msk/rheum quick facts Flashcards
reversed
Abducted, externally rotated. Axillar nerve affected
Anterior Shoulder dislocation
reversed
Adducted, internally rotated. Electrical injury, lightening, seizure
Posterior
reversed
Empty can test
Rotator Cuff Tear
reversed
Wrist drop (radial nerve)
Mid-Shaft Humerus Fracture
reversed
Middle third most commonly affected. Treat with sling
Clavicle Fracture
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Children. Median nerve and brachial artery affected. Anterior sail and posterior fat pad sign. Gun stock deformity. Volkmann contracture
Supracondylar Fracture
reversed
Posterior dislocation most common_
Elbow Dislocation
reversed
FOOSH. Snuffbox tenderness. Thumb spica splint
Scaphoid Fracture
reversed
Median nerve. Phalen Sign. Tinel Sign. Compression test. Thenar eminence atrophy
Carpal Tunnel Syndrome
reversed
5th metacarpal fracture. Ulnar gutter splint
Boxer Fracture
reversed
Pregnancy. Finklestein test
Dequervain Tenosynovitis
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Young male, HLA B27, Bamboo sign
Ankylosing spondylitis
reversed
Bowel/bladder incontinence, saddle paresthesia
Cauda Equina
reversed
Shoping cart sign (pain relieved with forward bending)
Spinal Stenosis
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Femoral neck fracture, limp, frog leg lateral Xray
Avascular Necrosis
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Knee pain, avascular necrosis of hip
Legg-calve- perthes
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Obese. X-ray: ice cream slipping off cone
Slipped capital Femoral Epiphysis
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Positive ortalani and barlow test. Palpable clunk. Pavlick harness_
Developmental Hip Dysplasia
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External rotation and shortening
Hip Fracture
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Deceleration, hyperextension, pop, and swelling. Positive lachman or anterior drawer test.
ACL
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Mechanical symptoms. Baker cyst. Positive mcmurray and apley test.
Meniscal Tear
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Knee pain worse with exercise. Children. Tenderness over tibial tuberosity
Osgood- Schalter Disease
reversed
Positive Thompson test
Achilles Ankle Tear
reversed
Staph aureus
Osteomyelitis
reversed
Sunburst pattern
Osteosarcoma
reversed
Moth eaten pattern and onion peel appearance
Ewing Sarcoma
reversed
Knee. Bouchard (PIP) and Heberdens (DIP) nodes
Osteoarthritis
reversed
Risk factors: smoking ,glucocorticoids, amenorrhea
Osteoporosis
reversed
pain out of proportion. 6 Ps: pain, pressure, paresthesia, pulselessness, pallor, paralysis
Compartment Syndrome
reversed
Bilateral symmetric and progressive. Boutonniere and Swan neck deformity. Felty Syndrome
RA
reversed
Women, depression, pain
Fibromyalgia
reversed
Calcium pyrophosphate. Positive birefringent rhomboid shaped crystals
Gout
reversed
Polyarthritis, spiking fevers, salmon colored rash. Risk of uveitis.
Jeuvenile RA
reversed
Hepatitis B (etiology). Livedo reticularis, mononeuritis multiplex.
Polyarteritis Nodosa
reversed
Progressive proximal muscle weakness, dysphagia
Polymyositis
reversed
Heliotrope rash, guttron papules, shawl sign. Risk of malignancy. Anti-jo-1 and Mi-2 antibodies
Dermatomyositis
reversed
>50. Giant Cell arteritis
Polymyalgia Rheumatica
reversed
GI/GU infection, urethritis, conjunctivitis. HLA B27
Reactive Arthritis
reversed
Malar rash, positive ANA, discoid rash. Double stranded DNA and anti-Smith antibodies
SLE
reversed
Fibrosis. Calcinosis, Raynaud phenomenon , GERD, sclerodactyly, telangiectasis. Anticentrmere antibodies and SCL-70.
Scleroderma
reversed
Dry eyes. Positive Shirmer
Sjogren
