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PANCE > Musculoskeletal > Flashcards

Musculoskeletal Flashcards

1
Q

Shoulder inspection presents with: Arm adducted, internally rotated, ant. shoulder is flat, prominent Humeral had. what type of dislocation do you suspect?

A

Posterior Glenohumeral dislocation

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2
Q

Anterior Glenohumeral dislocation shoulder presentation includes?

A

Arm abducted, Externally rotated, inferior humeral head, deltoid contour loss.

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3
Q

Which shoulder dislocation is more common, Anterior or posterior?

A

Anterior is the MC type

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4
Q

a compression fracture of the humeral head groove.

impact against glenoid.

A

Hill-Sachs Lesion

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5
Q

A bank-Hart lesion is a fracture of the what?

A

Inferior Glenoid rim fracture

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6
Q

Posterior Glenohumeral shoulder dislocation is most common associated with what injury (s)?

A

Seizures, Electric shock, or trauma

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7
Q

What must you rule out with and Anterior shoulder dislocation?

A

Must rule out Axillary nerve injury (Sensation over deltoid)

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8
Q

Most helpful view to differentiate Posterior v.s Anterior dislocation?

A

Axillary and Y view

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9
Q

Anterior deltoid pain w decreased ROM w overhead activities, external rotation, or abduction.

Combing hair, wallet reach, can’t sleep on affected side.
(+) Drop arm test, Neer’s, Jobe’s Tx:

A

Rotator Cuff Injury (SITS)

Tx: NSAID, Rest, wall climbs (PT)

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10
Q

As a result of Direct blow to an adducted shoulder leads to ?

A

Acromioclavicular Joint Dislocation

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11
Q

Class of AC dislocation where there is significant widening of AC/CC space?

A

Class III AC separation with CC involved (both rupture)

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12
Q

Class of AC dislocation where there is slight widening@ AC space?

A

Class II Only AC rupture

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13
Q

Classes of AC/CC dislocations that require surgery?

A

Class III-V (Otherwise sling, Ice, analgesia)

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14
Q

Humeral fracture where patient may develop wrist drop?

Must R/O Radial Nerve injury

A

Humeral shaft fracture

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15
Q

Proximal or Humeral head fractures requires to R/O injuries to what area?

A

Brachial plexus and Axillary nerve injuries

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16
Q

What is the management for Humeral shaft fractures?

A

Sugar tong splint + Sling/Swathe Ortho w/I 24-48 hrs

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17
Q

MC commonly fractured bone in children /adolescent/ newborn?

A

Clavicle fracture

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18
Q

Which clavicle fracture requires orthopedic consult?

A

Proximal 1/3 of involvement of the clavicle

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19
Q

Stiffness/inflammation w Decreased ROM especially with external rotation, you think what disorder?

Tx:

A

Adhesive Capsulitis (Frozen shoulder)

Tx: NSAIDs, PT ROM, IACS injection

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20
Q

Pain or paresthesia’s to the forearm and or Ulnar side of hand: (+) Adson’s

Dx: Tx:

A

Thoracic Outlet syndrome

Dx: MRI Tx: PT, Ortho, +/- Surgery

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21
Q

On x-ray you see a displaced anterior fat pad and (+) posterior fat pad sign (hemarthrosis), you think what lesion? Tx:

A

Supracondylar humeral Fracture (Kid)
Radial Head fracture (Adult)

Tx: Non displaced= Posterior splint
Displaced= ORIF

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22
Q

Median nerve and Brachial Artery injury are consistent with ?

A

Volkmann Ischemic contracture (Claw-like deformity)

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23
Q

Supracondylar Humeral fractures are MC with what MOI and ages?

A

FOOSH MC in children 5-10 YOA

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24
Q

Lateral radial pain with inability to fully extend the elbow: (+) posterior fat pad or displaced A. fat pad?

A

Radial Head Fractures

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25
Q

What are the Kanavel’s signs?

A 
FLEX
Finger held in flexion
Length of tendon sheath tenderness
Enlarged finger
Xtension of finger increased pain (Passive)
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26
Q

What specific lesion is Kanavel’s associated with?

