Ortho Flashcards

1
Q

Initial txt for Fibromyalgia?

A

conservative (multi disp approach)

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2
Q

Medical Txt for fibromyalgia?

A

Amitriptyline, SSRNI

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3
Q

The FDA approved txt for fibromyalgia?

A

Pregabalin

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4
Q

What is polymyalgia rheumatica closely associated with?

A

giant cell arteritits

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5
Q

What is polymyalgia rheumatica?

A

inflammation of the joints, bursae, and tendons

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6
Q

Worsening pain in the shoulder, neck, hips, pelvic girdle especially in the morning?

A

Polymyalgia rheumatica

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7
Q

What is seen on PE for polymyaglia rheumatica?

A

normal muscle strength with decreased active and passive ROM

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8
Q

Dx of polymyaglia rheumatica?

A

increased ESR & CRp

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9
Q

Txt for polymyaglgia rheumatica?

A

low dose corticosteroids

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10
Q

What drugs causes gout?

A

Thiazide, loop diuretics, ACEi, Pyrazinamide, Ethambutol, Aspirin

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11
Q

MC location of gout?

A

1st MTP joint of the great toe (podagra)

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12
Q

DOC for gout?

A

arthocentesis

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13
Q

What is seen on arthrocentesis for gout?

A

neg birefringent needle shaped crystals

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14
Q

Initial txt for gout?

A

NSAIDs (Indomethacin)

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15
Q

Txt for gout when NSAIDs are contraindicated?

A

Corticosteriods

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16
Q

Txt for gout when NSAIDs and steroids are contraindicated?

A

Colchicine

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17
Q

Prophylaxis txt for gout?

A

allopurinol

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18
Q

Who is NSAIDs contraindicated in?

A

renal insuffiency

19
Q

Who is corticosteroids contraindicated in?

A

glucose intolerance, heart failure, poorly controlled hypertension

20
Q

What gout medication can be used in both acute and chronic attacks?

A

colchicine

21
Q

Calcium pyrophosphate dihydrate deposition in joints & soft tissue?

A

pseudogout

22
Q

Sx of pseudogout?

A

severe pain, erythema, warmth, swelling & tenderness

23
Q

DOC for pseudogout?

A

arthrocentesis

24
Q

What is seen on arthrocentesis for pseudogout?

A

post birefringent or rhomboid shaped calcium

25
Q

Txt for pseudogout?

A

corticosteroids if 1 - 2 joints

26
Q

Txt for pseudogout if >2 joints?

A

NSAIDs

27
Q

Prophylaxis and txt of acute and chronic pseudogout?

A

colchicine

28
Q

What is polyarteritis nodosa?

A

vasculitis of medium sized vessels

29
Q

What distinguishes polyarteritis nodosa from other vasculitides?

A

doesn’t involve pulmonary vessels

30
Q

What is polyarteritis nodosa commonly associated with?

A

increased association w/ chronic Hep B and C

31
Q

What is seen on renal or mesenteric angiography for polyarteritis nodosa?

A

microaneuryms

32
Q

Txt for polyarteritis nodosa?

A

steriods

33
Q

What is sjogren syndrome

A

a autoimmune dx affecting the exocrine glands

34
Q

What sx are seen in Sjogren syndrome?

A

dry mouth, dry eyes, dyspareunia, bilateral partoid gland enlargement

35
Q

What two antibodies are seen in Sjogren syndrome?

A

antiSS-A (Ro) and antiSS- B (La)

36
Q

What test can be use to dx Sjogren syndrome?

A

positive schirmer test (wetting <5mm)

37
Q

Txt for Sjogren syndrome?

A

artificial tears, increased intake

38
Q

Med txt for sjogren syndrome?

A

cholinergic drugs- Pilocarpine or Cevimeline

39
Q

What are complications related to Sjogren syndrome?

A

increased risk of Non-Hodgkin lymphoma

40
Q

What is scleroderma?

A

autoimmune connective tissue disorder

41
Q

What sx are seen in scleroderma?

A

tight, shiny thickened skin

42
Q

What abx are associated with scleroderma?

A

anti centromere

43
Q

Txt for scleroderma?

A

organ specific