ortho Flashcards

1
Q

diagnostic criteria for fibromyalgia

A

-widespread pain (multiple joints)
-≥3 mo
-cognitive sx, fatigue
-ABSENSE of other disorder that explains sx

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2
Q

risk factors for RA. Name 3

A

-female, older age, smoking

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2
Q

name complications of untreated rheumatoid arthritis

A

-anemia
-scleritis
-deformities (hands, frozen shoulder, nodules)
-pericarditis

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3
Q

what are the treatment options for RA

A

-NSAIDS (sx relief)
-DMARDs (start ASAP - prevent progression of disease)
-steroids (for flares only)
-biologics for severe disease

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4
Q

what are two hand findings in OA?

A

Herberdens nodules (DIP)
Bouchard nodules (PIP)

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4
Q

what are the diagnositc criteria for migraines?

A

-last 4-72 hr untreated
-worsened by routine activity
-mod-severe intensity
-throbbing/pulsatile
-photo/phonophobia OR nausea/vomiting

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5
Q

name four herbal substances patients may use for migraine prophylaxis?

A

-butterbur
-magnesium
-riboflavin
-coenzymeq10

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6
Q

Name 5+ different medication prophylaxis options for migraines

A

-topirimate
-amytriptilline
-gabapentin
-metoprolol
-lisinopril
-valproic acid

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7
Q

indication for migraine prophylaxis?

A

≥3 per month, increase in frequency or rebound

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8
Q

diagnostic criteria for tension headache

A

-last 30 min to 7 days
-<15d per month
≥pressing/tightening
-mild-mod intensity
-bilateral
-not aggravated by routine activity

-NO nausea/vomiting

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9
Q

what are the four prophylaxis options for TENSION headaches?

A

-amytryptilline
-nortryptilline
-venlafaxine
-mirtazapine

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10
Q

diagnostic criteria of cluster headaches:

A

-at least 5 headaches with:

-severe unilatearl orbital, supraorbital +/- temproal pain lasting 15 min - 3 hour
-attacks are associated with ≥1 of conjunctival injection, lacrimation, nasal congestion, rhinorrhea, miosis, ptosis, eyelid edema

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11
Q

acute management of cluster headaches

A
  1. Inhaled O2

Sumatriptan
Nasal lidocaine

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12
Q

what are the prophylactic medications for cluster headaches?

A

-verapamil
-topiramate
-valproic acid
-lithium

BRIDGE with steroids (nerve block, or oral)

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