A

Suppurative Flexor Tenosynovitis

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27
Q

MOI includes a fall on a flexed elbow with inability to extend elbow–> ______ _______ dysfunction?

Tx:

A

Olecranon Fractures

Tx: Displaced: ORIF Non-displaced=reduction
Splint 90 degree

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28
Q

Abrupt swelling, boggy, red elbow. Tender or painless. Limited ROM w flexion.

Tx:

A

Olecranon Bursitis

Tx: NSAIDs, Padding, ILCS injection, rest

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29
Q

Septic Bursitis Diagnosis

A

Needle aspiration with >2K WBC

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30
Q

Distal radial shaft fracture with dislocation of the DRUJ from FOOSH MOI?

Tx:

A

Galeazzi Fracture

Tx: Unstable! needs ORIF (Long arms splint

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31
Q

A Monteggia fracture involves what injuries?

Tx:

A

Proximal Ulnar fracture with Anterior Radial Head Dislocation

Tx: Unstable! need ORIF

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32
Q

A nursemaid’s Elbow injury patent will have what presentation?

A

Radial Head subluxation (MC 2-5 YOA)

Arm slightly flexed
Refuses to use arm
TTP of the Radial Head

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33
Q

A radial styloid fracture is known as?

A

Hutchinson’s fracture (Chauffer’s fracture)

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34
Q

Inflammation of the insertion Extensor Carpi Radialis Brevis (ECRB)?

A

Lateral Epicondylitis (Tennis)

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35
Q

Medial Epicondylitis (Golfer’s Elbow) is inflammation of the?

A

Pronator Teres-flexor Carpi Radialis (PTFCR)

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36
Q

Patient presents with prominent olecranon process and flexed elbow. MOI Hyperextension FOOSH

Must R/O what injury?

A

Elbow dislocation

R/O- Brachial artery and Median/Ulnar/Radial nerve injury

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37
Q

What elbow dislocation is MC?

Tx:

A

Posterior Dislocation is MC

Tx: Immediate reduction @ 90Degrees 7-10 days
unstable= ORIF

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38
Q

Paresthesias /Pain along the Ulnar Nerve that is worse with elbow flexion?

Tx:

A

Cubital Tunnel Syndrome (Ulnar Neuropathy)

Tx: Immobilize with sleep, NSAIDS, IACS Inj.

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39
Q

Physical exam tests for Cubital Tunnel Syndrome

A

(+) Tinel’s @ elbow and (+) Froment’s Sign (Pinch test)

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40
Q

Scaphoid Fracture is MC at what anatomic location?

Tx:

A

Waist of scaphoid (Vascular Distal to proximal)

Tx: 2 week Thumb Spica (repeat X-R)

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41
Q

Pain at dorsal radial side of wrist w click on wrist movement: (+) Terry Thomas sign (>3mm sep.)

Tx:

A

Scapholunate Dissociation

Tx: Radial Gutter Splint

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42
Q

Distal Radial fracture with Ventral angulation

Tx:

A

Smith Fracture

Tx: Sugar Tongue Splint cast
>20 degree Angulation/ Comminuted= ORIF

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43
Q

Distal radial Fracture with Dorsal Angulation:
“Dinner Fork Deformity”

Tx:

A

Colles Fracture (CD)

Tx: Sugar Tongue Splint cast
>20 degree Angulation/ Comminuted= ORIF

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44
Q

Spilled Tea Cup Lat view/Piece of pie AP sign is associated with?

Tx:

A

Lunate dislocation

Tx: Unstable- ORIF

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45
Q

Kienbock’s Disease is associated with what injury?

A

Lunate Fracture

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46
Q

Pain is out of proportion to injury with autonomic nervous system S/Sx: following bone/tissue injury

Post wrist fracture/surgery: Waxy or pale skin, hairloss, joint atrophy and contractures. Pain out of proportion

A

Complex Regional Pain syndrome

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47
Q

MOI: blow to extended finger forcing it to flex may–> avulsion Fx of distal phalanx. inability to extend@ DIP

A

Mallet finger

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48
Q

Mallet Finger may lead to ?

