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*Part II Supplemental > Scoliosis & Arthritides > Flashcards

Scoliosis & Arthritides Flashcards

1
Q

MC age for scoliosis and gender

A

Female age 13-19

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2
Q

Scoliosis is named for the side of

A

Major Convexity

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3
Q

Spinous deviate to concavity

A

Rotatory scoliosis

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4
Q

Spinous deviate to convexity

A

Simple scoliosis

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5
Q

Lines of mensuration for scoliosis

A

Cobbs and Rissers Ferguson

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6
Q

Scoliosis measurements age

A

25 and younger

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7
Q

Under 20 degrees

A

Adjust and monitor

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8
Q

21 to 40 degrees

A

Send to orthopedist for bracing (MILWAUKEE)

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9
Q

Over 40 degrees

A

Surgical consult

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10
Q

Over 50 degrees

A

Cardio Pulmonary compromise and DJD

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11
Q

Monitoring Scoliosis

A

Risser’s sign
Wrist Films
Tanner’s staging - best one

Assessing skeletal growth potential using Tanner staging and Risser grading

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12
Q

Types of Inflammatory arthritides

A
  1. RA
  2. Ankylosing Spondylitis
  3. Enteropathic Arthropathy
  4. Psoriatic Arthritis
  5. Reiter’s AKA Reactive Arthritis
  6. SLE
  7. Scleroderma
  8. Osteitis Condensans Ilia (AKA OSteitis Triangularis)
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13
Q

RA in children is known as

A

Still’s disease

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14
Q

Symmetrical distribution

Bilateral uniform loss of joint space

A

RA

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15
Q

Rat bite erosions
Pannus formation
Localized periarticular osteoporosis

A

RA

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16
Q

What joint instability is caused by RA

A

Atlanto-axial joint instability

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17
Q

What joint is spared with RA

A

DIP

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18
Q

What nodes and deformity is associated with RA?

A

Haygarths (MCP) nodes
Swan neck and boutonnierres deformity
Lanois deformity

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19
Q

What is Lanois deformity?

A

Ulnar or fibular deviation

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20
Q

What cyst is associated with RA?

A

Baker’s cyst (benign swelling of the semimembranous bursa)

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21
Q

What kind of anemia is associated with RA

A

Normocytic Normochromic Anemia

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22
Q

Labs for RA

A 
\+RA latex
\+FANA
\+ESR
\+C Reactive Protein
Seropositive arthritis
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23
Q

RA when presenting with dry eyes and mouth is called

A

Sjogren’s

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24
Q

Akylosing Spondylitis AKA

A

Marie Stumpells Disease

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25
Q

MC demographic for AS and symptoms

A

Male 15-35 with low back pain with morning stiffness

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26
Q

AS associated with what eye condition

A

Iritis

27
Q

AS starts in which joint?

A

SI joint

28
Q

Positive ortho test for AS

A

Chest expansion
Foorestier’s bowstring
Lewin supine

29
Q

Radiographic sign in SI joints for AS

A

Bilateral SI joint fusion (ghost joint)

30
Q

Shiny corner sign (early)
Bilateral marginal syndesmophytes
Squaring of the vertebral bodies

A

AS

31
Q

Radiographic “signs” associated with AS

A

Trolley track
Bamboo spine
Dagger sign
Poker spine

32
Q

Identical to AS in pelvis with GI dysfunction

A

Enteropathic Arthropathy

33
Q

Males 20-50 with silver scaly lesions on EXTENSORS

Pitted nails

A

Psoriatic Arthritis

34
Q

Cocktail sausage digits

A

Psoriatic Arthritis

35
Q

Psoriatic Arthritis has increase or decrease joint space?

A

Increase

36
Q

What deformities are associated with Psoriatic Arthritis

A

Mouse ear deformity

Pencil in cup deformity

37
Q

Ray sign

Non marginal syndesmophytes in the spine

A

Psoriatic Arthritis

Note: Marginal syndesmophyte occur in AS

38
Q

What joint instability is associated with Psoriatic arthritis?

A

Atlanto axial

39
Q

Atlanto axial instability associated with what condition

A

Psoriatic Arthritis

RA

40
Q

Lab for Psoriatic Arthritis

A

+HLA B27

41
Q

Lab for AS

A

+HLA B27

+ESR

42
Q

Male 20-30

URETHRITIS, CONJUNCTIVITIS, ARTHRITIS

A

Reiter’s

43
Q

STD associated or cause Reiter’s

A

Chlamydia

44
Q

Calcaneal spur
Non marginal syndesmophytes
Fluffy periostitis

A

Reiters

45
Q

Lab for Reiter’s

A

+HLA B27

46
Q

Female, sunlight percipitates a skin rash (MALAR/ butterfly rash), Oral ulcers, discoid lesions, alopecia, Raynaud’s phenomenon

A

SLE

47
Q

What deviation is associated with SLE?

A

Ulnar deviation of the phalanges with no joint destruction

48
Q

+ Rebound test

A

SLE

49
Q

+LE prep, +FANA, +RA latex
+ ESR
Leukopenia, thrombocytopenia, Anti DNA

A

SLE

50
Q

Management for SLE

A

co manage with rheumatologist

51
Q

Management for AS

A

co manage with rheumatologist

52
Q

Progressive Systemic Sclerosis AKA

A

Scleroderma

53
Q

Female 30-50, associated with erosion of distal tufts of the phalanges

A

Scleroderma

54
Q

Associated with CREST syndrome, sclerodactyly

Raynaud’s, calcinosis, esophageal dysphagia, talengiectasis, calcification of soft tissue middle finger

A

Scleroderma

55
Q

+FANA

+RA latex (30%)

A

Scleroderma

56
Q

Osteitis Condensans Ilia AKA

A

Osteitis triangularis

57
Q

Multiparous females age 20-40

Bilateral sclerotic areas on lower half of the ilium

A

Osteitis Condensans Ilia

58
Q

Joint space with Osteitis Condensans Ilia

A

normal

59
Q

Labs for Osteitis Condensans Ilia

A

Self resolve

No lab

60
Q

Case management for Osteitis Condensans Ilia

A

Trochanteric belt for stability

61
Q

Inflammatory arthritides condition in women

A

Scleroderma
Osteitis Condensans Ilia
SLE

62
Q

+HLA B27 conditions

A

AS
Psoriatic
Reiters

63
Q

+ESR conditions

A

RA
AS
SLE

64
Q

+FANA conditions

A

RA
Scleroderma
SLE

*Part II Supplemental (28 decks)

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