Pass Med Q's Flashcards
stills disease
arthralgia
salmon pink rash
fever
T score < -1.5
offer bisphosphonate
tx Wilsons
penicilamine - Copper chelating
what type of hypersensitivity is ITP
Type 2
what type of hypersensitivity is SLE
Type 3
what needs to be done before starting hydroxychloroquine
ophthalmology screening – can cause retinopathy
- + annual screening
what abx can’t be given with methotrexate
trimethoprim
co-trimoxazole
- increased risk bone marrow suppression
tx methotrexate toxicity
folinic acid
tx ankylosing spondylitis
NSAIDS + Physio 1st line
bloods in PMR
Raised ESR + CRP
- CK normal as no weakness
-ve birrefringente needle crystals
gout
+ve birrefringente rhomboid crystals
pseudo gout
if patient has co-timoxazole allergy what else might they be allergic to
sulfasalazine
joint aspiration findings septic arthritis
grey, organisms detected
presentation flexor tendon sheath infection
fixed flexion
fusiform swelling
tenderness
pain on passive extension
ix + tx psoas abscess
CT abdo
abx
percutaneous drainage
most common sites compartment syndrome
supracondular or tibial shaft fractures
imaging to confirm spinal stenosis
MRI
ix if you suspect sarcoma
XRAY within 48 hours
where does osteomyelitis affect bones
metaphysis
- staph aureus,
- flucloxacillin 6 weeks
what is discitis
infection in intervertebral disc space
- epidural abscess / sepsis are complications
- presents with pain + fever
what imaging do patients with discitis need
MRI
echo
imagine for achilles tendon rupture
USS
Presentation trigger finger
stiffness
pain
nodule at base of affected finger
- treat with steroid injections
what is damaged in scaphoid fracture
radial artery – AVN
reasons for THR revision
aseptic loosening
pain
dislocation
infection
causes of dupuytrens
manual labour
phenytoin
alcoholic liver disease
diabetes
chondromalacia patella
anterior knee pain - particularly going downstairs
quads wasting
what is a Potts fracture
bimalleolar ankle fracture
appearance leg posterior hip dislocation
shortened adducted internally rotated
what causes osteomyelitis in sickle cell patients
salmonella
management of disc prolapse
analgesia + physio
MRI if symptoms persist 4-6 weeks
analgesia for neck of femur fracture
iliofascial nerve block
leriche syndrome
claudication of buttocks
atrophy of leg muscles
impotence