A

Swan Deformity

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49
Q

Boutonniere Deformity includes

A

Finger flexion @ PIP and hyperextension @ DIP

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50
Q

Swan Neck Deformity includes

A

Hyperextension @ PIP and flexion @ DIP

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51
Q

Mallet finger includes

A

Flexion @ DIP with inability to extend DIP

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52
Q

Sprain or tear of the Ulnar Collateral Ligament of thumb with instability of MCP joint? (Hyperabduction

Tx:

A

Gamekeeper’s (Skier Acute) Thumb

Tx: Thumb Spica and Hand Sx referral

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53
Q

Intraarticular fracture through the base of the 1st MCP with a large distal fragment dislocated by APL?

Tx

A

Bennet Fracture (Comminuted Bennet= Rolando)

Tx: Unstable-ORIF

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54
Q

Any Boxer fracture with > ____to____ angulation requires what treatment?

Tx:

A

> 25-30 Degrees angulation= Reduction (Unable=ORIF)

Tx: Ulnar Gutter w 60degree flexion

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55
Q

Bite wounds with hand fracture require what ABX

A

Amoxicillin with Clavunate (Eikenella Corrodens Human)

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56
Q

Growth Plate Fracture with involvement of Metaphysis/Epiphysis?

A

SALTER Harris fracture IV

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57
Q

Growth plate Fracture with involvement of Metaphysis only?

A

Salter Harris II fracture

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58
Q

Growth plate compression fracture?

A

Salter Harris V fracture

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59
Q

Pain along the radial aspect of the wrist radiating to forearm? (+) Finkelstein

Tx:

A

De Quervian Tenosynovitis

Tx: Thumb Spica splint X 3 weeks

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60
Q

De Quervian Tenosynovitis involves stenosing synovitis of the?

A

Abductor Pollicus Longus and Extensor pollicis Brevus

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61
Q

Carpal Tunnel syndrome involves entrapment of the_____ nerve with paresthesia and pain of palmar?

Tx:

A

Median Nerve
(Palmar 1st three and half of the 4th digits worse at night)

Tx: Volar splint + NSAIDS, IACS Inj., Sx

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62
Q

Dx: Of carpal tunnel syndrome includes

A

Electromyography and Nerve conduction velocity study

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63
Q

Dupuytren contracture presents how? and mostly affects what fingers?

A

painful Nodule over palm crease @ fixed MCP flexure.

Mostly Ring and little finger

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64
Q

Hip pain with leg shortened and internally rotated with hip/knee adduction you think what injury?

A

Posterior Hip Dislocation “MC” (External rotated=Ant. Dislocation)

65
Q

Hip Pain with leg shortened and externally rotated with hip/knee abducted you think?

Tx:

A

Hip/ Femoral head/neck fractures

Tx: ORIF

66
Q

MC in children 4-10 YOA (boys): presents with painless limping worse w activity and at end of the day.

Loss of abduction and internal rotation.
Dx: Tx:

A

Legg-Calve Perthes Disease

Dx: Crescent sign (Hip XR) Tx: Rest NWB (Ortho)

67
Q

MC in children 7-16 (>10): Obese, AA males @ puberty.
Hip, thigh, or knee pain with “limp w external rotation”

Dx: Tx:

A

Slipped Capita femoral Epiphysis

Dx: Slipped ice cream cone XR Tx: NWB–> ORIF

68
Q

Incomplete fracture w cortical disruption periosteal tear on convex w intact periosteum concave w bowing?

A

Greenstick fracture (Through 1 cortex)

69
Q

Incomplete fracture with wrinkling or bump?

Throughout cortex of bone

A

Torus (Buckle fracture)

70
Q

What grade is considered a complete MCL/LCL tear injury?

A

Grade III

71
Q

What is the MC knee Ligament injury?

A

ACL Injury

72
Q

Which Meniscal tear is MC because of more bony attachments?

