introduction to diseases of the msk

Question 1

What is myalgia

Answer 1

Pain in muscles, commonly associated with viral infections and can be drug-induced.

Question 2

What is myositis

Answer 2

inflammation of the muscles

far less common than myalgia and can be autoimmune

Question 3

How do you classify rheumatic disease

Answer 3

articular vs no articular
inflammatory vs non-inflammatory

no. of joints affected and duration of onset

Question 4

What is periarticular pain

Answer 4

Point tenderness over the involved structure, pain reproduced by movement involving that structure

Question 5

what is articular pain

Answer 5

Joint line tenderness, pain at the end range of movement in any direction

Question 6

What is the difference between mono/oligo/polyarthritis

Answer 6

mono= 1 joint affected
oligo= 2-3 joints affected 
poly= 5 or more joints affected

Question 7

Which epicondyle is affected in tennis elbow

Answer 7

lateral epicondyle

Question 8

Which epicondyle is affected in golfers elbow

Answer 8

medial epicondyle

Question 9

What do you do when septic arthritis is suspected

Answer 9

joint aspirate, check: clarity, colour, viscosity

send for: gram stain, bac culture, crystals and white cell differential

Question 10

What is the sepsis 6

Answer 10

take 3: cultures, lactate, urine output

give 3: high flow oxygen, IV antibiotics, Fluids

Question 11

What is the cause of gout

Answer 11

high serum urate levels which cause them to form monosodium urate crystals which deposit in cartilage, bones and peripheral joints (common in toes)

Question 12

What are risk factors for gout

Answer 12

older age, male, CKD, metabolic syndrome, osteoarthritis, diet.

Question 13

How are acute Gout attacks managed

Answer 13

NSAIDS e.g. naproxen
colchicine
steroids

Question 14

How is long term Gout managed

Answer 14

urate- lowering therapy e.g. allopurinol

anakinra (IL-1 antagonist)