UE 1

Question 1

+ yergason’s, speeds

assoc. c repetitive lifting
ant. shoulder pain c. abduction and ext. rotation

popping sensation + weakness

Answer 1

biceps tendonitis

US

Nsaids, rest, PT

steroid

surgery

Question 2

pain c. ROM

repetitive movements

assoc. c. RA, gout, sepsis, rotator cuff tendonitis, impingement

TTP AC joint

Answer 2

subacromial bursitis

US, aspiration c. gram stain and culture

ice, nsaids

Question 3

MOI falling onto shoulder c. arm tucked

bump on shoulder worse at bedtime

AC swelling
AC tenderness c. downward traction

+ cross body adduction

Answer 3

AC sprain

x-ray

3-4 week immobilization
RICE
Nsaids

CS injection after 2-4 weeks
Grade III = surgery

Question 4

MOI: foosh, or pull. repetitive overuse (pitchers, throwers)

pain, clicking/catching

associated c. other shoulder pathology

biceps pain, restricted rotation
+ anterior glide, speeds, obrien’s

Answer 4

labral tear

NSAIDs/acetominophen, PT

Question 5

proximal aching/stiffness

assoc. w/ giant cell arteritis

morning stiffness > 1 hr

bilateral c. recent change in sx

shoulder and pelvic girdle stiffness/aching

normal strength, limited abduction of shoulders

pt. > 50 yo

elevated ESR
neg ANA, RF

Answer 5

polymyalgia rheumatica

glucocorticoids

Question 6

joint pain and impairment in WB joints

heberden’s nodes, bouchard’s nodes

< 30 min of stiffnes sin morning

pain c. activity

affects hips, knees, hands,

Answer 6

OA

acetominophen, nsaids
glucosamine, chondroitin

Question 7

+RF, anti-CCP

elevated ESR/CRP

• crystals, bacteria

MC c. women

morning stiffness > 1 hr

MCP, PIP swelling, ulnar deviation

small joints

Answer 7

RA

DMARDs, NSAIDs

Question 8

calcinosis
raynauds phenomenon
esophygeal dysfunction
sclerodactyly
telangiectasia

+ ACA ab
+ anti-SCL-70 ab

female, 20-50

tightening of skin

Answer 8

systemic sclerosis

sx therapy

Question 9

necrotising vasculitis of small arteries

MC in males 6th decade

Renal HTN

+leukoclastic vasculitis

Elevated ESR, CRP
negative ANCA

+microaneurysms

Answer 9

polyarteritis nodosa

glucocorticoids +/- immunosuppresants

Question 10

assoc. c. SLE, RA, systemic sclerosis

xerophthalmia
xerostomia

+shirmer
+ anti-ro, anti-la abs
+/- + RF

affects many other organ systems, attacks exocrine glands

Answer 10

sjogren’s syndrome