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
swelling of PIPs in OA…
bouchard nodes
3 x ray findings in OA
ostephytes
narrowed joint spaces
joint sclerosis
DEXA scan stops at what age…
65
asymmetric arthritis
conjunctivitis, uveitis, urethritis
(+) HLA B27
Reactive arthritis
G/C, salmonella, shigella and campylobacter can all cause…
reactive arthritis
Morning stiffness > 30 minutes, better later in the day, worse with rest
small joints > large joints
ulnar deviation at MCPs
nodules
RA
what RA manifestation?
flexion of PIP, hyperextension at DIP
boutonniere deformity
what RA manifestation?
flexion at DIP, hyperextension at PIP
swan neck deformity
Dx of Ra… (3)
(+) RF, CRP/ESR, Anti-Citrullinated Peptide Abs
4 DMARDs used for RA?
MTX
hydroxychloroquine
sulfasalaine
leflunomide
Biologics used for RA…
TNF-alpha inhibitors, IL inhibitors
etanercept
Triad of SLE…
joint pain, fever, malar rash
3 labs for SLE…
(+) ANA
(+) anti-ds DNA Abs
(+) Anti-Smith Abs
