Soft Tissue Swellings Flashcards
Cellulitis is a discrete soft tissue swelling. True/False?
False
Soft tissue swellings are widespread!
Which organisms usually cause cellulitis?
B-haemolytic Strep
Staph
Septic arthritis is a monoarthropathy. True/False?
True
What are ganglia?
Outpouchings of synovium lining of joints
If ganglia are asymptomatic, leave them alone. True/False? What is the management
True
If symptomatic aspirate or excise if painful
List treatment for bursitis
NSAIDs
Antibiotics if secondary abscess
Incision and drainage
Rheumatoid nodules respond well to DMARDs. True/False?
False
Bouchard’s nodes affect which part of the hands?
Proximal IPJ
Heberden’s nodes affect which part of the hands?
Distal IPJ
Heberden’s nodes are found only in OA. True/False?
True
Which is more common - Heberden’s or Bouchard’s nodes?
Heberden’s nodes
What is Dupuytren’s disease?
Progressive fixed flexion contracture disease of the hands
Which type of collagen is produced in Dupuytren’s disease?
Type III
List treatment for Dupuytren’s disease
Needle fasciotomy
Collaginase injection
Fasciectomy with/without graft
What is a lipoma?
A fatty, painless benign lump composed of subcutaneous fat
What is a giant cell tumour?
Swelling of a synovium tendon, containing haemosiderin pigment (yellow-brown)
What is PVNS?
Tumour from synovium, typically occuring on the knee, and leads to joint destruction and arthritis
What s a sebaceous cyst?
Cyst made from epidermal cells entering subcutaneous tissue that produces keratin (cheesy liquid) and punctum (black central spot)
What is an implantation dermatoid? What is it caused by?
Penetrating trauma causes epidermal cells to enter subcutaneous tissue, forming a grey fluid
Define myositis ossificans. What is it caused by?
Blunt trauma forms an IM haematoma which calcifies (heterotopic ossification) and appears as an osteosarcoma on MRI
Outline the management for myositis ossificans
Indomethacin
Excise once mature
Radiotherapy post op
List the aetiology of bursitis
Repeated pressure
Trauma
Bacterial infection
Gout
