Rheumatological/MSK Flashcards Preview

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Flashcards in Rheumatological/MSK Deck (12):
1

Garden classfication

1 - incomplete, undisplaced
2 - complete, undisplaced
3 - complete, partially displaced
4 - complete, completely displaced

2

X-ray changes in gout

PNS:
-Periarticular erosions
-Normal joint space
-Soft tissue swelling

3

Management of gout

Acute:
-NSAIDs (but not aspirin)
-Colchicine
-Prednisolone

Chronic:
-Lifestyle modification
-Allopurinol

4

X-ray changes in osteoarthritis

LOSS:
-Loss of joint space
-Osteophytes
-Subarticular sclerosis
-Subchondral cysts

5

Management of osteoarthritis

Conservative:
-Weight loss
-Physiotherapy/muscle strengthening/hydrotherapy
-Gait aid

Drugs:
-Analgesia
-Glucosamine/chondroitin
-Fish oil
-Viscosupplementation (intra-articular injections)
-Steroid injections

Surgery:
-Joint replacement

6

Skin changes in dermatomyositis

-Heliotrope rash (violaceous rash around eyes)
-Gottron's papules (red papules over MCP/PIP/DIP)
-Macular rash/shawl sign (over back and shoulders)

7

X-ray changes in psoriatic arthritis

PPP:
DIP erosion
Periarticular bone formation
Pencil-in-cup deformity

8

Causes of reactive arthritis

Chlamydia
Salmonella
Campylobacter
Shigella
Yersinia

9

Quality of pleural effusion in rheumatoid arthritis

Exudative with lymphocytes and low glucose

10

X-ray changes in rheumatoid arthritis

SOLD:
-Soft tissue swelling
-Juxta-articular osteopenia
-Loss of joint space
-Joint deformity

11

Management of rheumatoid arthritis

Non-pharmacological:
-Exercise
-Gait aid
-Thermotherapy

Pharmacological:
-Analgesics
-Fish oil
-DMARDs - hydroxychloroquine/sulfasalazine (mild) or methotrexate (moderate)
-NSAIDs - for flare-ups
-Prednisolone - bridging for DMARD therapy

12

CREST syndrome

-Calcinosis
-Raynaud's phenomenon
-Esophageal dysmotility
-Sclerodactyly
-Telangiectasiae