Ortho/Rheum Flashcards
What type of low back pain has radicular sxs and (+) straight leg raise?
herniated disc
Dx of low back pain?
MRI
What type of low back pain has neurogenic claudication (+) unilateral radicular pain with EXTENSION of back (kemp’s sign)?
lumbar spinal stenosis
What type of low back pain has no radiation of pain, no neuro manifestations?
vertebral compression fx
What type of low back pain has pain worse with extension and twisting with radiculopathy?
spondylosis (degenerative OA)
Do you do cortisone injections on patellar tendonitis?
no (risk of patellar tendon rupture)
Tendonitis tends to resolve but reoccur, while ______ tends to persist for weeks
bursitis
Which MSK test? what does a positive indicate?
supine forearm, elevation of arm against resistance with elbow extended fully.
Speeds test
biceps tendon pathology/SLAP lesion
Which MSK test? what does a positive indicate?
Elbow flexed 90 degrees, wrist supination against resistance.
Yergason’s test
biceps tendon pathology
FM requires widespread pain at ___ of 18 sites
11 of 18
> 60 yo
large joint tenderness at lower extremity
no tophi present
pseudogout
prophylactic and acute tx for pseudogout?
colchicine = prophylaxis
NSAIDs = acute tx
Morning stiffness < 30 minutes
worsening pain/stiffness with use
relief with rest
OA
OA does not affect which joints?
MCP
Swelling of DIPs in OA…
heberden nodes
