6. GALS screen Flashcards Preview

LCRS Y2: Musculoskeletal > 6. GALS screen > Flashcards

Flashcards in 6. GALS screen Deck (24)
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1

What does GALS stand for?

Gait
Arms
Legs
Spine

2

Recall 3 elements of gait that need to be observed in the GALS screen

Smoothness of movement
Stride length
Ability to turn quickly

3

Recall 3 elements of "arms" that need to be observed in the GALS screen

Extension at elbows
Examine shoulder joints
Examine hands

4

Recall 3 elements of "legs" that need to be observed in the GALS screen

Knee/foot deformity?
Flexion of hip/knee
Knee swelling?
MTP joint synovitis?

5

Recall a key thing to look for when assessing the spine in a GALS screen

Extent of lumbar lordosis

6

What 3 things must be considered when a joint appears to be abnormal in a GALS screen

Inflammation
Irreversible damage
Mechanical defect

7

What are the signs of irreversible joint damage?

Malalignment of articulating bones
Crepitus

8

Give 2 examples of mechanical defects at the knee joint

Knee-locking
Instability

9

How many joints must be damaged in order to indicate polyarthritis?

>4

10

What name is given to arthritis of 2-4 joints

Oligoarthritis

11

Describe the spinal involvement in rheumatoid arthritis

Only atlanto-axial joint as this is only synovial joint in spine

12

Recall 2 features of diagnostic importance to also look for outside of GALS when assessing for connective tissue disease

Subcutaneous nodules
Malar (butterfly) rash

13

Give 2 examples of enthesis

Platar fasciitis
Achilles tendinitis

14

Define arthritis

Definite inflammation of a joint

15

What sign is essential for a rheumatoid arthritis diagnosis?

clinical evidence of swelling and inflammation

16

Define arthralgia

Refers to pain within a joint without any demonstrable inflammation

17

What name is given to a partial dislocation of a joint?

Subluxation

18

In which joint is subluxation most common?

MCP

19

What is a varus deformity?

Distal part of lower limb directed towards midline

20

What is a valgus deformity?

Distal part of lower limb directed away from midline

21

Give an example of a valgus deformity

Hallux valgus (bunion)

22

What are gout crystals caused by and made up of?

Cause: Hyperuracaemia
Composition: monosodium urate

23

Where does gouty arthritis most commonly affect?

MTP joints

24

Describe the progression of gouty arthritis

Usually resolves within 3-10 days