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Flashcards in Monica book Deck (45):
1

Triad of urethritis, conjunctivitis, arthritis Associated lesions include circinate balanitis
Keratoderma blenorrhagica
Mouth ulcers

Reiter's syndrome

2

Seronegative arthropathies

Reiter's syndrome
Ankylosing spondylitis
Psoriatic arthritis
Enteropathic arthopathy

3

4 A's associations of ankylosing spondylitis

Arthritis
Anterior uveitis
Apical lung fibrosis
Aortic regurgitation

4

What does the arthritis in UC/Crohn's usually look like?

Asymmetrical, mainly affects lower limbs

5

More common in Turkish, Iranian patients
Orogenital ulceration, uveitis, arthritis
Pathergy reaction is pathognomonic

Behcets

6

Proximal muscle weakness, pain and tenderness
↑serum CK (creatine kinase)

Polymyositis

7

Granulomas in respiratory tract, generalized vasculitis
Classic anti-neutrophil cytoplasmic antibody (cANCA), anti-PR3 positive

Wegeners

8

Usually elderly patient with headache Scalp tenderness, jaw claudication very suggestive Amaurosis fugax, sudden unilateral blindness can occur associated with polymyalgia rheumatica

Temporal/giant cell arteritis

9

Usually child (particularly under age 5)
Purpuric rash over buttocks,
extensor surfaces
Associated with arthritis, abdominal
pain, nephritis

Henoch-Schonlein purpura

10

Usually middle-aged male
Asthma, rhinitis and systemic vasculitis

Churg-Strauss syndrome

11

Usually under 5 years:
Main features are:
– protracted fever (over 5 days)
– acute cervical lymphadenopathy
– bilateral non-purulent conjunctivitis
– dry, cracked, fissured lips
– redness, oedema of palms and soles Platelets, CRP (C-reactive protein) usually ↑↑

Kawasaki's disease

12

Painful shoulder following seizure

Posterior dislocation

13

Failure to abduct shoulder after dislocation

Axillary nerve injury

14

Winged scapular

Damage to the long thoracic nerve

15

Dinner fork deformity

Colles fracture

16

Forced adduction and flexion of thumb elicits pain on radial side of wrist

De Quervain's syndrome

17

Which movements will elicit pain in DeQuervains?

Forced adduction and flexion of thumb

18

Flexed, adducted and externally rotated leg

Femoral shaft fracture

19

Locked knee, positive McMurray's test?

Meniscal tear

20

Drop foot after hip replacement

Sciatic nerve injury

21

Drop foot after knee injury

Common peroneal nerve injury

22

Excessive anterior glide on femur

ACL tear

23

Excessive posterior glide tibia on femur

PCL tear

24

Prominent tender tibial tubercle

Osgood-schlatter disease

25

Localized enlargement of bone with deformity (e.g. enlarged skull, bowed tibia)§

Paget's disease

26

RA on x-ray

Loss of joint space Juxta-articular osteoporosis Erosions, subluxation joints

27

Onion peel sign on x-ray

Ewing's sarcoma

28

"Sunray spiculation" on x-ray

Osteosarcoma

29

Hallmark sign of osteosarcoma

Osteoid production

30

Side effects of ciclosporin

Gum hypertrophy
Nephrotoxicity
Hyperkalaemia

31

Drugs which can cause big gums

Ciclosporin
Phenytoin
CCBs

32

Intramuscular DMARD which can cause el massive rash all over your body

Gold

33

Treatment for gout

Acute: colchicine
Prophylaxis: allopurinol

34

Question mark posture

Ankylosing spondylitis

35

Most common cause of posterior shoulder dislocation

Epileptic fit

36

Anterior shoulder dislocation might damage which nerve

Axillary

37

Which nerve might be damaged in a humeral shaft fracture

Radial nerve

38

Pre-patellar bursitis

Housemaids knee

39

This nerve supplies the extensors of the wrist

Radial nerve

40

Look for damage of this artery if you have supracondylar fracture

Brachial artery

41

Pott's disease

Tuberculous spndylitis
-fever, weight loss, back pain

42

Biochem findings in myeloma

High calcium
High ESR

43

Which type of radiograph do you need in SUFE?

Lateral radiograph!

44

Adducted
Externally rotated
Shortened

Fractured NOF

45

Risk factors for pseudogout

Hypovolaemia, hyperparathyroidism, diabetes, haemochromatosis, acromegaly, arthritis