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Paige: MSR Module! > Treatment > Flashcards

Treatment Flashcards

1
Q

Fibromyalgia

A

TCA (amitriptyline)

SSRIs

Lyrica

Lifestyle modification (exercise, sleep, therapy)

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2
Q

SLE

A

(NSAIDs)

hydroxychloroquine (fatigue/skin)

HD cortocosteroids (renal)

cyclophosphamide (immunosuppressant)

Can also rx methotrexate, azathioprine

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3
Q

Scleroderma

A

NO CURE - SYMPTOMATIC

ACE inhibitors (renal)

Calcium channel blockers (Raynauds)

Cyclophosphamide (lung)

Promotility drugs (GI)

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4
Q

Polymyositis

A

HD steroids

methotrexate/azathiaprine

IVig (severe)

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5
Q

Sjogren’s

A

Pilocarpine

Restasis

Artifical tears and saliva

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6
Q

PMR

A

LD Steroids 1-2 years

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7
Q

GCA

A

HD steroids

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8
Q

GWP (granulomatosis)

A

HD steroids

cyclophosphamide

methotrexate/azathiaprine

Rituxan

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9
Q

PAN

A

HD steroids

cyclophosphamide

methotrexate/azathiaprine

antivirals (for Hep B)

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10
Q

OA general

A

Lifestyle: dec weight, exercise

Acetaminophen, topical NSAIDs

Injections

Then total joint replacement

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11
Q

RA

A

10mg prednisone, NSAIDs, methotrexate

Progress thru DMARDs

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12
Q

Osteoporosis

A

Lifestyle: exercise, take Ca, etc.

Biphosphonates

HRT

SERMs

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13
Q

Septic Arthritis

A

Surgical debridement (I & D)

Staph: IV vanco or ceftriaxone 6 weeks

Niesseria: IM or IV ceftriaxone daily for 2 weeks

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14
Q

Osteomyelitis

A

6 week abx therapy

surgical debridement

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15
Q

Gout

A

Acute: NSAIDs, ice, elevation

Steroid injections

Colchicine

Chronic: XOI (allopurinol or probenecid)

Surgical excision

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16
Q

Pseudogout

A

Same as gout

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17
Q

Hip OA

A

Conservative (rest, NSAIDs/acetamin, PT, cortisone injection, dec weight)

Surgical: THA*, debridement, fem head resurfacing

18
Q

AVN

A

Conservative + NSAIDs, anticoags, statins, biphosphonates

Surgical: hip resurface, core decompression, fibular grafting, THA

19
Q

Greater Trochanteric Bursitis

A

Conservative

Surgical: excision

20
Q

Quad/Hamstring strain

A

Conservative (RICE!)

Surgery: repair, evacuate hematoma, fasciotomy

21
Q

Extensor mechanism rupture

A

Surgery: repair with sutures, may brace then PT

Conservative if too sick: cast for 6-8 weeks then PT

22
Q

OA of knee

A

Conservative 1st

Surgery: knee arthroscopy, tibial/femoral osteotomy, TKA

23
Q

Patellofemoral pain syndrome

A

Conservative + brace, foot orthotics

Surgery: MPF ligament reconstruction, lateral release, tibial tubercle osteotomy

24
Q

MCL/LCL/ACL/PCL Injury

A

Conservative (grades 1, 2, maybe 3) + brace

Surgery: ligament reconstruction

25
Q

Meniscus tear

A

Conservative (improves ONLY sx)

Surgical: repair, menisectomy

26
Q

Pre-patella bursitis

A

Conservative + knee pad, cortisone (CAREFUL), and aspiration

27
Q

Shin splints/tibial stress fx

A

Conservative + orthotics, crutches maybe

Surgery: Fasciotomy (RARE)

28
Q

Achilles tendon rupture

A

Surg then cast 8 weeks

Cons: cast 12 weeks

29
Q

Ankle sprain

A

Conservative + splint

Surgical reconstruc of ligaments

30
Q

plantar fasciitis

A

Conservative + orthotics, night splints

Surgical release as last resort

31
Q

metatarsalgia/stress fx

A

Conserv + metatarsal pad, orthotics, cast if bad

if stress fx, cast 4 weeks

32
Q

Charcot foot

A

Total contact cast: 6-9 months to be stable

33
Q

Carpal Tunnel

A

Surgery - release transverse carpal ligament

(Conserv + NSAIDs, night splints)

34
Q

Scaphoid fx

A

thumb spica splint for 2 weeks even if no fx seen

re-XR every 2 weeks

35
Q

Mallet finger

A

splint in full extension for 8 weeks

36
Q

Jersey finger

A

splint in flexion & refer

must be surgically repaired

37
Q

Boutonniere deformity

A

splint PIP in extension for 6 weeks

leave DIP joint free

38
Q

ankylosing spondy

A

NSAIDs 1st

DMARDs (methotrexate)

Etanercept

39
Q

Reactive arthritis

A

NSAIDs (sx)

sulfasalazine, methotrexate, or etanercept

40
Q

psoriatic arthritis

A

NSAIDs (mild)

corticosteroid injections

DMARDs

41
Q

Spinal stenosis

A

Acetaminophen/NSAIDs/tramadol

Decompressive surgery

42
Q
A

Paige: MSR Module! (5 decks)

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