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Flashcards in Musculoskeletal Deck (17):
1

Jts in the hand affected in rheumatoid arthritis

MCP and PIP jts (DIP jts spared)

2

Jt pain and stiffness that worsen over the course of the day and are relieved by rest

Osteoarthritis

3

Genetic d/o a/w multiple fxs and commonly mistaken for child abuse

Osteogenesis imperfecta

4

Hip and back pain along with stiffness that improves with activity over the course of the day and worsens at rest. Dxic test?

-Suspect ankylosing spondylitis
-Check HLA-B27

5

Arthritis, conjunctivitis, and urethritis in young M. Associated organisms?

Reactive (Reiter's) arthritis
-A/w Campylobacter, Shigella, Salmonella, Chlamydia, and Ureaplasma

6

55 yo M has sudden, excruciating 1st MTP jt pain after a night of drinking red wine. Dx? W/u? Chronic tx?

-Dx: gout
-W/u: needle-shaped, negatively birefringent crystals seen on jt fluid aspirate
-Chronic tx: allopurinol or probenecid

7

Rhomboid-shaped, positively birefringent crystals on jt fluid aspirate

Pseudogout

8

Elderly F presents with pain and stiffness of the shoulders and hips. She cannot lift her arms above her head. Labs: anemia and increased ESR.

Polymyalgia rheumatica

9

Active 13 yo boy has anterior knee pain. Dx?

Osgood-Schlatter dz

10

B. is fx'd in a fall on an outstretched hand

Distal radius (Colles' fx)

11

Complication of scaphoid fx

Avascular necrosis

12

Signs suggesting radial n. damage with humeral fx

Wrist drop, loss of thumb ABduction

13

Young child presents with proximal m. weakness, waddling gait, and pronounced calf m.

Duchenne muscular dystrophy

14

First-born F who was born breech is found to have asymmetric skin folds on her newborn exam. Dx? Tx?

-Dx: developmental dysplasia of the hip
-Tx: if severe, consider a Pavlik harness to maintain ABDuction

15

11 yo obese AAM presents with sudden onset of limp. Dx? W/u?

-Dx: slipped capital femoral epiphysis (SCFE)
-Tx: AP and frog-leg lateral view

16

MC 1˚ malignant tumor of b.

Multiple myeloma

17

Back pain that is exacerbated by standing and walking and relieved with sitting and hyperflexion of the hips

Spinal stenosis