ortho Flashcards
diagnostic criteria for fibromyalgia
-widespread pain (multiple joints)
-≥3 mo
-cognitive sx, fatigue
-ABSENSE of other disorder that explains sx
risk factors for RA. Name 3
-female, older age, smoking
name complications of untreated rheumatoid arthritis
-anemia
-scleritis
-deformities (hands, frozen shoulder, nodules)
-pericarditis
what are the treatment options for RA
-NSAIDS (sx relief)
-DMARDs (start ASAP - prevent progression of disease)
-steroids (for flares only)
-biologics for severe disease
what are two hand findings in OA?
Herberdens nodules (DIP)
Bouchard nodules (PIP)
what are the diagnositc criteria for migraines?
-last 4-72 hr untreated
-worsened by routine activity
-mod-severe intensity
-throbbing/pulsatile
-photo/phonophobia OR nausea/vomiting
name four herbal substances patients may use for migraine prophylaxis?
-butterbur
-magnesium
-riboflavin
-coenzymeq10
Name 5+ different medication prophylaxis options for migraines
-topirimate
-amytriptilline
-gabapentin
-metoprolol
-lisinopril
-valproic acid
indication for migraine prophylaxis?
≥3 per month, increase in frequency or rebound
diagnostic criteria for tension headache
-last 30 min to 7 days
-<15d per month
≥pressing/tightening
-mild-mod intensity
-bilateral
-not aggravated by routine activity
-NO nausea/vomiting
what are the four prophylaxis options for TENSION headaches?
-amytryptilline
-nortryptilline
-venlafaxine
-mirtazapine
diagnostic criteria of cluster headaches:
-at least 5 headaches with:
-severe unilatearl orbital, supraorbital +/- temproal pain lasting 15 min - 3 hour
-attacks are associated with ≥1 of conjunctival injection, lacrimation, nasal congestion, rhinorrhea, miosis, ptosis, eyelid edema
acute management of cluster headaches
- Inhaled O2
Sumatriptan
Nasal lidocaine
what are the prophylactic medications for cluster headaches?
-verapamil
-topiramate
-valproic acid
-lithium
BRIDGE with steroids (nerve block, or oral)
