Q
How to diagnose hallux rigidus
A
- Clinical
- Radiographs
13
Q
How to diagnose Morton’s neuroma
A
- Clinical
- Mulder’s click
- US (gold standard)
- MRI (good but not best)
14
Q
How to test for rupture of Achilles tendon
A
- Gently squeeze calf (soleus muscle)
- If the squeeze makes the foot move then the Achilles is not fully ruptured
- If no movement after squeeze then there is a complete rupture of the tendon
(Angle of the dangle + Matles)
15
Q
How to diagnose ankle arthritis
A
- Clinical
- Radiographs
- CT (exclude adjacent joint arthritis)