Ortho Flashcards
Initial txt for Fibromyalgia?
conservative (multi disp approach)
Medical Txt for fibromyalgia?
Amitriptyline, SSRNI
The FDA approved txt for fibromyalgia?
Pregabalin
What is polymyalgia rheumatica closely associated with?
giant cell arteritits
What is polymyalgia rheumatica?
inflammation of the joints, bursae, and tendons
Worsening pain in the shoulder, neck, hips, pelvic girdle especially in the morning?
Polymyalgia rheumatica
What is seen on PE for polymyaglia rheumatica?
normal muscle strength with decreased active and passive ROM
Dx of polymyaglia rheumatica?
increased ESR & CRp
Txt for polymyaglgia rheumatica?
low dose corticosteroids
What drugs causes gout?
Thiazide, loop diuretics, ACEi, Pyrazinamide, Ethambutol, Aspirin
MC location of gout?
1st MTP joint of the great toe (podagra)
DOC for gout?
arthocentesis
What is seen on arthrocentesis for gout?
neg birefringent needle shaped crystals
Initial txt for gout?
NSAIDs (Indomethacin)
Txt for gout when NSAIDs are contraindicated?
Corticosteriods
Txt for gout when NSAIDs and steroids are contraindicated?
Colchicine
Prophylaxis txt for gout?
allopurinol