MSK Flashcards
Which of the following is of greatest concern following a posterior hip dislocation?
sciatic nerve injury -> foot drop
common feature of clinical injury indicating avascular necrosis?
acetabular #
The affected leg is shortened, adducted, and internally rotated. what type of hip injury is described?
posterior dislocation
The affected leg is usually abducted and externally rotated. No leg shortening. type of hip injury described?
anterior dislocation
27-year-old woman presents with painful genital ulceration. She has had recurrent attacks for the past four years. Oral aciclovir has had little effect on the duration of her symptoms. She has also noticed for the past year almost weekly attacks of mouth ulcers which again are slow to heal. Her only past medical history of note is being treated for thrombophlebitis two years ago. What is the most likely diagnosis?
behcets syndrome
oral ulcers, genital ulcers and anterior uveitis triad points to?
behcets syndrome
also thrombophlebitis and DVT, erythema nodosum
man presents to the emergency department 30 minutes after falling onto his left hand during a social basketball game. He complains of swelling and significant pain on the radial side of his left wrist. On examination, the man describes the pain as unbearable when asked to squeeze the examiner’s finger with his left hand no x-ray changes. dx?
scaphoid # after FOOSH
In the emergency department, suspected scaphoid fractures should be managed..???
immobilisation using a Futuro splint or standard below-elbow backslab before specialist review
refer to ortho for 7-10/7 rv. also XR
history and examination together, previous trauma to a limb, with paraesthesia (an early sign), disproportionate pain on assessment of tone (passive rather than active movements) and normal x-ray findings should raise suspicion of??????
compartment syndrome -> refer to orthopaedic surgeons
subcapital fracture of the femur with partial displacement. What is the most likely surgical treatment option for this type of fracture? in patient with cognitive impairment ->
hemiarthroplasty
Intracapsular femoral fracture -
hemiarthroplasty
intracapsular = subcapital
extracapsular femoral # ->
dynamic hip screw
34-year-old man visits his GP due to worsening weakness and pain in his arms and hands, and increasing fatigue, especially on exertion. On examination there are faint fine crackles audible in the lower-mid zones. The GP also notices thickened and cracked skin on the patient’s hands, as well as difficulty when the patient moves up from the chair onto the examination couch. dx?
antisynthetase syndrome
myositis
which Ab ix for antisynthetase syndrome?
anti-jo1 Abs
first line pharma mx for Raynaud’s syndrome:
nifedipine (CCB)
rugby -> shoulder injury - commonly?
AC jt injury
ankle XR: A minimally displaced, transverse fracture is seen distally through the lateral malleolus, below the level of the talar dome. No talar shift is seen. The medial malleolus is not involved. classification and mx?
weber A - stable
discharge from ED with walking boot and analgesia for f/u r/v to check healing
what is the most common cardiac manifestation of SLE and is included in many classification criteria including those outlined by the British Society for Rheumatology in their 2018 guidelines for SLE?
pericarditis
25-year-old man with a history of Crohn’s disease presents asking for advice. He currently takes methotrexate and asks if it is alright for him and his partner to try for a baby.
What is the most appropriate advice?
wait 6 months from finishing tx with MTX before trying
extremely painful joint at the base of his thumb which came on suddenly overnight. The 1st metacarpal-phalangeal (MCP) joint is swollen and erythematous. dx?
gout
bone pain for the past few weeks. He has also had a reduction in his hearing recently. His blood results show an isolated rise in alkaline phosphate.
Given the likely diagnosis, which bone is most likely to be in pain?
pelvis - pagets disease of bone
granulomatosis with polyangiitis: which antibodies?
wegener’s
cANCA
eosinophilic granulomatosis with polyangiitis (aka churg-strauss) + others - which antibodies to ix?
pANCA
78-year-old man is investigated for headaches. A routine blood screen is normal other than an elevated ALP. A skull x-ray is ordered: likely dx even without seeing XR:
Pagets disease of bone