Musculoskeletal/Rheumatology Flashcards
what movements make lumbar spinal stenosis worse
extension of the spine and walking down hill
Abs specific for lupus
anti-smith and anti-ds DNA
Abs for scleroderma
Scl-70
Abs for autoimmune hepatitis
anti-smooth muscle
Abs for limited scleroderma
anti-centromere, for CREST
Abs for Wegner’s
c-ANCA
Abs for PBC
anti mitochondrial
med for SLE with isolated skin + joint involvement and what is its most serious s/e
sever retinopathy causing corneal damage so pts need to get routine screening every 6 months; this med is used for SLE with isolated skin and joint involvement
causes of osteonecrosis to femoral head
chronic corticosteroid use, chronical alcohol use, trauma, antiphospholipid syndrome
immediate management of rib fractures
analgesia so as not to cause respiratory depression /hypoventilation
pathogenesis of carpal tunnel syndrome
deposition of mucopolysaccharide protein complexes within the perineurium and endoneurium of the median nerve –> if its from hypothyroidism its usually severe and bilateral; if tis caused by pregnancy, CTS is caused by accumulation of fluid in the carpal tunnel
acute shoulder pain after forceful abduction and external rotation at the glenohumeral joint suggests _____; what nerve is involved?
anterior shoulder dislocation; causing injury to the axillary nerve or artery
acne in someone with an SLE flare
steroid induced folliculitis - rash would monomorphous pink papules and absent comodones
treatment of SLE
immunosuppression AFTER you determine the extent of organ involvement with kidney biopsy if they have lupus neprhitis
Anti phospholipid syndrome is associated with what coag lab abnormality
Prolonged PTT, but it’s spurious - diff results in Vivo and in vitro
