Scoliosis & Arthritides Flashcards by cynthia kosasih

MC age for scoliosis and gender

Female age 13-19

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Scoliosis is named for the side of

Major Convexity

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Spinous deviate to concavity

Rotatory scoliosis

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Spinous deviate to convexity

Simple scoliosis

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Lines of mensuration for scoliosis

Cobbs and Rissers Ferguson

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Scoliosis measurements age

25 and younger

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Under 20 degrees

Adjust and monitor

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21 to 40 degrees

Send to orthopedist for bracing (MILWAUKEE)

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Over 40 degrees

Surgical consult

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Over 50 degrees

Cardio Pulmonary compromise and DJD

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Monitoring Scoliosis

Risser’s sign
Wrist Films
Tanner’s staging - best one

Assessing skeletal growth potential using Tanner staging and Risser grading

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Types of Inflammatory arthritides

RA
Ankylosing Spondylitis
Enteropathic Arthropathy
Psoriatic Arthritis
Reiter’s AKA Reactive Arthritis
SLE
Scleroderma
Osteitis Condensans Ilia (AKA OSteitis Triangularis)

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RA in children is known as

Still’s disease

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Symmetrical distribution

Bilateral uniform loss of joint space

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Rat bite erosions
Pannus formation
Localized periarticular osteoporosis

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What joint instability is caused by RA

Atlanto-axial joint instability

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What joint is spared with RA

DIP

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What nodes and deformity is associated with RA?

Haygarths (MCP) nodes
Swan neck and boutonnierres deformity
Lanois deformity

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What is Lanois deformity?

Ulnar or fibular deviation

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What cyst is associated with RA?

Baker’s cyst (benign swelling of the semimembranous bursa)

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What kind of anemia is associated with RA

Normocytic Normochromic Anemia

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Labs for RA

\+RA latex
\+FANA
\+ESR
\+C Reactive Protein
Seropositive arthritis

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RA when presenting with dry eyes and mouth is called

Sjogren’s

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Akylosing Spondylitis AKA

Marie Stumpells Disease

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MC demographic for AS and symptoms

Male 15-35 with low back pain with morning stiffness

AS associated with what eye condition

Iritis

AS starts in which joint?

SI joint

Positive ortho test for AS

Chest expansion Foorestier's bowstring Lewin supine

Radiographic sign in SI joints for AS

Bilateral SI joint fusion (ghost joint)

Shiny corner sign (early) Bilateral marginal syndesmophytes Squaring of the vertebral bodies

Radiographic "signs" associated with AS

Trolley track Bamboo spine Dagger sign Poker spine

Identical to AS in pelvis with GI dysfunction

Enteropathic Arthropathy

Males 20-50 with silver scaly lesions on EXTENSORS | Pitted nails

Psoriatic Arthritis

Cocktail sausage digits

Psoriatic Arthritis

Psoriatic Arthritis has increase or decrease joint space?

Increase

What deformities are associated with Psoriatic Arthritis

Mouse ear deformity | Pencil in cup deformity

Ray sign | Non marginal syndesmophytes in the spine

Psoriatic Arthritis Note: Marginal syndesmophyte occur in AS

What joint instability is associated with Psoriatic arthritis?

Atlanto axial

Atlanto axial instability associated with what condition

Psoriatic Arthritis | RA

Lab for Psoriatic Arthritis

+HLA B27

Lab for AS

+HLA B27 | +ESR

Male 20-30 | URETHRITIS, CONJUNCTIVITIS, ARTHRITIS

Reiter's

STD associated or cause Reiter's

Chlamydia

Calcaneal spur Non marginal syndesmophytes Fluffy periostitis

Reiters

Lab for Reiter's

+HLA B27

Female, sunlight percipitates a skin rash (MALAR/ butterfly rash), Oral ulcers, discoid lesions, alopecia, Raynaud's phenomenon

SLE

What deviation is associated with SLE?

Ulnar deviation of the phalanges with no joint destruction

+ Rebound test

SLE

+LE prep, +FANA, +RA latex + ESR Leukopenia, thrombocytopenia, Anti DNA

SLE

Management for SLE

co manage with rheumatologist

Management for AS

co manage with rheumatologist

Progressive Systemic Sclerosis AKA

Scleroderma

Female 30-50, associated with erosion of distal tufts of the phalanges

Scleroderma

Associated with CREST syndrome, sclerodactyly | Raynaud's, calcinosis, esophageal dysphagia, talengiectasis, calcification of soft tissue middle finger

Scleroderma

+FANA | +RA latex (30%)

Scleroderma

Osteitis Condensans Ilia AKA

Osteitis triangularis

Multiparous females age 20-40 | Bilateral sclerotic areas on lower half of the ilium

Osteitis Condensans Ilia

Joint space with Osteitis Condensans Ilia

normal

Labs for Osteitis Condensans Ilia

Self resolve | No lab

Case management for Osteitis Condensans Ilia

Trochanteric belt for stability

Inflammatory arthritides condition in women

Scleroderma Osteitis Condensans Ilia SLE

+HLA B27 conditions

AS Psoriatic Reiters

+ESR conditions

RA AS SLE

+FANA conditions

RA Scleroderma SLE