MSK Flashcards
Fall on shoulder - young vs old?
If old (greater than 60) will likely break humerus If young (less than 60) will likely break clavicle
X-ray ? fractured ribs?
For expectation management - but otherwise management does not change
Shoulder Pain?
NSAIDS to start. Can offer cortisone shot if this does not work. Give it time!
Polymyalgia Rheumatica Sx?
Bilateral shoulder pain.
Watch out for giant cell arteritis
What is Rhabdomyolysis?
Break down of muscles - any injury of muscle can cause, loss of normal ATP/ lytes metabolism
Often associated with AKI because of products of muscle breakdown
Will result in +++ CK
Tx with lots and lots of IV fluids + supportive
Prevention of osteoporosis?
Adequate Ca and Vit D intake, exercise (wt bearing), smoking and alcohol cessation, Bone scan starting age 60 for women, 70 for men