Tx:

A

Medial Meniscal Tear is MC (3X MC)

Tx: Partial WB (arthroscopy)

73
Q

Posterior Cruciate Ligament MC MOI leading to injury?

A

Direct blow or fall on to flexed knee (Dashboard Injury)

74
Q

Avulsion of the lateral tibial condyle with Varus stress to the knee is pathognomonic with what other injury?

What is it called?

A

Segond Fracture (ACL Tear)

75
Q

what is the Unhappy “O’Donoghue’s Triad

A
  1. ACL
  2. MCL
  3. Medial Meniscal injury
76
Q

Locking, Popping, or giving way w effusion post-activities you think what injury?

A

Meniscal injury

77
Q

MC > 40 yo males with systemic disease with a forceful quadriceps contraction MOI? Dx: what is best view?

A

Patellar and Quadriceps Tendon Rupture (Sunrise view)
(<40 yo= Patellar “Patella Alta”)
(>40= Quadricep “Patella Baja”)

78
Q

What is a Baker’s Cyst? X3 highlights

A
  • popliteal synovial effusion (2T meniscal Tear)
  • Mimic DVT (US Dx and R/O DVT)
  • Tx- ILCS or Sx
79
Q

Patient presents w anterior knee pain or behind/around patella. Worse w knee hyperflexion (Prolonged sit/jump)

Dx: Tx:

A

Patellofemoral syndrome (Chondromalacia)

Dx: (+) Apprehension test Tx: NSAID, Rest, Rehab

80
Q

MCC of knee pain in runners: (+) ____ test:

______ muscle Inserts at Tibial “Gerdy’s Tubercle?

A

Iliotibial Band Syndrome (Ober’s Test)

Tensor Fascia Late(TFL)

81
Q

MC Ankle dislocation?

Tx:

A

Posterior dislocation

Tx: closed Reduction + Posterior splint (ORIF if severe)

82
Q

MC ankle sprain Grade I and II are?

A

Anterior Talofibular Ligament (Main inversion stabilizer)

Grade I and II are incomplete tears

83
Q

Achilles Tendon rupture Highlights X4

A
  1. Risk W fluoroquinolones
  2. (+) Thompson (Absent plantar flexion)
  3. Splint in mild plantar flexion
  4. Age 30-50
84
Q

Fibular Fractures Weber Ankle fracture class A, B, C highlights

A

A: Below syndesmosis (Tibiofibular syndesmosis intact)
B: At syndesmosis (TF syndesmosis intact or mild tear)
C: Above Mortis (TFS torn + wide TF joint) Tx- ORIF

85
Q

Maisonneuve Fracture is defined as

A

Spiral Proximal Fibular Fracture
2T Distal TF syndesmosis
2T Medial Malleolar Fracture or Deltoid

86
Q

Fracture of the distal Tibia from impact with the Talus w axial load extending in to ankle joint?

Tx:

A

Pilon (Tibial Plafond) fracture

Tx: ORIF

87
Q

MC foot Stress fracture is at what anatomic aspect?

A

3rd Metatarsal

88
Q

Tarsal Tunnel manifests with what symptoms?

What nerve is involved?

A

Pain, numbness at the medial Malleolus/heel/sole

Posterior Tibial Nerve Compression (Mimics PF-itis)

89
Q

Presents with flexion of PIP joint and hyperextension of the MPT and DIP?

A

Hammer toe

90
Q

Joint damage/destruction as a result of peripheral neuropathy MC affecting the _______?

A

Charcot’s Joint (Diabetic Foot) “ Midfoot”

91
Q

Morton’s Neuroma MC affects the ?

A

3rd Metatarsal

92
Q

Jone’s Fracture is defined as a_____ fracture

Tx:

A

Transverse fracture through the diaphysis of the 5th MT

Tx: NWB X 6-8 weeks

93
Q

Lisfranc Injury highlights

A
  • 2nd MT and medial cuneiform Disarticulation
  • Fleck sign
  • Tx=ORIF–> NWBX 12 weeks
94
Q

What is a Fleck Sign

A

Fracture of the base of the 2nd MT

95
Q

Herniated Disc is MC at ?

