Rheum

Question 1

complex regional pain syndrome

Answer 1

automonic change - skin mottling, temp change, swelling, pain, later on skin thickening and motion restriction

typically triggerd by knonw injury or truama/surgery

Question 2

Reynauds meds trigger

Answer 2

smoking, marijuana, cocaine, beta blocker, amphetamine

Question 3

gout meds trigger

Answer 3

diuretics, baby ASA, niacin

Question 4

DIP joint involvement DDx

Answer 4

psoriatic, OA, gout

Question 5

carpal tunnel syndrome

Answer 5

median nerve, flickering sign (shake and flicker hand after being waken up at night relieves the pain)

Durkan (carpal compression test) S 75% Specif 98%
Phalen (flexion test) Sens 57-91 specifi 33-86
Tinel sign Sen 23-60%; Specific 64-87%