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18 Cards in this Set
- Front
- Back
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A patient presents w/ pain on passive movement, pallor, poikilothermia, paresthesias, paralysis, & pulselessness.
Treatment? |
All-compartment fasciotomy for suspected compartment syndrome
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Back pain that is exacerbated by standing & walking and relieved w/ sitting & hyperflexion of the hips.
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Spinal stenosis
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Joints in the hand affected in rheumatoid arthritis.
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MCP & PCP joints;
DIP joints are spared |
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Joint pain & stiffness that worsen over the course of the day & are relieved by rest.
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Osteoarthritis
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Genetic disorder associated w/ multiple fractures & commonly mistaken for child abuse.
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Osteogenesis imperfecta
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Hip & back pain along w/ stiffness that improves w/ activity over the course of the day & worsens at rest. Diagnostic test?
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Suspect ankylosing spondylitis.
Check HLA-B27 |
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Arthritis, conjunctivitis, & urethritis in young men.
Associated organisms? |
Reactive (Reiter's) arthritis.
Associated w/: Campylobacter Shigella Salmonella Chlamydia Ureaplasma |
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A 55 y/o man has sudden, excruciating first MTP joint pain after a night of drinking red wine.
Diagnostis, workup, & chronic treatment? |
Gout.
Needle-shaped, negatively birefringent crystals are seen on joint fluid aspirate. Chronic treatment w/ allopurinol or probenecid |
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Rhomboid-shaped, positively birefringent crystals on joint fluid aspirate.
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Pseudogout
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An elderly female presents w/ pain & stiffness of the shoulders & hips; she cannot lift her arms above her head. Labs show anemia & ⇧ESR.
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Polymyalgia rheumatica
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An active 13 y/o boy has anterior knee pain. Diagnosis?
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Osgood-Schlatter disease
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Bone is fractured in fall on outstretched hand.
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Distal radius (Colles' fracture)
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Complication of scaphoid fracture.
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Avascular necrosis
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Signs suggesting radial nerve damage w/ humeral fracture.
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Wrist drop, loss of thumb abduction
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A young child presents w/ proximal muscle weakness, waddlin gait, & pronounced calf muscles.
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Duchenne muscular dystrophy
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A first-born female who was born in breech position is found to have asymmetric skin folds on her newborn exam. Diagnosis? Treatment?
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Developmental dysplasia of the hip. If severe, consider a Pavlik harness to maintain abduction.
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An 11 y/o obsese, African American boy presents w/ sudden onset of limp. Diagnosis? Workup?
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Slipped capital femoral epiphysis. AP & frog-leg lateral view
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The most common 1° malignant tumor of bone.
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Multiple myeloma
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