Rheum/MSK Flashcards
dermamyotosis
Anti-Jo-1 gower’s sign heliotropic rash
Arthralgias photosensitivity rash on cheeks serositis cytopenias
SLE ANA+ Anti-DS DNA in nephritis anti-Smith
roll your ankle
anterior talofibular ligament
hand/wrist fracture with ulnar nerve involvement
hamate bone
septic arthritis most likely organism
s. aureus
Sjogrens anti-SSA (ro) anti-SSB (la)
dry eyes, dry mouth + ANA, RF
bony pain bowed legs, hearing loss high alkaline phosphatase
Paget Disease
high WBC and ESR
septic arthritis
MCL injury
valgus stress (force applied to lateral knee)
meniscal tear
knee effusion/knee swelling medial aspect tender popping sonde positive mcmurrary
inability to abduct shoulder
rotator cuff tear
boxer’s fracture metacarpals
punch a wall, hand pain
hamate bone
hand/wrist fracture with ulnar nerve involvement
Paget Disease
bony pain bowed legs, hearing loss high alkaline phosphatase
ACL tear
immediate knee swelling excess medial rotation to planted foot
rotator cuff tear
inability to abduct shoulder
Polyarteritis nodosa
Hep B, renal failure foot drop, aches and pains everywhere
scaphoid fracture
fall on outstreached hands, pain in anatomic snuffbox
SCFE
overweight male, 10-15, hip pain, limp
anterior talofibular ligament
roll your ankle
fall on outstreached hands, pain in anatomic snuffbox
scaphoid fracture
family hx of cancer mass in distal femur elevation of periosteum
osteosarcoma
pseudogout
chondrocalcinosis positive benefrigence hemachromatosis
osgood schlatter
teenager, tender tibial tuberosity
anti-histone drug induced SLE also procainamide, INH
acute arthritis, on hydralazine
acute arthritis, on hydralazine
anti-histone drug induced SLE also procainamide, INH
older,high ESR trapizeus/proximal muscle pain
polymalgia rheumatic
overweight male, 10-15, hip pain, limp
SCFE
bisphosphonate therapy
jaw necrosis
baby, decreased hip abduction clunk on exam
developmental dysplasi of hip
transient toxic synovitis
URI, young child limp, normal ESR
radial nerve
midshaft humerus
osteosarcoma
family hx of cancer mass in distal femur elevation of periosteum
distal humerus/funny bone
ulnar nerve
knee effusion/knee swelling medial aspect tender popping sonde positive mcmurrary
meniscal tear
URI, young child limp, normal ESR
transient toxic synovitis
septic arthritis
high WBC and ESR
gout
negative birefringent HCTZ/diuretic use
punch a wall, hand pain
boxer’s fracture metacarpals
giant cell/temporal arteritis
older person, jaw pain while chewing visual symptoms
LCL injury
varus stress
4-10 year old, painless limb insidious, antalgic gait decreased hip internal rotation/abduction
Legg-Calve Perthes (idiopathic avascular necrosis of capital femoral epiphysis)
jaw necrosis
bisphosphonate therapy
ulnar nerve
distal humerus/funny bone
varus stress
LCL injury
teenager, tender tibial tuberosity
osgood schlatter
polymalgia rheumatic
older,high ESR trapizeus/proximal muscle pain
RA anti-CCP
AM stiffness, symmetric arthritis small joints SubQ nodules, erosions on xray
patellofemoral pain syndrome
younger than 45, knee pain walking down steps pain at rest when knee is flexed
osgood schlatter (tibial tubercle apophysitis)
10-15 year old, pain, swelling of tibial tuberosity
Legg-Calve Perthes (idiopathic avascular necrosis of capital femoral epiphysis)
4-10 year old, painless limb insidious, antalgic gait decreased hip internal rotation/abduction
dry eyes, dry mouth + ANA, RF
Sjogrens anti-SSA (ro) anti-SSB (la)
developmental dysplasi of hip
baby, decreased hip abduction clunk on exam
10-15 year old, pain, swelling of tibial tuberosity
osgood schlatter (tibial tubercle apophysitis)
AM stiffness, symmetric arthritis small joints SubQ nodules, erosions on xray
RA anti-CCP
immediate knee swelling excess medial rotation to planted foot
ACL tear
Hep B, renal failure foot drop, aches and pains everywhere
Polyarteritis nodosa
younger than 45, knee pain walking down steps pain at rest when knee is flexed
patellofemoral pain syndrome
colle’s fracture avulsion of styloid process from shaft of radius
forced dorsiflexion in elderly
older person, jaw pain while chewing visual symptoms
giant cell/temporal arteritis
hyperextension, knee pain
posterior cruciate
Anti-Jo-1 gower’s sign heliotropic rash
dermamyotosis
midshaft humerus
radial nerve
negative birefringent HCTZ/diuretic use
gout
forced dorsiflexion in elderly
colle’s fracture avulsion of styloid process from shaft of radius
s. aureus
septic arthritis most likely organism
posterior cruciate
hyperextension, knee pain
SLE ANA+ Anti-DS DNA in nephritis anti-Smith
Arthralgias photosensitivity rash on cheeks serositis cytopenias
valgus stress (force applied to lateral knee)
MCL injury
chondrocalcinosis positive benefrigence hemachromatosis
pseudogout