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39 Cards in this Set
- Front
- Back
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Which diseases affect DIPs?
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OA
Psoriatic Arthritis |
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What does passing polarized light through the joint aspirate possibly show?
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Uric Acic Crystals: strongly, neg birefringence, needle shape
CPPD: weakly, pos birefringence; rhomboid shape |
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Herbeden vs Bouchard?
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Herbeden: DIP nodes
Bouchard's: PIP nodes |
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OA and inflammation and ESR?
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Minimal inflammation
Doesn't elevate ESR |
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OA vs RA involvement
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OA: DIP, PIP, not wrist, not MCP
RA: PIP, wrist, MCP, not DIP |
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OA vs RA paplpation?
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OA: hard
RA: squishy |
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OA vs RA prognosis?
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OA is less debilitating
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Acro-Osteolysis is caused by?
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PA
Hyperparathyroidism Scleroderma (along w/ calcification) Frost-bite electrocution |
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who does hemochromatosis go after?
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2nd and 3rd MCP's
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Sarcoidosis causes?
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BILATERAL HILAR ADENOPATHY (in lungs)
Moth Eaten hands |
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Who is a septal panniculitis?
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Erythema Nodosum
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what is a hallux valgus and when do you see it?
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bunion
OA! |
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Where do you see a punched out erosion?
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Chronic Gout in the foot
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when do you see tophaceous deposits?
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chronic gout
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what is a protrusio deformity?
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when the femoral head starts pushing through pelvis
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what will encroach on normal vertebral foramen?
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Posterior Osteophytes
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what is the vacuum sign?
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when vertebrae collapse on one side and there is a suction created on the other side
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When do you see flowing osteophytes?
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Diffuse Idiopathic Skeletal Hyperostosis
DISH!!! |
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What are some other kickers for DISH?
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Dysphagia
Calcification of Anterior Longitudinal Ligament |
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When do you see Bamboo Spine?
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Ankylosing Spondylitis
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When do you see 'marginal" syndesmophytes?
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Ankylosing Spondylitis
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Two other involvement of Ankylosing Spondylitis
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Apical (lung) fibrosis
Calcaneal Erosion and Spur |
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Who affects the SI joints?
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Ankylosing Spondylitis
Reiter's |
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How do AS and Reiter's affect the SI joints differently?
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AS: Bilateral
Reiter's: Unilateral and Asymmetrical |
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Besides AS who else can cause heel spurs?
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Reiter's
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What else can Reiter's generally do to bone?
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make it look Fluffy
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Effect of Reiter's on spine?
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can cause compression fractures
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What else can cause vertebral collapse?
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metastatic disease
Pott's |
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What disease causes a double line of the fibular on imaging?
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Hypertrophic osteoarthropathy
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What causes a sunburst appearance?
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Osteosarcoma
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Who are the main causes of nongonococcal septic arthritis?
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strep
staph aureus |
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is septic arthritis symmetrical or asymmetrical?
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symmetrical (maybe)
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What is are Hep C complications?
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Mixed Cryoglobulinemia
Arthritis |
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Sx's of Lyme Disease?
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Erythema Migrans w/ bull's eye rash
Possibly Bell's Palsy Up to 67% get arthritis (mono/oligo of large joints) |
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How do you Dx Rheumatic Fever?
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MAJORS:
carditis polyarthritis sydenham's chorea erythema marginatum subcu nodules |
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What do you get with Chronic Rheumatic Heart Disease?
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Mitral Valve Stenosis w/ a Diastolic Rumble
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Who causes Jaccoud's and what is it?
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SLE
Reducible Ulnar deviation |
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What does Parvovirus B19 cause?
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Erythema Infectiousum
5th's Disease |
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Sx's of Parvo infection?
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Slapped Cheeks in kids
Possible Arthritis in adults |
