Rheumatology Flashcards
What diuretic can cause hyperuricemia?
Thiazides
Pt feels severe pain Following a twisting injury to the foot in a weight-beating position in which a popping or tearing sensation was felt. Swelling developed over the next several hours. What kind of knee injury is most likely?
Meniscal tear
A valgus stress will injure the _______ ligament.
Medial collateral
A varus stress to the knee will injure the _______ ligament.
Lateral collateral
Hyperextension of the knee will injure the _______ ligament.
Posterior cruciate
Excessive medial rotation with a planted foot injures the _______ ligament.
Anterior cruciate
_______ is characterized by pain and tenderness over the anteromedial aspect of the lower leg below the joint line of the knee.
Anserine bursitis
Knee pain in an active person younger than 45. Exacerbated by going down steps and holding the knee in a flexed position for an extended period of time. Most likely Dx?
Patellofemoral pain syndrome
What is the Tx for patellofemoral pain syndrome?
Rest and NSAIDs; self-limited
Ottowa Knee Rules: obtain a knee radiograph if: pt is older than __, has pain at _______, or is unable to _______ or _______.
55; head of fibula or tibia; flex to 90 deg; bear weight.
Post-menopausal women who use diuretics are at an increased risk for _______ of the DIPs.
Tophaceous gout
Should a gout pt. with tophi but no attacks be treated?
Yes!
What is the goal level of serum uric acid (mg/dL) for pts w/ gout?
6
What is the typical synovial fluid leukocyte count in osteoarthritis?
<2000/μL
What is the typical synovial fluid leukocyte count in gout or calcium pyrophosphate deposition disease?
2000-50,000 / μL