A

L5-S1 (sciatica)

96
Q

L4 involved Injury will cause what sensory, weakness and diminished reflex?

A
  • Anterior Thigh Pain + loss of medial ankle
  • Weak Ankle Dorsiflexion
  • Patellar Reflex
97
Q

L5 involved Injury will cause what sensory, weakness and diminished reflex?

A

-Lateral thigh/leg hip/groin pain/numbness
(Sensory- between 1st/2nd toes)
-Weak Big Toe extension
-Difficult walking on heels

98
Q

S1 involved Injury will cause what sensory, weakness and diminished reflex?

A
  • Posterior leg/calf gluteus (Sensory plantar foot)
  • Weak Plantar Flexion
  • Difficult walking on toes (No Achilles DTR)
99
Q

Cauda Equina syndrome highlights X3

Tx:?

A
  • New urinary/BM retention/incontinence
  • Saddle anesthesia
  • Decreased anal sphincter tone

Tx: Nuerosurgery ER (Corticosteroids)

100
Q

Back pain that is worse with extension, prolonged walking/standing relieved w flexion/sitting walking uphill

“Shopping cart sign” Tx:

A

Spinal Stenosis (Pseudo-claudication)

Tx: Lumbar epidural CS injection

101
Q

Scoliosis Highlights X3?

Tx: ?

A
  • > 10 degree Lateral curvature
  • MC in girls and FmHx
  • Adam’s Forward bending test most sensitive

Tx: 20-40 degrees= Bracing >40 degrees Surgery

102
Q

Pars interarticularis defect from failure of fusion or stress fracture?

Tx:

A

Spondylolysis (MC @ L5/S1

Tx: Bracing

103
Q

Spondylolisthesis is defined as

Tx:

A

forward slipping of a vertebrae on another (MC 10-15 yo)

Tx: Surgical if high grade

104
Q

Osteomyelitis Highlights X4

A
  • S. Aureus MC (Salmonella-sickle cell)
  • Acute Hematogenous MC in children
  • MRI most sensitive (Bone aspiration GS DOC)
  • Nafcillin or Oxacillin (Cefazolin > 4mos) x4-6 weeks
105
Q

Single swollen warm painful joint Decreased ROM. Knee MC: _____ bacteria MC

Dx: Tx:

A

Septic Arthritis (S. Aureus MC [Sex active-Gonorrhea])

Dx: Aspirate >50K PMNs Tx: Nafcillin (Gono-Rocephin)

106
Q

what is the earliest indicator of compartment syndrome?

A

Pain on passive stretching

107
Q

What is the intra-compartmental pressures diagnosing compartment syndrome?

A

> 30-45 mmHg (Normal < 20-30mmHg)

108
Q

MC bone Malignancy in adolescents < 20 yo: MC in femur–> Tibia, Humerus:

Palpable mass with pain/swelling
Dx: Tx:

A

Osteosarcoma

Dx: XR- Sunray burst- Hair on end mass Tx; Chemo

109
Q

Cartilage cancer MC seen in adults 40-75 yo:

Dx: Tx:

A

Chondrosarcoma

Dx; Mineralized matrix/punctate arc Tx: Sx resection

110
Q

Tumor MC in children males 5-25 yo: Femur/Pelvis MC: joint swelling +/- fever

Dx: Tx:

A

Ewing Sarcoma

Dx: Periosteal Rx “Onion Skin” Tx: Chemo/Rad/Sx

111
Q

MC Benign bone tumor ages 10-20s: precedes chondrosarcomas. begins in childhood

A

Osteochondroma Tx: Observe

112
Q

What is Paget’s disease?

A 
Abnormal bone remodeling MC >40 yo: 
Larger weaker compact bones.
Bone pain MC sx
Dx: Lab Increased alkaline phosphate
Tx: Bisphosphonates
113
Q

Triad of Joint pain, fever, and malar “butterfly” rash.

Glomerulonephritis, retinitis, oral ulcers, alopecia.

