MSK Flashcards
- straight leg raise- disc prolapse sign
- risk
- paishon the opposite leg when raising the other leg.
- high risk of cauda equina
ottawa rules for ankle injury( 1 main rule +- 1 by rule)
ankle x-ray if:
pain in the malleolar region and:
- bony tenderness at the posterior tip of the medial and lateral malleolus
-unable to weight bear at the time of injury and when seen
hydroxychloroquine- eye side effect
irreversible retinopathy
leflunomide(immunomodulatory drug) side effects(3)
- diarrhoea
- hepatitis
- hypertension
sulfasalazine male side effect
-reversible male infertility
feltys triad
RA, Splenomegaly, Neutropenia
ehlers-danlos syndrome
- inheritance
- statures
autosommal dominant
can be tall and short
sjogrens antibodies
anti-ro
anti-la
anti-phospholipid antibodies
anti-cardiolipin
limited systemic sclerosis antibodies CREST calcinosis raynauds esophageal dysmotility sclerodactyly Telangiectasia
anti-centromere
diffuse systemic sclerosis antibodies
anti-scl70/anti-RNA polymerase
definitive diagnosis of ank spond
radiological criterion- sacroilitis
clinical criteria for ank spond(3)
back pain for 3 months- improved by exercise
limitation of lumbar spine motion -sagittal and frontal planes
limitation of chest expansion relative to normal values for age
raised ALP, normal calcium and phosphates
pagets disease
raised ALP, low calcium and phosphate
osteomalacia(vit D deficiency)
normal calcium, ALP and phosphate
osteoporosis
simmonds test positive- for what
ankle rupture
p-anca positive vasculitis- 3
1) wegeners granulomatosis
2) microscopic polyangitis
3) churg-strauss
microscopic vs wegeners(granulomatosis polangitis)
wegeners- older population
microscopic polyangitis- younger population, also has eosinophilia
p-anca negative-1
polyarteritis nodosa
churg- strauss triad
1) Asthma
2) vasculitis
3) eosinophilia
beighton score-what is it for
hypermobility
Bakers cyst
- key investigation
- management
- ultrasound
- needle aspiration of joint, bed rest
Perthes disease
Tender hip joint- limitation of movements and shortened left leg
What paediatric hop condition is preceded by a viral upper respiratory tract infection
Transient synovitis
TLGM
Tennis - lateral epicondylitis.
Golfers- medial epicondylitis
Tennis elbow worsened by what movements
Extending the wrist
Supinatinf the forearm
Smith’s Vs colles
Colles- posterior
Smith’s- anterior
Monteggia fracture
Ulnar fracture with dislocation of the radial head
Galeazzi fracture dislocation
Fracture of radial shaft with dislocation of inferior radio-ulnar joint
Child attempting to stand using his hands at 4 years old- what sign is it
what condition
Gowers sign
duchennes
Most common cause of kyphosis in adolescents
Scheuermans disease
Fat embolism syndrome- skin condition
Petechial rash
Key complication of closed fracture
Internal bleeding-. Ecchymosis discolouration
treatment for raynauds
nifedipine-ca blocker
pain on radial styloid on forced flexion of the thumb
- what test
- what condition
- finkelstein
- De quervains tenosynovitis
chronic fatigue syndrome- how long symptoms need to be present for
4 months
how to differentiate impingement from tear
tear tends to have muscle weakness compared to the opposit arm
impingement shows no muscle weakness
most common ankle inversion injury ligament
anterior talofibular ligament
eversion ankle injury
deltoid(medial) ligament
lisfranc ligament injury cause
direct blows, heavy object on foot
