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20 Cards in this Set
- Front
- Back
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What is Tietze syndrome?
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a varient of costochondritis that has a tumor, and often rubor and calor
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Teitze Syndrome is characterized by what?
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swelling in additon to inflammation of costochondral joints
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Teizte Syndrome has _____ diffuse, and more _________ point-tenderness
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-less diffuse
-more localized |
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How is Tietze syndrome differentiated from costochondritis?
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elevation of ESR or CRP
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Precordial Catch Syndrome (PCS) is aka what?
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Texidor's Twinge
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What are the typical qualities of pain for Precordial Catch Syndrome?
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-sharp-needle like
-well localized -sudden onset -brief duration |
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PRecordial Catch Syndrome pain may be worse with what and better with what?
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-worse at rest
-better when sitting straight |
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Pts with Precordial Catch Syndrome tend to be what?
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young, healthy, and of light to medium habitus
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Is pain reproducable in PCS?
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NO
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What is costochondritis?
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local inflammatory process involving one or more costochondral cartilages
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Costochondritis with ecchymoses suggests what?
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trauma
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In costochondritis, crepetis is uncommon and suggests what?
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rob fracture
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In costochondritis, cardiopulmonary auscultation is what?
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unremarkable
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What could you R/O by doing and EKG for costochondritis?
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-AMI
-arrhythmias -PE |
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What could you rule out by doing a CXR in costochondritis?
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-CAP
-pneumothorax -penumomediastinum -Rib fracture |
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When would you do a D-dimer in costochondritis?
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if you suspect PE/DVT
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When would you do a CT, US, or bone scan in costochondritis?
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if you suspect a mass or rib fracture
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Why would you do an ESR or CRP for costochondritis?
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to differentiate btw that and Tietze syndrome
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When would you do an MRI in costochondritis?
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if you suspect aortic rupture or dissection
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What are some tx options for costochondritis?
-note there is a crap ton! |
-NSAIDS
-analgesics -oral steroids -Trigger point injection of: lido, methylpredisolone, marcaine -topical heat or ice -antitussive |