A

Systemic Lupus Erythematous

114
Q

SLE specific Diagnosis labs?

A
  • (+) Anti double stranded DNA

- (+) Anti-smith

115
Q

SLE best initial test non-specific?

A

ANA

116
Q

SLE TX:

A
  1. sun protection
  2. Hydroxychloroquine
  3. NSAID
  4. Methotrexate
117
Q

Systemic connective tissue disorder due to fibrous collagen build up?

A

Scleroderma

118
Q

Scleroderma specific Lab Dx?

A

(+) Anti-centromere AB

+) Anti-SCL 70 (Diffuse disease

119
Q

Scleroderma associated syndrome?

A 
Calcinosis
Raynaud's
Esophageal 
Sclerodactyly
Telangiectasias
120
Q

Scleroderma Treatment?

A
  1. DMARDS
  2. Corticosteroids
  3. CCBs (Raynaud’s)
121
Q

Chronic inflammatory disease –> joint destruction due to pannus (T-cell mediated): a.m stiffness> 60min.

S/sx: MCP, wrist and PIP Ulnar deviation: worse with rest: stiffness improves later on day.

A

Rheumatoid Arthritis

122
Q

Rheumatoid Arthritis specific and initial lab Dx?

A

Anti-Cyclic citrullinated peptide ABs (specific)

RF (Initial test)

123
Q

Rheumatoid Arthritis Tx that reduces permanent joint damage?

A

DMARDS (Biologic Adalimumab (Humira))

(Non-Biologic Methotrexate Leflunamide)

124
Q

Rheumatoid Arthritis 1st Line Tx?

A

Methotrexate + NSAIDS/CS (NSAID 1st line Pain control)

125
Q

Closely related to Giant cell arteritis: Increased ESR + anemia: S/Sx: a. stiffness over 30mins.

difficulty standing from chair/ putting on coat/ brushing hair: Tx:

A

Polymyalgia Rheumatica

Tx: LDCS, NSAID, methotrexate

126
Q

Progressive symmetrical proximal muscle painless weakness. Increased Aldolase/ Creatine Kinase.

Blue/purple discoloration of upper eyelid: raised violaceous scaly knuckle eruptions. Tx:

A

Polymyositis / Dermatomyositis

Tx: High Dose cortico-steroids

127
Q

Polymyositis / Dermatomyositis specific lab dx?

A

(+) Anti-Jo 1 Ab
(+)Anti-SRP Ab (PM)
(+) Anti-Mi2 Ab (DM)

128
Q

Fibromyalgia highlights Dx/Tx?

A
  • Diffuse pain in 11 out of 18 Trigger points
  • > 3months
  • Tx-exercise and Pregabalin
129
Q

Autoimmune D/O that attacks exocrine glands (salivary, Parotid, lacrimal, thyroid gland): “Sicca Disorders”

Increased incidence of. non-Hodgkin Lymphoma:
Tx:

A

Sjogren’s Syndrome

Tx: Pilocarpine or Cevimeline

130
Q

Sjogren’s Syndrome specific lab Dx?

A

ANA- Anti SS-A (RO)
Anti SS-B (La)

Schirmmer test

131
Q

Gout treatment that reduces uric acid production by inhibiting xanthine oxidase?

A

Allopurinol

132
Q

Gout treatment that promotes renal uric acid secretion?

A

Prebenecid/ Sulfynpyrazone

133
Q

Only Gout treatment that can be used in acute chronic gout?

A

Colchicine

134
Q

1st line treatment for pseudo-gout?

A

intraarticular CS
NSAIDS
Colchicine (Acute or prophylaxis)

135
Q

Linear radiodensities seen in radiographs with pseudo-gout?

A

Chondrocalcinosis (Cartilage calcifications)

136
Q

Gout attacks are MC due to underexcretion of uric acid caused by high intake of purine rich foods and what drugs?

A 
Thiazides and Loops
ACEi/ARBs
Pyrazinamide
Ethambutol
Aspirin
137
Q

Gout crystals specifics X2?

