Musculoskeletal Flashcards
radial nerve sensory distribution
dorsal forearm and hand/first 3 fingers
pronation, thumb opposition
median nerve
median nerve sensory distribution
palmar hand/first 3 fingers
Ulnar sensory distribution
palmar and dorsal of last 2 fingers
Peroneal sensory distribution
dorsal foot and lateral leg
Peroneal muscle action
dorsiflexion and eversion of foot
L4 motor action and sensory distribution
foot dorsiflexion, medial lower leg
L5 motor action and sensory distribution
big toe dorsiflexion and foot eversion, dorsum of foot and lateral lower leg
S1 motor action and sensory distribution
plantar flexion and hip extension, plantar and lateral foot
knee pain, soap bubble appearance on xr
giant cell tumor of bone
onion-skinning on xr
Ewing’s sarcoma
bone pain worse at night, constitutional sx, Codman’s triangle, sunburst pattern on xr
osteosarcoma
Tx septic arthritis
ceftriaxone (gram -) and vanc (gram +)
needle-shaped, negatively birefringent crystals
gout = monosodium urate crystals
rhomboid shaped crystals
pseudogout = calcium pyrophosphate
rat-bite erosions
gout
Tx acute gout
NSAIDS then colchicine then corticosteroids
Tx chronic gout
allopurinol or probenecid (undersecreters)
arthritis following illness / uveitis
reactive arthritis
sausage-fingers and DIP joint arthritis
psoriatic arthritis
scaly, papular rash on dorsal hands / bony prominences
Gottron’s papules = Dermatomyositis
anti-CCP
RA
Anticentromere
CREST
anti-dsDNA
SLE
antihistone
drug-induced lupus
anti-Jo1
poly/dermatomyositis
antimitochondrial
PBC
antinuclear
scleroderma
anti-Scl70
scleroderma
anti-Smith
SLE
anti-smooth muscle
AI hepatitis
anti-topoisomerase I
scleroderma
anti-TSHR
Grave’s d/s
c-ANCA
Wegener’s granulomatosis
p-ANCA
microscopic polyangiitis
U1RNP
mixed connective tissue disease
SE of hydroxychloroquine
retinal toxicity
Tx CREST
corticosteroids for flares, penicillamine for skin changes, CCBs for Raynaud’s, ACEI to prevent renal d/s