MSK - Lower Limb Orthopaedic Pathology Flashcards
osteoarthritis is
a. worse on activity , asymmetrical
b.worse at rest, symmetrical
a. worse on activity , asymmetrical
patient with osteoarthritis is wanting surgery, they say they have lost weight and decreased their activity in order to qualify as suitable for surgery they have also been using supports and are currently taking paracetamol should they be referred for surgery
a.yes
b.no
b.no
haven’t tried steroid injections yet
all conservative management must be trialled before surgery
investigations for a limping child general rules
ultrasound scan and x ray
bloods
re examine - take a second look and get a second opinion
SUFE
slipped upper femoral epiphysis
NEVER MISS THIS
overweight, male,african American and puberty are risk factors for which condition
a.SUFE
b.Perthes disease
c.septic arthritis
d.reactive arthritis
a.SUFE
child with pain in the knee and limp on exam there is externally rotated gait and a knee x ray is performed . no signs of damage are seen what should be done next
a.bloods
b.ultrasound knee
c.hip x ray
d.ultrasound hip
c.hip x ray
check for sufe
slipped upper femoral epiphysis
a normal Klein line on hip x ray should…
a. transect a small part of the epiphysis
b.not transect the epiphysis
a. transect a small part of the epiphysis
femoral head should have a ice cream cone appearance where it meets acetabulum
patient male 2-10 yrs, gradual onset intermittent limp, what is the most likely cause
a.SUFE
b.Perthes disease
c.septic arthritis
d.reactive arthritis
b.Perthes disease
top of femur collapses and is rebuilt in a different shape
have to let it run its natural cause
what happens if a sufe goes undetected
ongoing pain
ongoing limp
leg length discrepancy
earlier onset arthiritis
child with a. limp and pain on exam they have a raised temp , appear upset and have a raised wcc, an ultrasound is done and shows a large effusion, the patient is given paracetamol but does not ease the pain what is the most likely diagnosis
a.SUFE
b.Perthes disease
c.septic arthritis
d.reactive arthritis
c.septic arthritis
child with a. limp and pain on exam they do not want to walk but are otherwise well, bloods are done and come back normal and ultrasound shows a small effusion patient is given ibuprofen and symptoms ease what is the likely diagnosis
a.SUFE
b.Perthes disease
c.septic arthritis
d.reactive arthritis
d.reactive arthritis
suspected septic or reactive arthritis investigations
pain relief
exam
bloods
uss