MSK Flashcards
nerve injury associated with anterior shoulder injury
axillary (pin prick sensation over deltoid)
nerve injury associated with proximal humerus/humeral head fx
brachial pelxus or axillary
nerve injury associated with humeral shaft fx
radial nerve (wrist drop)
nerve injury associated with supracondylar humerus fx
radial/median nerve and brachial artery (volkmann ischemic contracture)
fat pad sign suggest what 2 fractures?
supracondylar humerus fx
radial head fx
mc cuase of suppurative flexor tenosynovitis
S. aureus
nerve injury associated with olecranon fx
ulnar nerve
nerve injury associated with monteggia fx
radial nerve
nerve and vessel injury associated with elbow dislocations
brachial artery
median/ulnar/radial nerve injury
(basically you fucked)
cubital syndrome is compression of what nerve?
ulnar nerve at the elbow
what vitamin is used as prophylaxis after fx to prevent CRPS
Vitamin C
what did you injure if you have a mallet finger?
extensor tendon avulsion
what did you injury if you have gamekeepers thumb?
ulnar collateral ligament
if your abductor pollicus longus and extensor pollicus brevus is giving you pain… what is your dx?
de quervain tenosynovitis
complications of hip dislocations
AVN
sciatic nerve injury
if hip is dislocation it will be (internally/externally) rotated
if it is fractured it will be (internally/externally) rotated
internally
externally
a segond fx is pathognomonic for what injury?
ACL
complications of knee dislocation
this is the same for femoral condyle, and tibial plateau fxs
popliteal artery injury
peroneal (foot drop) and tibial nerve injuries
Mc cause of knee pain in runners
ITB syndrome
are anterior or posterior dislocations MC in ankle dislocations?
complication?
posterior
Peroneal injury
what is mortons neuroma?
what is it caused by?
painful mass near 3rd metatarsal
women wearing tight/high heels
a __ fx occurs when the 5th metatarsal is fx’d
jones
observe scoliosis if curve is ___
bracing if curve is __
surgical correction for ___
<20
20-40
>40
tx for newborn with osteomyelitis
Group B strep (nafcillin/oxacillin)
tx for >4mo with osteomyelitis d/t MSSA
naficillin/oxacillin
clinda or vanc for PCN
tx for >4mo with osteomyelitis d/t MRSA
vanc or linezolid
tx for sickle cell pt with osteomyelitis
salmonella (cipro or levo)
tx for pt w/ osteomyelitis d/t punture wound
pseudomonas (cipro, levo)
mc bone malignancy
hair on end, sunburst
osteosarcoma
periosteal reaction “onion skin”
palpable mass
ewing sarcoma
noncancerous tumors of the bone.
Dull, achy pain that gets worse at night
imporved with aspirin
intracortical nidus
osteoid osteoma
cancer of cartilage
chondrosarcoma
abnormal bone remodeling
blade of grass/flame shaped lucency on XR
skull has cotton wool appearance
bone pain
paget dz
lab finding in paget dz
high alk phos
tx for pagets
bisphosphonates, calcitonin
joint pain, fever, malar rash, pericardiits, glomerulonephritis
SLE
Tx for SLE
sun protection, hydroxychloroquine
crest syndrome
scleroderma C = calcinosis cutis R = raynauds E = esophageal motility d/o S = sclerodactyly T = telangieactasia
autoimmune d/o that attcka exocrine glands
paotid enlargement, dry eyes
increase incidence of non-hodgkins
sjogrens
tx for sjogrens
pilocarpine (cholinergic drug)
proximal joint pain, closely related to giant cell arteritis
polymyalgia rheumatica
progressive symmetrical muscle wekaness d/t idiopathic inflammatory mucsle dz
polymyositis/dermatomyositis
heliptrope, gottrons papules, shawl or V sign
dermatomyositis
Tx for polymyositis/dermatomyositis
corticosteroids
tx of rhabdo
IVF
bicarb to alkalinize urine
pulseless dz that affects aorta, aortic arch, pulmonary arteries
Takeyasu arteritis
angiography to dx
corticoteroids to tx
caused by unidentified resp agent or viral pathogen
warm CREAM
Tx?
Kawasaki
(fever, conjunctivitis, rash, extremity changes (desquamation), adenopathy, mucus membranes (lip swelling/fissures and strawberry tongue))
IVIG, aspirin
systemic vasculitis of medium and small arteries.
Tx?
polyarteritis nodosa
corticosteroids
igA deposites in skin after URI sxs
hematuria,arthritis, palpable purpura, abd pain
henoch-schonlein purpura
Dx: mesangial IgA deposites
Tx: supportive
IgG ab against type IV collagen of alveioli and glomuler membrane
good pastures
(Glomerulonephritis + Pulmonary hemorrhage)
Tx= Glucocorticoids + plasmapheresis
tx for reactive artheririts
NSAIDs
tx for anklosing spondylitis
NSAIDs
pencil in a cup deformity, sausage fingers, HLA B27
psoriatic artheirtis
circinate balanitis, ketatoderma blennorrhagicum
associataed with HLA B27
autoimmune response that causes arthritis, conjunctivitis, urethritis
reactive arthritis (reiter’s syndrome)
