MSK

Question 1

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Answer 1

1OCD Trauma
PQRST UP DOWN
stiffness >30 rheuma <30 oseo
improved exercise yes rheuma l no osteo
other joints

DD
herniation pain on leaning foward
stenosis pain on leaning backward

osteo

rheuma
ankylosing spondylitis - eye, mouth ulcers, skin changes, abdominal pain, urethral discharge
stiffness foward pain
psoriatic - dactylitis
reactive

Multiple myeloma - fatigue, anemia

cauda equina - urinary retention, bowel movement problem, numbness, erection
polymyalgia rheumatica - >50 pain

Question 2

investigation for Ankylosing spondylitis (AS)

Answer 2

HLA B27, ESR, xray bamboo sign

Question 3

Management AS

Answer 3

exercise
NSAIDS - indomethacin 50mg BID, Naproxen 250mg BID
surgery

Question 4

Differentials for unilateral leg swelling

Answer 4

Tigdas
Trauma
Infection
Gout
Alcohol aspirin furosemide
Dvt
Sexual