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
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2
Q

Investigations for subacute osteomyelitis

A
  • X-ray
  • Bone scan
  • Biopsy (50% +ve) grow organism
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3
Q

Investigations for acute septic arthritis

A
  • FBC, WBC, ESR, CRP, blood cultures
  • X-ray
  • Ultrasound
  • Aspiration
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4
Q

TB investigations

A
  • FBC, ESR
  • Mantoux test
  • Sputum culture
  • X-ray
  • Joint aspiration + biopsy
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5
Q

Investigation for RA

A

Immunology

  • Rheumatoid factor (IgG, IgM)
  • Anti cyclic citrullinated antibodies

X-ray

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6
Q

Investigations for suspected bone tumours

A
  • Plain X-ray
  • CT
  • Isotope bone scan
  • MRI (gold standard)
  • Biopsy
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7
Q

How to diagnose polymyalgia rheumatica

A
  • Compatible Hx (age >50)
  • ESR > 50
  • Dramatic steroid response
  • No specific diagnostic test
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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
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9
Q

3 investigations for cerebral palsy

A
  • Gait analysis
  • Radiographs
  • MRI
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10
Q

Investigation for Duchenne’s Muscular Dystrophy

A
  • Creatinine kinase is raised (measure in all boys not walking by 18mths)
  • Muscle biopsy
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11
Q

How to diagnose hallux valgus

A

-Clinical
-X-ray
Determines the severity of underlying bony deformation
Excludes associated degenerative change

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12
Q

How to diagnose hallux rigidus

A
  • Clinical

- Radiographs

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13
Q

How to diagnose Morton’s neuroma

A
  • Clinical
  • Mulder’s click
  • US (gold standard)
  • MRI (good but not best)
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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)

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15
Q

How to diagnose ankle arthritis

A
  • Clinical
  • Radiographs
  • CT (exclude adjacent joint arthritis)
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16
Q

How to diagnose tibialis posterior tendon dysfunction

A
  • Clinical

- MRI to assess tendon

17
Q

How to diagnose Charcot neuroarthropathy

A
  • High index of suspicion
  • Consider any diabetic with a swollen foot (esp. w/ neuropathy)
  • Radiographs
  • MRI
18
Q

How to screen for developmental dysplasia of the hip

A
  • Clinical exam (only picks up 40%)

- US (universal or selective)

19
Q

Investigations for SUFE

A
  • AP radiograph
  • Frog-leg lateral radiograph

Of both hips