PANCE MSK Rheum 8/13/20 Flashcards
what nerve pathology must you rule out with proximal humerus fx
axilary and brachial plexus
what nerve pathology must you rule out with humeral shaft fx
radial nerve
what is one of the things you look for on supracondyer fx or radial head fx
fat pad sign
proximal ulnar shaft fx with radial read dislocation is called
monteggia fx
monteggia fx nerve injury
radial
olecranon fx what nerve
ulnar
mid radius fx with dislocation of the DRUJ
galeazzi fx
how do you rest a nursemaids dislocation
supination and flexion
tx for colles fx
sugar tong splint
what is the wrist position for colles fx mechanism
extened
wrist position for smith fx mechanism
flexed
X ray for colles fx
proximal interior
what tendon for dequarivains
APL and EPB
what position is the leg with posterior dislocation
internal rotation
what position is the fem neck fx in
external rotation
labs and image for osteomyelatitis
ESR CRP
and MRI
MCC of osteomyelitis
staph aureus
osteomyelitis tx
nafcillin
what abx treats staph
nafcillin
what abx for gram -
ceftrixone
what is the best inital test for SLE
ANA
what is the most specific test for SLE
smith
what is the SLE triad
fever
rash
joint pain
tx for sjogrens
pilocarpine
what test for sjogrens
schimer
what is the MC reason for elbow joint effution on adults
radial head fx
what is the MC reason for elbow joint effusion in children
supracondylar fx
what are the 2 ways to dx a supracondylar fx
abnormal anterior humoral line
posterior fat pad sign
what fat pad is always abnormal
posterior
what vitamin for CRPS
- vit C
intraarticular fx through the first MCP
Bennent fx
what is the tx for a Bennent fx
ORIF because these are always unstable
what is one sign you may see with a pelvic fx
perineal ecchymosis
what are the 5 ottawa ankle rules
- pain along lateral malleouleus
- pain along medial malleouleous
- navicular pain
- 5th met pain
- unable to walk 4 steps
describe webber ankle fx A B C
A: below the joint
B: At the joint
C: above the joint
what is a maisonnuve fx
fx of the fibula with an ankle fx
that is why you always X ray the knee with ankle trauma
what is the location of a march or stress fx
3 metatarsal MC
what pathology is charcots joint associated with
DM
what location for mortans neuroma
3rd metatarsal head
what levels do you brace scolios
20-40
> 40 surgical
what two abx for osteomyelitis
naffcillin
vanco
what is the MC cause of joint infections (septic arthritis) if they have a prosthesis
- staph epidermis
what is the MC cause of joint infections (septic arthritis)
staph aureus
what is the MC cause of joint infections (septic arthritis) young adults
neisseria gonorrhea
what PSI is dx for compartment syndrome
> 35
where does osteosarcoma MET to
lungs
what is a benign bone tumor
osteocondroma
what antibodies are specific for SLE
anti smith
anti double stranded DNA
what are the three main tx for lupus
- sun exposure
- hydroxychloraqiun
- NSAIDS
what pathology
- tight skin
- anti centromere
scleroderma
scleroderma tx
DMARDS
what medication is used for fibromyalgia
pregablin
polymyalgia rheumatica tx
steroids
polymyalgia rheumatica lab
Inc ESR
how do you tx dermatomyocitis
steroids
what pathology is associated with high uric acid
gout
what do you tx gout with 2
NSAIDS
colchiicine
who cant take allopurinol
hann chineese
what meds for gout prevention 2
- colchiicine
- allopurinol
what is psudo gout made of
calcium
how do you tx psudo gout
steroids
what gets psudo gout ore often
females
what are the two tx for rhabdo
- IV hydration
- mannitol
what is the primary tx for OA
acetaminophen
what may be looked at as a progression of polymyalgia rheumatica
giant cell arteritis
what pathology
- HA
- jaw claudication
- vision changes
- fever
giant cell arteritis
what is a complication of giant cell arteritis
blindness
Recurrent oral or genital ulcers
bechets syndrome
bechets syndrome tx
steroids
what is a complication of kawasaki syndrome
- coronary artery aneurysm
kawasaki syndrome tx 2
IVIG
- high dose aspirin
strawberry red tongue
kawasaki syndrome
painless limp hip pathology
legg calfe perthes
what abx for gram neg rods
ceftriaxone
hair on end or sun burst ray what type of cancer
osteosarcoma
where does osteosarcoma met to
lungs
lytic lesions “onion skin” on X ray
ewing sarcoma
what bone tumor is pudunulated
osteochondroma
what labs for pagets disease
high alk phos
what is the management of pagets diseases
bisphosphenates
what screen for lupus
anti nuclear ab (ANA)
what is the most sp for lupus 2
- antidouble stranded
- anti smith
what is the main medication for lupus
hydroxychloraquin
what test for scleroderma
anti centromere AB
how do you you tx scleroderma
DMARDS
how do you tx sjogrens
pilocarpine
people with sjogrens have a higher incidence of what
non hodgkins lymphoma
what type of system is cholinergic?
parasympathetic
what rhematic condition is associated with giant cell arteritis
polymyalgia rheumatica
polymyalgia rheumatica tx
steroids
what is the first line for gout
- NASID
2. colchicine
how do you tx chronic gout
- allopurinaol
2. colchicine
what are gout crystals made of
monosodium urate crystals
what are psudo gout crystals made of
calcium
- rhomboid shape
- tx: steroids
most specific for RA
anti cyclic
best initial RA test
RH fctor
HA
jaw pain
visual chnages
giant cell arteritis
- high dose steroids
- Inc ESR
tx of osteomyelitis in adults 2 +
nafcillin + Vanco
cause of osteomyelitis in adults
S aureus
tx of osteomyelitis in sickle cell 2+
ceftriaxone + cipro
cause of osteomyelitis in puncture wound
psudomonas
tx of osteomyelitis in puncture wound
cipro
MCC septic arthritis
- S aureus
- sexucally active (n, gonorrhea)
tx septic arthritis 2 +
Nafcillin + Vanco
what is the gold standard for osteomyelitis
bone aspiration
