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Family Med EOR > Orthopedics/Rheumatology > Flashcards

Orthopedics/Rheumatology Flashcards

1
Q

s/s of acute low back pain

A

-aching
-radiating
-worse with movement
-improvement with position change

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2
Q

diagnosis of acute low back pain

A

-typically order xray but mostly clinical

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3
Q

management of acute low back pain

A

-reassurance
-symptom control

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4
Q

indications for referral of acute low back pain

A

-neuro dysfunction
-unable to return to work after 4 weeks

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5
Q

chronic low back pain

A

> 12 weeks

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6
Q

s/s of chronic low back pain

A

-aching
-radiating
-worsened with movement

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7
Q

diagnosis of chronic low back pain

A

-xray

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8
Q

treatment of chronic low back pain

A

-pain management

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9
Q

etiology of bursitis

A

trauma

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10
Q

s/s of bursitis

A

-swelling of the area
-pain, tenderness, limited ROM

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11
Q

indications for aspiration of bursa

A

-inflamed and red and warm
-significant swelling

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12
Q

management of bursitis

A

-activity modification and NSAIDs
-cold compress
-compression bandages

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13
Q

treatment of septic bursitis

A

-mild: bactrim
-severe: IV vanc

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14
Q

etiology of tendonitis

A

repetitive overuse

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15
Q

s/s of tendonitis

A

-aching and soreness with activity
-pain with ADLs
-loss of ROM
-tenderness on palpation

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16
Q

treatment of tendonitis

A

-rest
-Ice and NSAIDs
-physical therapy

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17
Q

etiology of costochondritis

A

-trauma
-infection

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18
Q

s/s of costochondritis

A

-pain and tenderness
-pain when taking a deep breath or coughing

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19
Q

treatment of costochondritis

A

NSAIDs
rest
reassurance

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20
Q

fibromyalgia

A

widespread musculoskeletal pain with multiple tender points but no clear objective findings

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21
Q

s/s of fibromyalgia

A

-chronic fatigue and generalized aching pain
-worsens with exertion
-normal exam
-associated psych conditions
-at least 3 months

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22
Q

diagnosis of fibromyalgia

A

diagnosis of exclusion

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23
Q

treatment of fibromyalgia

A

-aerobic activity/Pt education/CBT
-amytriptyline
-cymbalta
-cyclobenzaprine

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24
Q

cause of ganglion cyst

A

fluid filled swelling over a joint or tendon sheath

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24
Q

s/s of ganglion cyst

A

-firm, smooth, and rubbery
-transilluminates

25
Q

management of ganglion cyst

A

-observation
-aspiration
-surgical removal

26
Q

etiology of gout

A

increased uric acid

27
Q

s/s of gout

A

-pain and inflammation of joint
-redness and tenderness
-MC on great toe

28
Q

dx of gout

A

negatively birefringent needle shaped crystals

29
Q

pseudogout

A

Positively birefringent rhomboid-shaped crystals

30
Q

tx of gout

A

-low purine diet
-NSAIDs
-Colchicine

31
Q

etiology of osteoarthritis

A

-mechanical stress

32
Q

s/s of osteoarthritis

A

pain, stiffness, enlargement, tenderness, limited range of motion, and deformity (<30 min, asymmetrical)

33
Q

diagnosis of osteoarthritis

A

xray

34
Q

treatment of osteoarthritis

A

-tylenol
-NSAIDs
-joint injection
-joint replacement

35
Q

etiology of osteoporosis

A

-medications
-hormones
-old age
-malnutrition

36
Q

s/s of osteoporosis

A

-pathologic fracture
-loss of vertebral height
-back pain

37
Q

pathologic fractures

A

-compression fracture of vertebrae
-hip fracture
-distal radius fracture

38
Q

dx of osteoporosis

A

T score <-2.5

39
Q

normal T score

A

T>-1.0

40
Q

tx of osteoporosis

A

-lifestyle modifications
-vitamin D
-bisphosphonates (-dronate)

41
Q

overuse syndrome

A

injury caused by accumulated microtraumatic stress placed on a structure or body area

42
Q

treatment of overuse syndrome

A

-reassurance
-NSAIDs
-rest

43
Q

MCC of heel pain

A

plantar fasciitis

44
Q

s/s of plantar fasciitis

A

-heel pain when walking
-most severe first thing in morning
-tenderness along plantar fascia

45
Q

treatment of plantar fasciitis

A

-OTC orthotic heel pad
-home stretching program
-NSAIDs

46
Q

s/s of reactive arthritis

A

-arthritis
-urethritis
-conjunctivitis
-uveitis
-mouth ulcers

47
Q

diagnosis of reactive arthritis

A

HLA-B27 positive, negative synovial fluid culture

48
Q

treatment of reactive arthritis

A

-NSAIDs
-anti-TNF

49
Q

s/s of rheumatoid arthritis

A

-symmetrical swelling of multiple joints
-stiffness for first 30+ minutes in morning and after inactivity
-hand deformities
-rheumatoid nodules

50
Q

diagnosis of RA

A

-anti-CCP and RF

51
Q

treatment of RA

A

-methotrexate

52
Q

sprain vs strain

A

-sprain: ligament
-strain: muscle

53
Q

s/s of sprains/strains

A

-swelling
-tenderness
-pain
-bruising

54
Q

grading of muscle strains

A

-1: few fibers torn, fascia intact
-2: moderate amount of fibers torn, fascia intact
-3: all or most of fibers torn, fascia intact
-4: tear of all fibers, fascia torn

55
Q

grading of ligament sprains

A

-1: few fibers torn
-2: partial tear of ligament
-3: complete tear of ligament

56
Q

treatment of strains and sprains

A

-RICE
-work on ROM after a couple days

57
Q

s/s of SLE

A

-low grade fever
-joint pain
-butterfly rash

58
Q

diagnosis of SLE

This is from UTD dont come for me…i feel like you’d see it

A

SLICC criteria: either that a patient satisfy at least 4 of 17 criteria, including at least 1 of the 11 clinical criteria and one of the six immunologic criteria, or that the patient has biopsy-proven nephritis compatible with SLE in the presence of antinuclear antibodies (ANA) or anti-double-stranded DNA (anti-dsDNA) antibodies.
EULAR/ACR criteria: a patient can be classified as having SLE if they have a positive ANA ≥1:80 and score 10 or more points

-anti-smith
-ANA

-anti-dsDNA

59
Q

treatment of lupus

A

-hydroxychloroquine

Family Med EOR (14 decks)

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