Flashcards in Musculoskeletal Deck (17):
Back pain that is exacerbated by standing and walking and relieved w/ sitting and hyperflexion of the hips
Joints in the hand affected in RA
MCP and PIP joints; DIP joints are spared
Joint pain and stiffness that worsen over the course of the day and are relieved by rest
A genetic disorder that is a/w multiple fx and blue sclerae and is commonly mistaken for child abuse
Hip and back pain along w/ stiffness that improves w/ activity over the course of the day and worsens at rest. Dx test?
Suspect ankylosing spondylitis. Check HLA-B27.
Arthritis, conjunctivitis, and urethritis in young men. Associated organisms?
Reactive (Reiter's) arthritis. Most commonly a/w Chlamydia. Also consider Campylobacter, Shigella, Salmonella, and Ureaplasma
55 y/o man has sudden, excruciating first MTP joint pain after a night of drinking red wine. Dx, workup, and chronic tx?
Gout. Needle-shaped, negatively birefringent crystals are seen on joint fluid aspirate. Chronic tx w/ allopurinol or probenecid
Rhomboid-shaped, positively birefringent crystals on joint fluid aspirate
An elderly woman presents w/ pain and stiffness of the shoulders and hips; she cannot lift her arms above her head. Labs show anemia and increased ESR.
An active 13 y/o boy has anterior knee pain. Dx?
Bone is fx in a fall on an outstretched hand
Distal radius (Colles' fx)
A complication of scaphoid fx
Signs suggesting radial nerve damage w/ humeral fx
Wrist drop, loss of thumb abdution
Young child presents w/ proximal muscle weakness, waddling gait, and pronounced calf muscles
Duchenne muscular dystrophy
First-born female who was born in breech position is found to have asymmetric skin folds on newborn exam. Dx? Tx?
Developmental dysplasia of the hip. If severe, consider a Pavlik harness to maintain abduction
An 11 y/o obese African American boy presents w/ sudden onset of limp. Dx? Workup?
Slipped capital femoral epiphysis. AP and frog-leg lateral x-rays