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Vish Gossain
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Decks in this class (91)
Pain and analgesia
Pain pathways perception is media...,
Pain has multiple effects 2,
Who pain ladder 1 adjuvant eg par...
8
cards
Pain and analgesia 2
Coxibs selective inhibitors eg li...,
Opiates decrease not very good fo...,
Opiates absolute cis 4 3
9
cards
DMARDs
Disease modifying anti agents 1,
Their clinical effect is often th...,
Methotrexate 1st line dmard actin...
8
cards
Corticosteroid Use
Act by inhibiting of cox 2 and i ...,
There are widespread side effects 2,
Long term steroids need co prescr...
4
cards
Non-pharma interventions
Education proven to reduce and an...,
Physiotherapy training can reduce...,
Reduction of adverse factors 3
4
cards
Contraindications + Complications of surgery
It is generally contraindicated t...,
Ortho complications infection 1 f...,
Ortho complx local injury syndrom...
3
cards
International Classification of Fx, Disability + Health (ICF) - REPAIR
Terminology capacity a person s f...,
Is the development of a person to...,
What does repair stand for 3
7
cards
Physical aids for ADLs
Orthosis externally applied devic...,
Walking aids 2,
Aids for daily living 3
3
cards
Alternative Medicines
Most useful for those with compla...,
And have been shown to be as succ...
2
cards
ASIA and Barthel Index tools for measuring disability
Asia scoring system that helps de...,
Asia preservation of any function...,
Barthel index scale used to asses...
3
cards
Amputation - Epidemiology + Complications
73 of amputations in derby are du...,
The two major amputation levels a...,
Amputations are the most common a...
5
cards
Amputation - rehab
After an amputation is entitled t...,
A prosthetic limb will then requi...,
Are always provided to amputees 3
4
cards
Neurogenic Bladder + Bowel, Autonomic Dysreflexia
Bladder injury below usually lead...,
Bladder injury above usually lead...,
Neurogenic bowel spinal cord inju...
6
cards
Pressure ulcers
A pressure ulcer is a injury to t...,
O grade 1 0 grade 2 skin loss dam...,
Intrinsic risk factors are impair...
4
cards
Traumatic Brain Injury
Tbls classification o mild gcs 13...,
Physical consequences of brain in...,
Cognitive behavioural consequence...
3
cards
Overuse/Strain injury
Exact of injury can be identified 1,
Pain is and produced by movements 2,
On examination there is tendernes...
3
cards
Wrist/Hand Pathology - De Quervain's tenovaginitis.
Disease of unknown cause with pai...,
Presentation often pain over the ...,
On examination o look often may b...
4
cards
Wrist/Hand Pathology - Median N Compression/Carpal Tunnel Syndrome
The carpal tunnel is made up of t...,
It is technically median nerve co...,
Presentation pain in the hand wor...
6
cards
Wrist/Hand Pathology - Cubital Tunnel Syndrome
Of the nerve at the tunnel of the...,
Presentation o pain near the join...,
On examination o look between the...
6
cards
Wrist/Hand Pathology - Ganglion Cyst + Dupuytren's Contracture
Gc soft tissue filled with a dege...,
Gc look the most common sites are...,
Gc feel they may be or but are fi...
8
cards
Wrist/Hand Pathology - Trigger Finger + Base of Thumb OA
Tf idiopathic of the tunnel leadi...,
Tf in severe cases the finger wil...,
Tf o look potential at the pipj o...
10
cards
Elbow Pathology - Medial Epicondylitis (Golfer's)
Tendinopathy of the common origin...,
Presx pain develops over a period...,
Presx on examination there is aro...
5
cards
Elbow Pathology - Lateral Epicondylitis (Tennis) + Olecranon Bursitis
Tendinopathy of the common tendon...,
There is a documented association...,
Presx pain around the epicondyle ...
6
cards
Shoulder Pathology - Background + Acute RC Tendonitis (calcific tendonitis)
Shoulder pain is a common present...,
It is useful to first separate th...,
Acute rotator cuff tendonitis ten...
6
cards
Shoulder Pathology - Chronic RC Tendonitis + Adhesive Capsulitis + Subacromial Bursitis
Chronic rc tendonitis 1,
Chronic rc tendonitis 2,
Chronic rc tendonitis 3
8
cards
Shoulder Pathology - RC Tear + Impingement/Painful arc
Rc tear caused by trauma in the p...,
Rc tear presentation o patient wi...,
Rc tear presx o intra articular i...
7
cards
Hip Pathology - Trochanteric Bursitis
Common condition can be quite 1,
Pathologically it is of the bursa...,
Symptoms pain that may radiate th...
6
cards
Knee Pathology - Osgood Schlatter's, Bursitis + Popliteal Swellings
Os common in a injury of the liga...,
Bursitis patellar bursitis aka ho...,
Anserine bursitis and a in the in...
5
cards
Knee Pathology - Meniscal Tears
Aetiology classically occur when ...,
Aetiology the meniscus is most co...,
Presentation symptoms are initial...
