Nonarticular Rheumatism Flashcards Preview

Musculoskeletal System II > Nonarticular Rheumatism > Flashcards

Flashcards in Nonarticular Rheumatism Deck (24):
1

In 65% of dialysis pt's receiving dialysis > 10 years, what might happen?

Destructive arthritis

2

What joints are affected with destructive arthritis?

interphalangeal joints, metacarpophalangeal joints, wrists, shoulders, and knees

3

What is deposited in destrcutive arthritis?

amyloid deposition (an arthrotropic β2-microglobulin)

4

Fybromyalgia- clinical presentation

chronic widespread musculoskeletal pain that is poorly localized. It is accompanied by fatigue, sleep, memory, and mood issues.

5

Fibromyalgia- 3 important labs

complete blood count, erythrocyte sedimentation rate, thyroid function studies

6

Fibromyalgia- Tx

NSAIDS and sleep meds

7

What 3 things are an indication for more extensive examination in acute low back pain?

Objective leg weakness or bladder or bowel dysfunction

8

Which 2 Sx are indicitive of a neoplastic or infectious process?

Substantial weight loss or pain that increases with recumbency

9

Which 3 Sx suggests a spinal nerve root irritation?

Radiating pain, weakness, or numbness in an extremity

10

What is a pseudoclaudication?

narrowing of the lumbar spinal canal. This puts pressure on the spinal roots and affects the control and sensation of the lower limbs. It is named pseudoclaudication because claudication is a vascular problem giving the same symptoms.

11

Which maneuvers improve the Sx of pseudoclaudication?

improve with leaning forward on a shopping cart while walking or with sitting

12

What are the 5 most important cases to get radiographs of a pt with acute low back pain?

1st episode after 50 y/o, Hx of neoplasm, Fever, weight loss, neurological Sx.

13

What is the initial treatment of acute nonspecific low back pain?

reassuring the patient because 90% of all patients with acute low back pain have considerable improvement in 6 weeks

14

What causes bursitis?

Irritative stimuli due to trauma or overuse, microcrystalline disease, chronic inflammatory arthritis, and infection

15

What are the two organisms commonly involved with septic bursitis?

Staphylococci (80%) and streptococci

16

What causes septic bursitis?

puncture wounds, cellulitis, or due to a local injection

17

Septic bursitis- Sx

Bursal warmth is the best predictor of infection. Restricted joint range of motion is a red flag for deep infection

18

Septic bursitis- Tx

empirically with antistaphylococcal and antistreptococcal oral antibiotics

19

What is polymyalgia rheumatica?

an inflammatory disorder that causes muscle pain and stiffness.

20

Polymyalgia rheumatica- populations

females > males over 60 years old.

21

Polymyalgia rheumatica- Sx

Presents with onset of aching and morning stiffness in the proximal musculature (hips, shoulder girdles).

22

Polymyalgia rheumatica- Labs

increase in ESR and CRP

23

Polymyalgia rheumatica- Tx

Prednisone

24

In 15% of Polymyalgia rheumatica patients, what other disease do they have?

Giant cell arteritis