A
  • Monosodium Urate

- Negative Birefringent

138
Q

MCC: immobility, crush injuries, overexertion: Niacin/ fibrates (Seizure/burns).

Tx:

A

Rhabdomyolysis

Tx: IV saline 4-6 L/day, Mannitol, Sodium Bicarb (Urine)
Prevent ATN

139
Q

Rhabdomyolysis Dx Labs?

A
  • Creatine phosphokinase increase > 20K
  • Hyperkalemia (Intracellular release)
  • Hypercalcemia (Ca2+ bonds to damaged muscle)
140
Q

Rhabdomyolysis UA

A

(+) for Heme but negative for blood

141
Q

< 16 yo: Daily Arthritis, diurnal high fever, salmon color migratory rash?

A

Juvenile Idiopathic Arthritis (Still’s Disease)

142
Q

< or > 5 joint involvement joint pain with iridocyclitis (Uveitis)

A

Juvenile Idiopathic Arthritis

Pauci-Articular (< 5)
Poly-Articular (>5)

143
Q

Recurrent painful oral and genital ulcers

Tx: corticosteroids

A

Behcets Syndrome

144
Q

Mostly affects cranial arteries of the carotid artery: fever

Jaw claudication, Temporal lancinating pain, vison dist.

A

Giant Cell arteritis

145
Q

Giant Cell arteritis Tx:

A

HDCS- Prednisone 40-60 mg/day X 6 weeks

146
Q

Vasculitis that affects the Aorta, Aortic Arch, and pulmonary arteries: 10-40 yo: –> stenosis, occlusion

Tx:

A

Takayasu’s Arteritis

Dx; Angiography Tx: HDCS60 mg/day x6 weeks

147
Q

MC in children <5 yo medium-small vessel vasculitis: –> Coronary Artery aneurysm and MI: Echo/Angiography

Tx:

A

Kawasaki Syndrome

Tx: IVIg and High Dose Aspirin

148
Q

Kawasaki Syndrome Clinical manifestation X5?

A 
Conjunctivitis
Rash (Polymorphous)
Extremity desquamation 
Adenopathy
Mucous membrane (Lip swelling/ Strawberry tongue)
149
Q

systemic vasculitis small arteries ANCA (-)w Renal failure, myalgias, neuropathy, derm purpura/livido reticularis

A

Polyarteritis Nodosa (PAN)

150
Q

Systemic small/medium vasculitis P-ANCA (+) w asthma, hyper eosinophilia, and chronic rhinosinusitis

A

Eosinophilic Granulomatosis w PAN (Churg-strauss)

151
Q

small vessel vasculitis w inflammation/necrosis of nose, lungs, and kidney:

saddle nose, sinusitis w lung dz and hematuria

A

Granulomatosis with PAN (Wegener’s)

152
Q

Glomerulonephritis + Pulmonary hemorrhage (Hemoptysis) think?

A

Good Pasture’s

153
Q

Good pasture’s with purpura think?

A

Microscopic Polyangiitis

154
Q

Henoch-schonlein Purpura highlights?

A
  • MC 3-15 yo (HSPA)
  • Hematuria
  • Synovial pain (Arthritis/algias)
  • Purpura palpable
  • Abdominal Pain (2T vasculitis)
155
Q

Asymmetric Arthritis: dactylitis (Sausage digits), sacroiliitis, uveitis, pitting of nails (Pencil in cup), +

HLAB27

A

Psoriatric Arthritis

156
Q

Sacroiliac joint inflammation with progressive stiffness: 15-30 yo: chronic LBP: Increased ESR/HLAB27

A

Ankylosing Spondylitis (Bamboo Spine)

157
Q

Autoimmune response inflammation caused by “chlamydia”, gonorrhea, salmonella, campy, shigella

Arthritis, conjunctivitis, and urethritis.

A

Reactive Arthritis ( Reiter’s Syndrome)

158
Q

Felty’s syndrome includes

A

Rheumatoid Arthritis, splenomegaly and repeated infections (decreased WBCs)

PANCE (13 decks)

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