MSK/Rheum Flashcards
Common in women chronic pain comes on with squatting, going up and down stairs. Dx?
Patellofemoral Syndrome.
Seen in preadolescents/atheletes associated with growth spurt pain worse with sports.. tenderness and swelling at the tibial turbcle.
Osgood-Schlatter disesae
Primarly seen in athletes. Pain and tenderness at the inferior patellar.
Jumper’s Knee. Patellar tendonitis.
Acute/episodic pain localized to the medial aspect of the knee distal to the joint line.
Anserine bursitis.
Anterior pain felt by people who work on their knees all day.
Prepatellar bursitis.
Febrile child that refuses to walk and keeps hip externally rotated. Dx? Test?
Transient synovitis/Toxic Synovitis. US.
Best diagnostic test to confirm sarcoid? Rx? What if patient asymptomatic?
Biopsy of parotid gland, lymph or skin lesion other than erythema nodosum. Oral Steroids. If asymptomatic it will most likely go into remission.
Pain with abduction, external rotation and positive impingement of the arm. Dx?
Rotator cuff impingement or tedinopathy.
Pain and weakness with abduction of the arm. Dx?
Rotator cuff tear.
Decreased passive and active range of motion. More stiffness than pain. Dx?
Adhesive Capsulitis.
Anterior shoulder pain, pain with lifting, carrying. Dx?
Biceps Tendinopathy/Rupture.
Uncommon and usually caused by trauma, associated with gradual onset of anterior shoulder pain. Dx?
Glenohumeral osteoathritis.
Test and treatment for developmental hip dysplasia?
Risk factors include female, breech, positive family hx, Barlow test (attempts to dislocated unstable hip). Pavlik Harness is treatment (flexed abducted for 1-2 months).
Management of displaced clavicular fractures with shortening?
Open reduction and internal fixation.
Symmetric polyathritis with morning stiffness lasting > 30 mins, for > 6 weeks. Test? Rx 1st line, 2nd line?
RA. RF, Anti-citrulated antibodies. NSAIDs. Can be combined with DMARD (methotrexate, infliximab, enteracept, sulfasazine) if pt has severe disease and joint erosions.
Chlamydia, Salmonella, Shigella, Yersinia cause this type of arthritis. Symptoms? Test? Rx?
Athritis, urethritis, conjunctivitis. Clinical. NSAID. - Abx if chlymydia and non-self limiting GI infection.
Bamboo sign 1st test, most accurate, rx?
- Xray 2. MRI Ankolysisig spondylitis. NSAID.
Fever, salmon colered rash, polyathritis. Dx? what rules in the diagnosis? Rx?
Normal ANA and RF, high WBC and ferritin. 1. Nsaids 2. Steroids.
Best inital test for lupus? Most accurate? Rx for flare ups? Rx? for joint pain? Rx for patient not responding to either?
- ANA. 2. Anti-smith and Anti-DS DNA 1. steroids 2. NSAIDS 3. Plaqueinel
Fibrous skin thickening, raynauds, lung fibrous, Esophageal dysmotility, Renal HTN, joint pain. Dx? Test? Rx?
Scleroderma. ANA, Anti-topismoerase (only present in 30% - non specific) Rx the symptoms Renal- Ace Pulmonary HTN- Bosenta, prostacyclins Raynuads- verampamil GERD- PPI
Calcinosis, Raynuds, Esophageal dysmotility, Sclerodactly, Telengiectasia Dx? Test?
CREST syndrome( limited scleroderma) does not have lung and renal involvement. Anti-centromere , less anti–scl70.
Proximal muscle weakness and tenderness cant raise from seated position. Dx? Inital test, most accurate? Rx?
Polymyositis. Elevated CPK, Aldolase, EMG, confirm with biopsy. Anti-jo-1. Steroids
Proximal muscle weakness and tenderness cant raise from seated position + Skin rash (Grottons papules, Heliotrope rash, shawl sign). Common complication of this?
Dermatomyositis. Elevated CPK, Aldolase,EMG, confirm with biopsy. Anti-jo-1. Steroids. Cancer.
> 50 years of age with pain and stiffness of the proxmial muscles, Elevated ESR. Dx? Rx?
PMR. CPK, Aldoase and EMG normal, ESR elevated. Steroids.
