Differential Diagnosis Flashcards Preview

631: Clinical Management of the Musculoskeletal System I > Differential Diagnosis > Flashcards

Flashcards in Differential Diagnosis Deck (13):
1

What are the characteristics of gout?

- Sudden onset
- A form of inflammatory arthritis
- High blood levels of uric acid

2

Gout is found in what types of patients?

Men over 40 years of age

3

What are the predisposing factors of gout?

- obesity
- high-purine diet
- habitual alcohol ingestion

4

What are the clinical signs of gout?

- warmth
- swelling
- cutaneous erythema
- severe pain of first MTP
- fever
- chills
- malaise

5

What is Ankylosing Spondylitis?

A chronic rheumatoid disorder in which the the intervertebral disk, thoracic zygapophyseal joints, costovertebral joints and manubriosternal joint become ossified

6

Ankylosing spondylitis is found in what types of patients?

More commonly in males from the ages of 15 to 40

7

What are the clinical signs of ankylosing spondylitis?

- night pain
- pain that decreases with activity or exercise
- inflammation
swelling,
- joint fusion over time

8

What is vascular claudication?

A type of leg pain caused by narrowing of the blood vessels (atherosclerosis) in the legs

9

What increases symptoms in vascular claudication?

cycling and walking due to the increased demand for blood supply

10

What increases symptoms in neurogenic claudication?

Walking, but not cycling

11

What are the characteristics of hypothyroidism?

- weakness
- fatigue
- arthralgias
- myalgias
- muscle cramps
- cold intolerance
- constipation
- lethargy
- dryness of the skin
- headache
- neck pain
- menorrhagia
- hoarseness
- edema
- weight gain
- brittle nails and hair
- pallor
- delayed relaxation time of the muscle stretch reflexes
- keratinic skin color
- thickening o the tongue
- mental status changes
- diastolic hypertension

12

What are the characteristics of hyperthyroidism?

- Nervousness
- restlessness
- heat intolerance
- increased perspiration
- fatigue
- muscle cramps
- paratracheal neck pain
- increased bowel movements
- weight loss
- palpitations
- fine resting tremors
- moist arm skin with heat radiation
- hyperreflexia
- diplopia

13

What are the 11 potential causes of LBP?

- renal dysfunction
- colorectal cancer
- epidural abscess and epidural hematoma
- sacrolitis
- metastasis
- Maigne syndrome
- aortic or iliac aneurysm
- prostatitis
- pleural dysfunction
- ankylosing spondylitis
- stiff-person syndrome