MSK Podcast

Question 1

Osteoarthritis

Heberdens/Bouchard’s nodes

Common pt

Answer 1

Noninflammatory
Cartilage lost asymetrically

Bone rubs creating crepitus

Osteophytes
H=DIP
B=PIP

Elderly man

Question 2

Rheumatoid Arthritis

Joints affected/findings

Swan neck

Boutannieure deformity

Common pop

Answer 2

Systemic inflammation (fatigue, WL, fever)

PIP, MCP, Wrists symmetric
Effusion, warmth, thick synovium

Extend PIP, flex DIP

Flex PIP, extend DIP

Young woman

Question 3

Septic Arthritis

Common organism
Presentation
Common pop

Answer 3

Acute inflammation, monoarthritis
Usually staph aureus

Redness, effusion, pain

IV Drug user (Think SC joint), skin infection

Question 4

Gout

Common pop

Answer 4

First MTP, tender

Build up of hyperuricemia
Elderly man

Question 5

SLE

Presentation

Answer 5

ANA/Anti-DNA antibodies

Affects kidneys, joints, skin, photosensitivity, lung

Question 6

Scleroderma

Diffuse

CREST

Answer 6

D- all skin, can affect lung/kidney/heart

C- calcinosis, raynaud’s, esophageal dysmotility, scleroderma, telangetasia

Question 7

Extra articular

Gout
Gonorrhea
Dactylitis

Answer 7

Gout- tophi (long standing)

Gonorrhea- painful joints, ankles, central necrosis

Dactylitis- spondyloarthropothies