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Flashcards in Rheum/MSK Deck (5)
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1

Pt with symmetrical inflammatory polyarthritis with morning stiffness >30 min. currently proximal joints of both hands are swollen and tender. dx?

Rheumatoid Arthritis

2

Reactive arthritis...asymmetrical or symmetrical ? Triad?

asymmetrical!
"cant see, cant pee, cant climb a tree"
-conjunctivitis or uveitis, urethritis or cervicitis & asymmetric joint pain.

3

What is Spondylolisthesis? dx, tx?
Spondylolysis?

anterior displacement of a vertebral body due to b/l defects in the posterior arch MC @L5
dx: XR
tx: RICE, PT, NSAIDS/Acetaminophen, if grade 3+ surgery

vs Spondylolysis = fracture of the pars interarticularis

4

1st line tx osteoarthritis?

Acetaminophen! NSAIDs are considered step up therapy

5

Muscle relaxer preferred in elderly?

Tizanadine