rheum and MSK Flashcards
32 year old female with symmetrical polyarthritis and proteinuria
SLE
female with dactylitis and DIP
psoriatic arthritis
male with sternal pain, multiple lytic lesions, what investigation would you do?
protein electrophoreses- looks for bence jones protein
thinking malignant malanoma
syabbed in neck then shoulder pain, what nerve is affected?
axillary
elbow replacement then tingling in ring finger, positive froments signs (note that the FPL is normally innervated by anterioer interosseous branch of median nerve)
cubital tunnel syndrome?
posterior hip dislocation
internal shortening
treatment of tibial fracture in middle aged?
closed fracture with minimal displacement or stbale reduction may be treated non-operatively with a long leg cast, but cast application should be delayed for 3-5 days to allow early swelling to diminish.
opertaive fixation is required when fractures are unstable
screening fro DDH
ortolani and Barlow tests.
can then go onto do USS
how to do barlows test
Adduct hips (bring them in) then push back (posterior force)
helitrope rash and linear streaks hands
dermatomyositis
women with tiredness, pain and muscle stuff
fibromyalgia
biceps reflex
C5
triceps reflex
C7
knee reflex
L4
ankle reflex
S1
scan for someone with prostate cancer and back pain
technetium bone scan
man has compartment syndrome of extensor part of lower leg, which nerve most likely affected?
deep fibular nerve
headache and stiff shoulders
polymyalgia rheumatica
test ESR or plasma viscosity
which area does C5 supply
badge patch
which area does L1 supply
groin
femoral nerve block weakens which muscles?
muscle in anterior thigh
so quadriceps femoris and hip flexors (iliopsoeas, sartorius)
what nerve supplies the supinator
C6
carpet fitter, has swelling and pain in knee
bursitis
which nerve supplies sternocleidomastoid
CN 11 (the spinal accessory nerve)
