MSK swelling: Around Joints Flashcards

1
Q

describe what ganglia are

A

outpouchings of the synovial lining of joints and filled with synovial fluid

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2
Q

describe the appearance of ganglia

A

discreet, round swelling, non-tender, <10mm-several cms, skin mobile, fixed to underlying structures

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3
Q

what areas are ganglia most commonly seen in

A

wrists, feet, knees

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4
Q

what is involved in the management of ganglia

A

often nothing done, NOT aspiration, percutaneous rupture which is painless, or surgical excision if too big or affecting nerves

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5
Q

where is Baker’s cyst found

A

in the popliteal fossa

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6
Q

what can Baker’s cyst present with

A

general fullness of popliteal fossa, soft, non-tender, painful rupture

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7
Q

what other condition is Baker’s cyst associated with

A

osteoarthritis(OA)

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8
Q

is management of Baker’s cyst operative or non-operative

A

non-operative

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9
Q

describe what bursitis is

A

inflammation of the synovium lined sacs that protect bony prominences and joints

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10
Q

what is involved in the management of bursitis

A

NSAIDs, analgesia, antibiotics, incision +drainage(infection), rarely excision(chroni)

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11
Q

what does bursitis results in when it becomes infected

A

an abscess

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12
Q

describe what gout is

A

an inflammatory arthritis

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13
Q

what areas does gout usually affect

A

great toe, knee as well

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14
Q

what is gout associated with

A

purine rich food, alcohol, dairy

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15
Q

what clinical features are seen in gout

A

severe pain, red, hot , swollen joints,

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16
Q

what condition is gout sometimes mistaken for

A

septic arthritis

17
Q

how is the diagnosis of gout made

A

clinical features and aspiration of negatively birefringent monosodium urate crystals

18
Q

what is involved in the treatment of gout

A

NSAIDs, steroids, allopurinol

19
Q

in who and where are rheumatoid nodules seen

A

appear around joints in chronic severe RA patients, they are associated with repetitive trauma

20
Q

what clinical features are seen with rheumatoid nodules

A

positive rheumatoid factor, intense inflammatory changes

21
Q

describe the management of rheumatoid nodules

A

excision if problematic, don’t respond to DMARDs, recurrence high