7
cards
Knee Pathology - Ligament Injuries
Aetiology ligamentous injuries oc...,
Aetiology in practice it is commo...,
History it is key in the history ...
9
cards
Ankle and Foot Pathology
Plantar fasciitis at the insertio...,
Plantar fasciitis management is p...,
Subcalcaneal bursitis 3
5
cards
Complex Regional Pain Syndrome
Complex regional pain syndrome 1,
Complex regional pain syndrome 2,
Complex regional pain syndrome 3
3
cards
Neck Pain
Ddx incl whiplash injury neck pai...,
Whiplash injury forces applied to...,
Mechanical pain can follow fallin...
8
cards
Back Pain - approach + simple back pain
First rule out life threatening v...,
Assess for red flag symptoms that...,
Simple mechanical back pain 3
5
cards
Back Pain - Acute Lumbar Disc Prolapse + Nerve Entrapment
Generally occurs in the nd to th ...,
This most commonly occurs at l or...,
Clinical presentation 3
10
cards
Lumbar Canal Stenosis + Spondylolisthesis + Facet joint dysfunction
Lumbar canal stenosis 1,
Lumbar canal stenosis 2,
Lumbar canal stenosis 3
9
cards
Non-mechanical back pain
Non mechanical back pain may be o...,
Inflammatory onset of and pain wo...,
Infection can present as a compli...
7
cards
FMG - Background + Sx + Chronic Fatigue Syndrome
Prevalence in all uk populations ...,
Dx criteria pain for more than pa...,
Non restorative sleep 3
8
cards
Approach to a FMG patient
Take a thorough compassionate his...,
Is central to management 2,
Advice is important 3
5
cards
OA - Background
Most common type of arthritis 1,
Clinical features pain o initial ...,
On examination o look bony muscle...
6
cards
OA - Hip, Knee + Generalised OA
Hip oa more common in at presenta...,
Knee oa strong relationship with ...,
Generalised oa is much common the...
7
cards
OA - Ix, Mx
In oa wear and tear leads to and ...,
Small develop beneath this abnorm...,
On xr there are thus four cardina...
9
cards
Joint Replacement
Indications leading to a loss of 1,
Complications of total hip replac...,
Infection infection is a but comp...
4
cards
Gout
Prevalence of gout is around with...,
These preferentially deposit in t...,
Is not alone sufficient to cause ...
5
cards
Acute Urate Gout vs Chronic Tophaceous Gout
Acute urate gout in almost all fi...,
Aug presentation o pain often des...,
Aug it is possible that more than...
5
cards
Gout - Ix + Mx
Investigation bloods serum o does...,
Ix of the joint effusions o for a...,
Ix xr can assess the of joint dam...
8
cards
Psuedogout + Calcific periarthritis
Calcific periarthritis 1,
Pseudogout this may be sporadic o...,
Pseudogout presentation presents ...
4
cards
RA - Background + Examination
Ra affects around 3 of and 1 of o...,
Ra classically presents as a poly...,
Presx in 15 of cases there is ons...
7
cards
RA - Pathogenesis + Dx workup
The first change seen is rheumato...,
This inflammatory also causes foc...,
Dx bloods o fbc and in acute infl...
4
cards
RA - Extra-articular features
List them all 1,
Rheumatoid nodules seen in of pat...,
Pulmonary sequalae pulmonary is t...
8
cards
RA - atlanto-axial subluxation + managing RA
A a subluxation atlantoaxial inst...,
A a subluxation xr apo lateral an...,
Ra mx once diagnosis has been con...
6
cards
Seronegative Spondylo's - Background + AS
Name the big 4 on the spectrum 1,
Finger is also seen commonly in t...,
As presents usually as inflammati...
9
cards
Seronegative Spondylo's - PsA
A seronegative associated with ps...,
There are five commonly recognise...,
There are five commonly recognise...
5
cards
Seronegative Spondylo's - Reactive Arthritis + IBD-related arthropathy
Reactive arthritis aka reiter s s...,
Reactive arthritis aka reiter s s...,
Reactive arthritis aka reiter s s...
7
cards
Extra-articular features + Bacterial Joint infection
Anterior uveitis hla b27 arthritis 1,
Scleritiss episcleritis arthritis 2,
Septic arthritis septic arthritis...
6
cards
Septic arthritis + Osteomyelitis - Presx, DDx
Clinical presentation 1,
On examination o and systemic sym...,
Differential diagnosis includes a...
4
cards
Septic Arthritis - Ix + Mx
Investigation joint aspiration fl...,
Investigation joint aspiration o ...,
Investigation blood o ensure samp...
5
cards
MSK sepsis - pathology + radiography
Osteomyelitis pathology 1,
Osteomyelitis pathology 2,
Osteomyelitis imaging 3
6
cards
Viral arthropathy
Viral arthralgia can be caused by...,
It tends to be and is non so does...
2
cards
Osteoporosis - Background
Osteoporosis is a disease charact...,
Pathogenesis in normal individual...,
Risk factors sex genetics of peak...
