Hallmarks/Triads Flashcards

(99 cards)

1
Q

klein/bloomberg/iced cream

A

safe

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2
Q

onion peel/moth eaten/codman’s triangle

A

Ewing’s sarcoma

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3
Q

widened epiphyseal plate/codman’s triangle/sunburst

A

osteosarcoma

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4
Q

risser score

Cobb angle

A

scoliosis

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5
Q

small radiolucent nidus

A

osteoid osteoma

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6
Q

scotty dog

A

spondylitis

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7
Q

negatively birefringent needle like w. polar light microscopy

A

gout

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8
Q

weakly positive birefringent rhomboid crystals by polarized light microscopy

A

pseudo gout

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9
Q

gel phenomenon

A

PMR

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10
Q

cotton wool patches, visual changes, jaw claudication

A

GCA

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11
Q

HLA-DR alleles

A

PMR

GCA

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12
Q

skin lesions

claudication

arthralgia

A

takayasu

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13
Q

rash on palms and toes

recent GI infxn/STDs

HLA-B27

A

reactive arthritis

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14
Q

morning stiffness >30 min

symmetric joint swelling off hands, ankles, knees

skin nodules

A

RA

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15
Q

boggy joints

ulnar deviation of MCP

swan neck

boutonnière

A

RA

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16
Q

HTN, renal insuficciency, abd pain after eating

rosary sign

A

PAN

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17
Q

pilocarpine

cevimeline

ocular cyclosporine

A

Sjorgen’s - symptomatic tx

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18
Q

hydrochloriquine

MTX

A

Sjorgen’s - immunosuppresive

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19
Q

Methotrexate

+/- Etenercept

A

RA

Etenercept → TNF inhibitor

MTX → DMARD

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20
Q

cyclophosphamide

A

PAN

immunosuppressant

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21
Q

bursal inflammation in wrists/knees

A

PMR

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22
Q

skin lesions, claudication, syncope, arthralgias, GI

A

takayasu

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23
Q

triamcinolone

A

pseudogout → steroid

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24
Q

recent GI infxn/STD

rash on palms/toes

A

reactive arthritis

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25
purpura fever raynaud's symmetric arthralgia
sjorgen's
26
synovial fluid: 1,500-25,000
RA
27
male hep b/c hairy leukemia
PAN
28
chronic pain/stiffness in all 4 quadrants
fibromyalgia
29
G6PD contraindication
Probenicid Pegliocase
30
quotidian fever salmon-colored evanescent macular rash
SOJIA/Stills
31
increased risk for uveitis
JIA: oligoarticular psoriatic enthesitis-related
32
CREST
limited scleroderma
33
watermelon stomach
scleroderma
34
anti-SCL-70 = poor prognosis
scleroderma
35
DIP synovitis dactylitis nail pitting rash anterior uveitis
psoriatic arthritis
36
ACLE
acute cutaneous lupus → **butterfly rash**
37
maculopapular lesions in photosensitive pattern to any part of the body
acle
38
scle
subcutaneous lupus → **scaly erythematous rash**
39
ccle
**c**hronic cutaneous lupus → dis**c**oid → plaques
40
CRP normal ## Footnote **ESR elevated**
polyarticular JIA
41
palpable purple petechiae
sle vasculitis
42
wart like pericardial lesions
sle
43
(+) ANA, anti-dsDNA, anti-SM
SLE
44
MSA and MMA antibodies
polymyositis
45
elevated CK +/- (+) ANA
polymyositis
46
inflammatory infiltrate on muscle bx
polymyositis PAN
47
SADS
**clinical presentations of psoriasis:** symmetric OR assymetric distal → DIP arthritis mutilans spondyloarthritis → c-spine
48
nails: pitting, ridging, oncholysis
psoriatic arthritis
49
SPADES
clinical domains of psoriatic arthritis:
50
pencil in cup deformity
psoriatic arthritis → damage to DIP and PIP
51
rf: estrogen and smoking
SLE
52
enthesitis tenosynovitis dactylitis
psoriatic arthritis
53
sugar tong cast
distal radial fx
54
terry thomas sign
wrist ligamentous injury
55
test for disorders of nerves and muscles
EMG/NCV
56
stack splint
mallet finger
57
figure 8 splint
boutonniere deformity
58
LRTI (ligament reconstruction and tendon interposition)
early wrist OA - CMCJ
59
skiers thumb
ulnar collateral ligament tear
60
cortical erosion, periosteal elevation, lucency, osteolysis
osteomyelitis
61
gaiter area of leg
venous stasis (ulcerations)
62
ulcer w. edema and weeping exudate
venous
63
CT is better for
bones
64
MRI is better for
soft tissue
65
abrupt, unilateral onset of back pain aggravated by walking, standing, coughing
herniated disc
66
L2-S5
cauda equina
67
positive urinary sphincter test
greater than 150
68
CMT for non traumatic back pain
**minor: 1 point each** etoh night pain dm renal failure 3 or more visits in 20 days **major: 3 points each** **→ 4 or more = ESR** **less than 4 → avoid imaging**
69
cmt for a traumatic back pain any pt w. __ gets emergent MRI w. contrast
acute motor deficit
70
pt's who do not meet NEXUS need
c-spine stabilization xray or CT
71
pre-dentase: pre-pharyngeal: pre tracheal:
3 6 22
72
JA HOF
unstable fx: jefferson atlanto-axial hoffman odontoid flexion tear drop
73
C2 burst fx
jefferson
74
chance fx
unstable lumbar fx → mva
75
SLIPPS
**nerves of sacral plexus:** superior gluteal lumbosacral inferior gluteal posterior femoral cutaneous pudendal sciatic
76
gunmetal gray lesions on hands
septic arthritis
77
pain that wakes a pt up and with abduction
supraspinatus tear
78
kanaval's sign
flexor tenosynovitis
79
jersey finger
fdp
80
exsanguinate + traction splint
pelvic fx
81
shenton's line
hip fx
82
peroneal n injury
lcl tear → foot weakness w. dorsiflexion and eversion
83
ottawa ankle
navicular pain malleolus pain \>6 cm (lat or med) non wt bearing smt base tenderness
84
ottawa foot
pain at navicular or base of 5th metatarsal
85
kid 2-12 limping
teansient synovitis
86
coags steroids etoh
rf for avascular necrosis
87
periosteal elevation sts
osteomyelitis
88
mc location for osteomyelitis
long bones vertebral bodies
89
mc location for osteosarcoma
long bones jaw
90
what occurs on the metaphysis of long bones
osteochondroma
91
bone pain ESR anemia leukocytosis
ewing's sarcoma
92
abnormal type I collagen development
osteogenesis imperfecta
93
biphosphanates calcitonin
tx for paget dz
94
**statins** **found down** exertion crush injury
rf for rhabdo
95
segond fx
acl tear w. tibial plateau fx
96
test to order for knee dislocation
ABI
97
synvisc
knee oa
98
weekend warrior fluoroquinolones
achilles tendon rupture
99
iv dosing for osteomyelitis
vanco 1 gm IV q 12 hr +/- Rifampin PLUS ceftriaxone 2 gm IV q 24 hr