Nonarticular Rheumatism Flashcards
In 65% of dialysis pt’s receiving dialysis > 10 years, what might happen?
Destructive arthritis
What joints are affected with destructive arthritis?
interphalangeal joints, metacarpophalangeal joints, wrists, shoulders, and knees
What is deposited in destrcutive arthritis?
amyloid deposition (an arthrotropic β2-microglobulin)
Fybromyalgia- clinical presentation
chronic widespread musculoskeletal pain that is poorly localized. It is accompanied by fatigue, sleep, memory, and mood issues.
Fibromyalgia- 3 important labs
complete blood count, erythrocyte sedimentation rate, thyroid function studies
Fibromyalgia- Tx
NSAIDS and sleep meds
What 3 things are an indication for more extensive examination in acute low back pain?
Objective leg weakness or bladder or bowel dysfunction
Which 2 Sx are indicitive of a neoplastic or infectious process?
Substantial weight loss or pain that increases with recumbency
Which 3 Sx suggests a spinal nerve root irritation?
Radiating pain, weakness, or numbness in an extremity
What is a pseudoclaudication?
narrowing of the lumbar spinal canal. This puts pressure on the spinal roots and affects the control and sensation of the lower limbs. It is named pseudoclaudication because claudication is a vascular problem giving the same symptoms.
Which maneuvers improve the Sx of pseudoclaudication?
improve with leaning forward on a shopping cart while walking or with sitting
What are the 5 most important cases to get radiographs of a pt with acute low back pain?
1st episode after 50 y/o, Hx of neoplasm, Fever, weight loss, neurological Sx.
What is the initial treatment of acute nonspecific low back pain?
reassuring the patient because 90% of all patients with acute low back pain have considerable improvement in 6 weeks
What causes bursitis?
Irritative stimuli due to trauma or overuse, microcrystalline disease, chronic inflammatory arthritis, and infection
What are the two organisms commonly involved with septic bursitis?
Staphylococci (80%) and streptococci
