Rapid Review Flashcards
Back pain that is exacerbated by standing and walking and relieved with sitting and hyperflexion of the hips
Spinal stenosis
Joints in the hand affected in RA
MCP and PIP. DIP is spared
Joint paint and stiffness that worsen over the course of the day and are relieved by rest
Osteoarthritis
Genetic disorder that is associated with multiple fractures and blue sclerae and is commonly mistaken for child abuse
Osteogeneis Imperfecta
Hip and back pain along with stiffness that improves with activity over the course of the day and worsens at rest. Diagnostic test?
Suspect ankylosing spondylitis. Check HLAB27
Arthritis, conjunctivitis, and urethritis in young men. Associated organisms?
Reactive arthritis.
Most commonly with Chlamydia. Also consider Campy, Shigella, Salmonella, and Ureaplasma
55 year old man has sudden, excruciating first MTP joint pain after a night of drinking red wine. Diagnosis, workup, and chronic tx?
Gout
Needle-shaped, negatively birefringent crystals are seen on joint fluid aspirate.
Chronic tx with allopurinol or probenecid
Rhomboid-shaped, positively birefringent crystals on joint fluid aspirate
Pseudogout
An elderly woman presents with pain and stiffness of the shoulders and hips; she cannot lift her arms above her head. Lab shows anemia and high ESR
Polymalgia rheumatica
Active 13 year old boy has anterior knee pain. Dx?
Osgood-Schlatter Disease
Bone is fractured in a fall on an outstretched hand
Distal radius (Colles’ fracture)
A complication of scaphoid fracture
Avascular necrosis
Signs suggesting radial nerve damage with humeral fracture
Wrist drop, loss of thumb abduction
Young child presents with proximal muscle weakness, waddling gait, and pronounced calf muscles
Duchenne MD
First born female who was born in breech position is found to have asymmetric skin folds on newborn exam. Dx? Tx?
Developmental dysplasia of the hip. If severe, consider a Pavlik harness to maintain abduction
11 year old obese african american boy presents with sudden onset of limp. Dx? Workup?
Slipped capital femoral epiphysis.
AP and frog-leg lateral XRs
Most common primary malignant tumor of bone
Multiple myeloma