7
cards
Osteoporosis - Ix
Measurements are required to make...,
Osteoporosis is diagnosed when th...,
Once osteoporosis is confirmed hi...
4
cards
Osteoporosis - Mx
Screening the tool should be used...,
Patients with should be given adv...,
Patients with bmd in the range sh...
6
cards
Osteomalacia - Background
Osteomalacia is inadequate bone u...,
Full blown osteomalacia is rare i...,
Vitamin d can be ingested directl...
6
cards
Osteomalacia - Ix + Mx
Bloods u es to screen for anomali...,
Xr often may show zones of defect...,
Treatment vitamin d replacements ...
4
cards
Paget's Disease of Bone - Background
Pdb is a disease of origin affect...,
Bone architecture becomes and alt...,
Clinical features up to are asymp...
4
cards
Paget's Disease of the Bone - Ix + Mx
Bloods raised calcium and phospha...,
Xr variable presentation with and...,
Treatment analgesics for the pain...
4
cards
Osteonecrosis
With the bone marrow cells die wi...,
Osteonecrosis in the of bones is ...,
Risk factors fracture eg nof frac...
7
cards
# - Approach
History examination 1,
Radiology 0 order plain film orth...,
Describing simple or pieces if si...
6
cards
# - RF's and Fracture Repair Principles
Risk factors for fracture 1,
In unstable conditions eg plaster...,
In unstable conditions eg plaster...
4
cards
# - Complications
Acute complications syndrome visc...,
Acute complications infection mor...,
Compartment syndrome 3
11
cards
# - Colles + Smiths
Colles fracture most common patte...,
Colles fracture on xr there is di...,
Colles fracture if a good positio...
5
cards
# - Scaphoid + Forearm
Scaphoid fractures _ the scaphoid...,
Scaphoid they are commonly and th...,
Treatment for undisplaced fractur...
4
cards
# - Femoral neck - Intertrochanteric + Subtrochanteric
Femoral neck fracture 1,
Is very important here with the f...,
Femoral neck fracture 3
5
cards
# - Intracapsular Hip #
Commonly referred to as fractured...,
The criteria is used to grade the...,
The criteria is used to grade the...
7
cards
# - Approach to Hip #
Approach to hip fracture patients 1,
In patients a full work up is req...,
Investigations bloods including a...
4
cards
# - Vertebral #
Fractures of the spine can occur ...,
Presentation o marked pain worse ...,
The fracture is very as only the ...
7
cards
# - tibia + ankle #
Tibial most common fracture in an...,
Tibial displaced fractures will r...,
Ankle common injury seen in young...
11
cards
# - Mx - Open + Closed long bone #
Closed 1 resuscitation image the ...,
Closed 2 re to check positioning ...,
Closed 3 if the fracture has been...
6
cards
Metastatic Bone Cancer + Multiple Myeloma
Multiple myeloma presentation bon...,
Multiple myeloma investigation xr...,
Bony mets most common cause of bo...
7
cards
Primary Tumours of Bone + Soft Tissue
Tumours of the bone are most comm...,
Osteosarcoma malignant tumour of ...,
Chondrosarcoma malignant forming ...
5
cards
SLE - Features
Pathology sle is a common but fre...,
Skin involvement 75 of cases 2,
Presentation is extremely due to ...
7
cards
SLE - Ix + Mx
Bloods fbc hypochromic anaemia pe...,
Bloods specific for sle but sensi...,
Urine bp to check for involvement...
5
cards
Antiphospholipid Syndrome
Apl syndrome is the presence of t...,
Features thrombosis most commonly...,
Features loss particularly in the...
8
cards
Sjogren's syndrome
Primary sjogren s syndrome eyes s...,
Symptoms dry and salivary and gla...,
Investigations test o specialised...
4
cards
Systemic Sclerosis
A multisystem disease characteriz...,
Limited cutaneous scleroderma 70 2,
Limited cutaneous scleroderma 70 3
10
cards
Polymyositis + Dermatomyositis
Polymyositis and dermatomyositis ...,
Polymyositis _ inflammation of mu...,
Dermatomyositis polymyositis with...
7
cards
PMR + GCA
Pmr and gca are common diseases o...,
Pmr presentation o patient always...,
Pmr the arterial inflammation is ...
11
cards
Systemic Vasculitis
Vasculitic conditions are should ...,
Multiple system sx general fever ...,
Medium arteries classic polyarter...
10
cards
Synovial Fluid Analysis + Bloods in Rheumatology
Synovial fluid analysis 1,
Synovial fluid analysis 2,
Synovial fluid analysis 3
11
cards
Joint Dislocation
A dislocation occurs when the joi...,
Is normally the investigation of ...,
Shoulder dislocation 3
4
cards
Neuropathic (Charcot) foot + Hypermobility
Charcot arthropathy is a progress...,
Causes may be tabes dorsalis myel...,
Hypermobility syndrome 3
5
cards
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CP3 - MDD
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