Musculoskeletal conditions flashcards
Study the cards, then practice on the patient.
Twenty flashcards on common bone, joint and muscle conditions: key symptoms, signs, tests and first treatment.
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20 cards
- Hot swollen big toe joint after a night of drinking?
- Gout.
- Gout crystals under polarized light?
- Needle-shaped, negatively birefringent urate crystals.
- Hot swollen joint with fever: key test?
- Joint aspiration with cell count, Gram stain and culture.
- Symmetric small joint arthritis with morning stiffness over 1 hour?
- Rheumatoid arthritis.
- Most specific antibody for rheumatoid arthritis?
- Anti-CCP antibodies.
- Osteoporosis screening test and cutoff?
- DEXA scan; T-score of -2.5 or lower.
- Young man with back pain better with exercise and bamboo spine?
- Ankylosing spondylitis.
- Shoulder and hip girdle stiffness in an older adult with high ESR?
- Polymyalgia rheumatica.
- First treatment for polymyalgia rheumatica?
- Low-dose prednisone.
- Pain with passive stretch after a crush injury or fracture?
- Compartment syndrome; urgent fasciotomy.
- Obese adolescent with hip or knee pain and a limp?
- Slipped capital femoral epiphysis.
- Tender bump below the kneecap in an active preteen?
- Osgood-Schlatter disease.
- Newborn hip screening maneuvers?
- Barlow and Ortolani.
- Malar rash, joint pain and positive ANA?
- Systemic lupus erythematosus.
- Most specific antibodies for lupus?
- Anti-dsDNA and anti-Smith.
- Dry eyes and dry mouth with anti-SSA and anti-SSB?
- Sjogren syndrome.
- Weak arm abduction and positive drop arm test?
- Rotator cuff tear.
- Fall on an outstretched hand with dorsal wrist deformity?
- Distal radius fracture (Colles).
- Leg pain on walking eased by bending forward?
- Lumbar spinal stenosis.
- Older adult after a fall with a short, externally rotated leg?
- Hip fracture.