Rheum/Ortho Flashcards
classic sx associated with spinal stenosis
- neurogenic claudication= LE pain with extension of the spine
- prolonged walking, standing, walking downhill
- relieved by: spinal flexion
- leaning forward, walking uphill
pt older than 60 years old has pain in back and LEs, with weakness and sensory deficits as well. what is the best diagnostic test?
MRI confirms narrowing of the spinal canal in spinal stenosis
side effect of methotrexate (DMARD in RA)?
macrocytic anemia (decreased folate) and hepatotoxicity
what are some risk factors for gout?
- alcohol use, surgery/trauma, dehydration, certain medications (diuretics)
how is gout diagnosed?
needle-shaped, negatively birefringent urate crystals
how does gout present?
acute monoarticular arthritis; commonly 1st MTP, knee, or ankle
what type of lesions show up on metastatic prostate cancer? what are the lab values?
osteoblastic (hyperdense areas of bony sclerosis)
hypocalcemia, increased alk phos
what type of lesions show up in paget disease of bone?
osteolytic or mixed osteolytic/osteoblastic
increased alk phos
positive neer and hawkins impingement tests are indicative of what injury?
rotator cuff tendinopathy
genetics of marfan syndrome
autosomal dominant mutation in fibrillin-1 gene
first line treatment for fibromyalgia?
amitriptyline
what is a type I ankle sprain?
injury to the anterior talofibular ligament
what is a type II ankle sprain?
involves the anterior talofibular ligament and the fibulocalcaneal ligament
what is a type III ankle sprain?
involves the anterior talofibular ligament, fibulocalcaneal ligament, and the posterior talofibular ligament