Ortho Flashcards
Bone pain, tenderness, proximal myopathy, waddling gait?
Osteomalacia
Initial treatment for visual loss due to temporal arteritis?
IV Methylprednisolone
Old man, back pain, raised ALP?
Paget’s disease
Complications of Paget’s?
Deafness, bone sarcoma, fractures, skull thickening, cardiac failure
What commonly presents with pain on external rotation, on both active and passive movement?
Adhesive capsulitis
How does an infraspinatus tear usually present?
Painless
Weakness on active movement
Rare
How does shoulder impingement present?
Painful abduction
Positive Hawkins sign
How does supraspinatus tear present?
Defect in abduction
What antibiotic is not appropriate to prescribe with methotrexate due to risk of bone marrow suppression?
Trimethoprim
What antibody is most sensitive for SLE?
ANA
Triad of symptoms of fat embolism?
Respiratory
Neurological
Petechial rash
Treatment for undisplaced intracapsular hip fracture?
Internal fixation
Hemiarthroplasty if unfit
Treatment for displaced intracapsular hip fracture?
THR
Hemiarthroplasty if unfit
Treatment for extracapsular hip fracture?
DHS
Intramedullary device is subtrochanteric
Colles’ Fracture
Dinner fork deformity FOOSH 1. Transverse fracture of radius 2. 1 inch proximal to radio-carpal joint 3. Dorsal displacement and angulation
Smith’s Fracture
Reverse Colles’
Garden spade deformity
Volar angulation of distal radius fragment
Cause by falling back onto palm of outstretch hand, or wrists flexed
Bennett’s Fracture
Intra-articular fracture of first carpometacarpal joint
X-Ray = triangular fragment at ulnar base of metacarpal
Monteggia’s Fracture
Dislocation of proximal radioulnar joint in association with ULNAR fracture
FOOSH
Galeazzi Fracture
RADIAL shaft farcture with dislocation of distal radioulnar joint
Direct blow
Pott’s Fracture
Bimalleolar ankle fracture
Forced foot eversion
Barton’s Fracture
Distal radius fracture with associated radiocarpal dislocation
A’s of ank spond
Apical fibrosis Anterior uveitis Aortic regurgitation Achilles tendonitis AV node block Amyloidosis
PMR presentation
> 60, rapid onset, aching and morning stiffness.
NO WEAKNESS
No change in CK
How often is methotrexate taken?
Weekly, same day each week
Methotrexate SE?
Mucositis Myelosuppression Pneumonitis Pulmonary fibrosis Liver fibrosis
What is most useful investigation for drug induced lupus?
Anti-histone antibodies
Common causes of drug induce lupus?
Procainamide
Hydralazine
Acute gout management?
NSAIDs or Colchicine
If the pt is already on allopurinol, continue
