ortho Flashcards
A 25-year-old man attends the emergency department after being involved in a road traffic accident
His right leg is shortened, internally rotated, slightly flexed and adducted compared to the left.
What is the diagnosis?
Posterior hip dislocations present with a shortened and internally rotated leg
x ray findings of Perthes disease
widening of the right hip joint space with flattening of the femoral head.
myxoid cyst
Radial nerve (C5-C8)
Fracture arm location?
Extension (forearm, wrist, fingers, thumb)
Humeral midshaft fracture
Palsy results in wrist drop
‘Housemaid’s knee’.
Prepatellar bursitis
Associated with more upright kneeling
(Clergyman’s knee)
Infrapatellar bursitis
Associated with kneeling
Olecranon bursitis
(‘student’s elbow’) is a common cause for elbow swelling and may be caused by prolonged pressure, trauma or rheumatoid arthritis
causative medication with new onset achilles tendon disorders; tendinitis and tendon rupture is a key side effect of which to be aware?
ciprofloxacin
age independent risk for osteoporosis
FELTYS SYNDROME?
RA
SPLENOMEGALY
NEUTROPENIA
ehlers danlos syndrome feature?
AD
TYPE 3 tall SATURE
TYPE 7 short stature
blue sclere
antibodies for sjogrens
Anti ro/la
description of antiphospholip condition- miscarriage and DVT
antibody?
anti cardiolipin
antib2
lupus anticoagulant
limited sclerosis- features
diffuse sclerosis antibodies vs limited
drug induced lupus drugs?
osteomalacia?
low calcium, low phosphate, raised ALP
RA features vs oa?
Joint space narrowing both
Oa osteophytes, subchondral sclerosis and cysts
shes has lupus, not being contorlled by nsaid and corticosteriods
add hydroxychloroquine
temporal arterittis
tx
50- 60 g pred
valgus vs varus test- ligaments?
valgus- medial collateral
varus- lateral collateral
caplans syndrome?
pulmonary fibrosis in coal miner
pANCA?
microscopic polyangitis
old name churg strauss
side note- also associated with eosinophulic granulomatosis but the features include eospinophils
classic triad for eosinophilic granulomatosis with polyangitis EGPA?
pseuodo gout features?
chondrocalcinosis
calcium pyrophosphate dihydrate
positive birefingement
Barlow- to see if the hip is easily dislocated, subluxation
ortolani- femoral head slips into the acetabulum
osteoarthritis nodes on PIP and DIP
PIP bouchards
DIP Heberdens
p for pointing to that B***h
lady bone mets- osteosclerotic and osteolytic bone
cancer?
osteoscaroma
bone cancer in teenager- onioning
ewings
anterior dislocation of shoulder- what nerve damaged?
axillary
high stepping gait
nerve damaged?
