Musculoskeletal Flashcards
Back pain that is exacerbated by standing and walking and releived with sitting and hyperflexion of the hips
Spinal stenosis
Joints in the hand affected in rheumatoid arthritis
MCP and PIP joints; DIP joints are spared
Joint pain and stiffness that worsen over the course of the day and are relieved by rest
Osteoarthritis
A genetic disorder that is associated with multiple fractures and blue sclerae and is commonly mistaken for child abuse
Osteogenesis imperfecta
Hip and back pain along with stiffness that improves with activity over the course of the day and worsens are rest. Diagnosis? Diagnostic test?
Suspect ankylosing spondytis. Check HLA-B27
Arthritis conjunctivities, and urethritis in young men.
Associated organisms?
Reactive arthritis. Most commonly associated with Chlamydia, also Campylobacter, Shigella, Salmonella, and Ureaplasma
A 55-year-old man has sudden, excruciating first MTP joint pain after a night of drinking red wine. Diagnosis? Workup? Chronic treatment?
Gout. Joint fluid aspirate showing needle-shaped, negatively birefringent crystals. Chronic treatment with allopurinol or probenecid
Rhomboid-shaped positively birefringent crystals on joint fluid aspirate
Pseudogout
An elderly woman presents with pain and stiffness of the shoulders and hips; she cannot lift her arms above her head. Labs show anemia and elevated ESR.
Polymalgia rheumatica
Bone is fractured in a fall on an outstretched hand
Distal radius (Colles fracture)
A complication of scaphoid fracture
Avascular necrosis
Signs suggesting radial nerve damage with humerus fracture
Wrist drop, loss of thumb abduction
The most common primary malignant tumor of bone
Multiple myeloma
Headache, soreness in jaw, pain on scalp, transient monocular blindness
Giant cell (temporal) arterities
