msk Flashcards
(24 cards)
most useful investigation to diagnose ankolysing spondylitis
pelvic x-ray: look for sacro-iliitis
first line investigation for suspected osteoporotic vertebral fracture
x-ray of the spine
adverse effect of hydroxychloroquine
bull’s eye retinopathy
HLA-B27 associations
ank spond
reactive arthritis
acute anterior uveitis
psoriatic arthritis
first line management for lower back pain
oral NSAIDs
child with multiple fractures and bluish tinge to sclera
osteogenesis imperfecta
management of scaphoid fracture
futuro splint and refer to ortho 7-10 days later
if imagining reveals undisplaced fracture: cast for 6-8 weeks
if imagining reveals displaced fracture: surgical fixation
management of gout
acute: NSAIDs and colchicine
prophylaxis: allopurinol plus NSAIDs or colchicine for cover
adhesive capsulitis
common in middle-age and diabetics
painful, stiff movement
limited movement in all directions, loss of external rotation and abduction
supraspinatus tendonitis
rotator cuff injury
painful arc of abduction between 60-120 degrees
tenderness over anterior acromion
test for torn ACL
lachman’s test
anterior drawer test
management of SUFE
AP and lateral x-ray views
internal fixation
investigation for perthes
initially x-ray but this might not show disease so then do MRI
what antibody is the most sensitive for SLE
ANA
what antibody is the most specific for SLE
anti-dsDNA
management if patient is high risk based on FRAX score
DEXA
management of GCA when there has been vision loss
IV methylprednisolone
clinical findings of adhesive capsulitis
active and passive movement limited + external rotation most affected
what is spondylolisthesis
when one vertebra is displaced compared to its inferior vertebral
may occur after stress fractur
exaggerated lumbar lordosis and palpable depression above L5
joint pain, mouth ulcers, pleuritic chest pain
SLE
management of antiphospholipid syndrome in pregnancy
aspirin and LMWH
foot drop
common peroneal nerve injury
first line management of raynauds
CCB: nifedipine
IV prostacyclin if severe
management of antiphospholipid syndrome after VTE
lifelong warfarin
