Rheumatic disorders

Question 1

Osteogenesis imperfecta- Eti

Answer 1

Rare, genetic CT disease, multiple & recurrent fractures. Commonly affects long bones & skull- Dx during childhood

Question 2

Osteogenesis imperfecta- Sx

Answer 2

Blue sclare, thin skin, hyperextensability, otosclerosis with hearing loss,

Question 3

Osteogenesis imperfecta- Dx

Answer 3

x-ray

Question 4

Osteogenesis imperfecta- Tx

Answer 4

Bisphosphonates

Question 5

Charcot joint- Eti

Answer 5

Joint destruction with loss of propriocepton, pain due to diabetic neuropathy and other diseases

Question 6

Charcot joint- Sx

Answer 6

Enlarged, boggy, painless joint with cartilage erosion, osteophyte formation and loose joint bodies

Question 7

Charcot joint- Dx

Answer 7

Osteolysis, subluxation on X-ray,

Question 8

Charcot joint- Tx

Answer 8

Tx primary disease

Question 9

Avascular necrosis- Eti

Answer 9

Complication of steroids, trauma, pancriatits, alcoholism, gout, sickle cell leading to joint dysfunction

Question 10

Avascular necrosis- Sx

Answer 10

Proximal and distal femoral heads, ankle, shoulder and elbow, hip or knee pain

Question 11

Avascular necrosis- Dx

Answer 11

MRI, CT or Bone scan

Question 12

Avascular necrosis- Tx

Answer 12

Avoid weight bearing on affected joint