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Rheumatology/Ortho Flashcards

(75 cards)

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1
Q

What are the criteria for juvenile idiopathic arthritis?

A

age: 6mo-16yo
sx must be 6mo+
arthritis in 1+ joints
cannot be explained by other dz

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2
Q

What are the categories for juvenile idiopathic arthritis?

A 
SUPEr POP
Systemic arthritis
Undifferentiated arthritis
Psoriatic arthritis
Enthesitis
Polyarthritis RF+
Oliogoarthritis
Polyarthritis RF -
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3
Q

Systemic arthritis - PE?

A

FEVER (spikes) + RASH for 2wks

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4
Q

Undifferentiated arthritis?

A

does NOT meet ANY criteria
OR
meets more than ONE category

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5
Q

Polyarthritis (RF+/-) sx?

A

affects more than 5 joints

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6
Q

Morning stiffness, joint swelling, limited range of motion in MANY joints?

A

polyarthritis

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7
Q

Enthesitis - patho?

A

inflammation of where the tendon inserts to the bone

HLA B27

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8
Q

Enthesitis - risk?

A

ankylosing spondylitis (sublux of the vertebra)

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9
Q

Psoriatic arthritis criteria?

A 
RASH
2 of: 
-nail pitting
-dactylitis (sausage fingers)
-family hx of psoriasis
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10
Q

Psoriatic arthritis - risk?

A

iritis

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11
Q

Psoriasis and strep?

A

guttate psoriasis

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12
Q

Olio Juvenile idiopathic arthritis-sx?

A

limp + joint that is warm and tender

can look like septic joint

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13
Q

Olio Juvenile idiopathic arthritis - prognosis?

A

inflammation can lead to plate destruction

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14
Q

JIA - tx?

A

first line - NSAIDs

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15
Q

Prognosis of JIA?

A

female
polyarticular
RF +
have bad outcomes

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16
Q

Lupus risk?

A

female

AA

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17
Q

Lupus defintion?

A

autoimmune
chronic
multisystem

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18
Q

Pt has multiple complaints about organ probs?

A

ANA

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19
Q

SLE dx criteria?

A 
SOAP BRAIN MD
Serositis
Oral ulcers
Arthralgia
Photosensitivity
Blood disorder
Renal abnormalities
ANA
Immunologic disorder
Neurologic disorder
Malar rash
Discoid rash
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20
Q

Common organs related w/ SLE?

A

kidney
MS
skin

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21
Q

SLE - labs?

A 
ALL ORGAN SYSTEM RELATED 
\+
ANA
\+
Anti smith antibody / anti neurotrophilic cytoplasmic antibodies
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22
Q

SLE - tx?

A

first line - NSAIDs
second - steroids
third - refer

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23
Q

NLE -cx?

A

transplacental passage of maternal antibodies

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24
Q

Neonatal lupus- prognosis?

A

usually clears out in 6mo (rash)

but if it doesnt - (1) antenatal steroids (2) pacemaker is needed

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25
SLE - drug cx?
carbamazepine
26
Kawasaki dz-criteria?
``` FEVER for 5 days + 4/5: bilateral conjunctivitis mucous membranes erythema (strawberry tongue) skin (polymorphous rash) extremities (edema on arm/leg) lymph (cervical lymphadenopathy) ```
27
Prognosis of kawasaki if untreated?
sudden cardiac arrest d/t coronary aneurysms | carditis
28
Kawasaki prevalence?
boys | asians
29
How can cardiac echos be used in Kawasaki?
PREVENT coronary aneurysms NOT diagnose
30
What is atypical Kawasaki?
Fever for 5 days but NOT 4 criteria met or fever for <5 days but criteria met
31
Kawasaki - tx?
ADMIT cardio echo ASAP IV Ig+ HD ASA (7-10days) --> HD ASA x2wks --> low dose ASA low dose ASA FOREVER if indications for heart probs
32
What is torticollis?
unilateral contracture of the SCM
33
Age onset of torticollis?
2-4wks
34
Torticollis - tx?
stretching PT/OT +/- surgery
35
What is developmental hip dysplasia?
acetabulum does not sit in the hip socket
36
Developmental hip dysplasia-risk?
female family hx breeching position
37
Developmental hip dysplasia untreated?
can lead to early osteoarthritis or avascular necrosis
38
Developmental hip dysplasia - PE?
Ortolani Barlow Galeazzi
39
Developmental hip dysplasia - tx?
6mo: closed reduction then traction | >2yo: surgery
40
Developmental hip dysplasia - dx?
US xray CT/MRI if surgery is needed
41
Painless hip?
Legg-calv perthes | slipped capital femoral epiphysis
42
Legg-calv perthes sx?
painless limp bilateral | active boys: 6-10yo
43
Legg-calv perthes -PE?
log roll
44
Legg-calv perthes - dx?
xray
45
Painless limp over 10yo male?
slipped capital femoral epiphysis
46
Tall boy painful knee pain NOT inflamed?
slipped capital femoral epiphysis
47
Slipped capital femoral epiphysis -PE?
loss of internal rotation
48
Slipped capital femoral epiphysis - imaging?
xray | CT scan
49
Slipped capital femoral epiphysis - tx?
SURGERY
50
Transient synovitis of hip-cx?
post viral infxn
51
Transient synovitis of hip - tx?
self resolves in 48-72hrs
52
Transient synovitis vs septic arthritis?
NO fever | NORMAL PE ONLY pain on hip
53
Septic arthritis-cx?
prosthesis | procedures
54
Septic arthritis - bug?
staph | strep
55
Septic arthritis - tx?
I&D | surgery
56
Idiopathic scoliosis-prevalence?
girls | family hx
57
Scoliosis -tx?
cobb angle < 20 - observe cobb angle >20~40 + low riser index = bracing but do not if riser index is 4-5 cobb angle >40 - surgery
58
Riser index 4-5?
fusion of the bones
59
Genu varum vs Genu valgum?
varum: all kids born with it but goes away by 3yo valgum: 7yos
60
Genu varum vs genu valgum appearance?
varum: rickets valgum: gotta pee
61
Toeing vs clubfoot?
toeing: feet is inverted | club foot: foot is COMPLETELY inverted
62
Toeing tx?
resolves in 7yo
63
Clubfoot tx?
stretching and casting
64
Toewalking-concerning?
over 3yo
65
Why is toewalking in 3yo+ concerning?
may result to shortened achilles
66
What is SALTER harris fx?
``` I- straight II- above III - below IV - through V - crushing ```
67
Buckle-tx?
splint | NO CAST
68
Toddler's fx?
spiral fx of the tibia
69
Is toddler fx common?
9mo - 3yo
70
Osgood schlatter?
soteochronditis of the tibial tubercle
71
Osgood schlatter cx?
bone pain in atheltes
72
What can athletes get?
Osgood schlatter slipped capital femoral (1/2 pain, painless) legg-calv perthes (painless) jones fx (5th metatarsal)
73
Knee pain in active kids?
osgood schlatter | slipped capital femoral
74
Osgood schlatter - age?
8-14yo
75
Osgood schlatter - tx?
NSAID | PT

Pediatrics (12 decks)

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