Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Musculoskeletal > swelling > Flashcards

swelling Flashcards

1
Q

What are key history points about swelling

A

when did it appear, trauma history, painful, size increasing/ fluctuating, any other swellings, patient systemically unwell

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

On examination what do you look for

A

site, size, shape, well/ill defined, fluctuant, texture, mobile or fixed, temperature, transluminable, lymphadenopathy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

In infections, what presents

A

systemic upset, pyrexia, trauma, tumor, rubor, calor, dolor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is cellultiis

A

inflammation and infection of the soft tissues

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

How does cellulitis appear?

A

as a generalised swelling

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What organisms tend to be involved in cellultitis

A

b haemolytic strep, staphyococci

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

How do you treat cellulitis

A

rest, elevate, analgesia, splint, antibiotics (oral v IV)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is an abscess

A

discreet collection of pus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

how would an abscess appear

A

fluctuant when pressed, defined, erythema, pain, trauma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

How do you treat an abscess

A

drainage and surgical incision, rest elevate, analgesia, splint, antibiotics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Is septic arthritis a medical emergency?

A

YES 100%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

How could a bacterial infection of a joint spread

A

traumatic or haematogenous

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are common organisms of septic arthritis

A

staph aureus, e. coli

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

How would septic arthritis present?

A

decreased ROM, swelling, systemic upset, raised WCC and inflammatory markers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

How do you treat septic arthritis

A

orthopaedic review urgently, aspiration, washout and debridement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is a ganglia?

A

Out pouching of the synovium filled with fluid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

How does a ganglia present

A

discreet round swellings, non tender, skin mobile, wrist, feet, knees

18
Q

How do you treat a ganglia

A

it will subside itself, do not do aspiration!!! surgical excision possible

19
Q

Where is a baker cyst most commonly found?

A

In the popliteal fossa

20
Q

Baker cyst is associated with OA or RA?

A

OA

21
Q

How do you treat it?

A

Non operatively

22
Q

What is bursitis

A

inflammation of the synovium sacs that protrude bony prominences

23
Q

can bursitis form abscess

A

yeaaaah

24
Q

How do you treat bursitis

A

NSAIDS, analgesia, antibiotics, incision and drainage, excision on rare occasions

25
Q

In what patients do rheumatoid nodules occur in

A

rheumatoid patients

26
Q

Do rheumatoid nodules respond to DMARDs

A

nah uh sistaaaa

27
Q

Should you excise rheumatoid nodules?

A

Yes if problematic, but warn it will cause scarring

28
Q

What are bouchards nodes

A

bony swellings affecting the proximal IPJ in RA or OA

29
Q

What are heberdens nodes

A

located in distal IPJ in OA

30
Q

What does dupuytrens disease look like?

A

digital flexion contractures, bands are collagen type 3

31
Q

How would you treat dupuytrens?

A

needle fasciotomy if 1 band involved, collaginase injection (not common) mild deformity, fasciotomy is removal of the bands

32
Q

Which is more common, diffuse or localised giant cell tumour of tendon sheath

A

localised

33
Q

where does giant cell tumour affect

A

toes, solar aspect of digits

34
Q

What is a lipoma

A

neoplastic proliferation of fat

35
Q

How to treat lipoma

A

surgical excision if causing symptoms

36
Q

Where does osteochondroma most commonly presetn

A

at the knee

37
Q

Can osteochondroma become malignant/

A

yeaah

38
Q

What is ewings sarcoma

A

the 2nd most malignant bone tumour in bone marrow in adolescents

39
Q

Can swings sarcoma mimic infection

A

Yes- be wary!!!

40
Q

How do you treat swings sarcoma

A

radio and chemo sensitive

41
Q

What is myositis ossificans

A

abnormal calcification of muscle haematoma

Musculoskeletal (29 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions