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18 Cards in this Set
- Front
- Back
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pt presents c pain on passive movement, pallor, poikilothermia, paresthesias, paralysis, and pulselessness. dx and tx?
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all-compartment fasciotomy for suspected compartment syndrome
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back pain exacerbated by standing and walking and relieved with sitting and 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 and PIP joints; DIP joints are spared
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joint pain and stiffness that worsen over the course of the day and are relieved by rest
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osteoarthritis
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genetic d/o associated c multiple fractures and commonly mistaken for child abuse
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osteogenesis imperfecta
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hip and back pain along c stiffness that improves with activity over the course of the day and worsens at rest. dx test?
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suspect ankylosing spondylitis; check HLA-B27
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arthritis, conjunctivitis, and urethritis in young men. dx and associated organisms?
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reactive (Reiter's) arthritis. associated with Campylobacter, Shigella, Salmonella, Chlamydia, and Ureaplasma.
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55yo man has sudden, excruciating first MTP join pain after a night of drinking red wine. dx, workup, and chronic tx?
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gout.
needle-shaped, negatively birefringent crystals seen on joint fluid aspirate. chronic tx with 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 with pain and stiffness of the shoulders and hips; she cannot lift her arms above her head. labs show anemia and elevated ESR
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polymyalgia rheumatica
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an active 13yo boy has anterior knee pain. dx?
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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 with humeral fracture
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wrist drop, loss of thumb abduction
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a young child presents with proximal muscle weakness, waddling gait, and pronounced calf muscles
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Duchenne's 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. dx? tx?
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developomental dysplasia of the hip. if severe, consider a Pavlik harness to maintain abduction.
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an 11yo obese, African American boy presents with sudden onset of limp. dx? workup?
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slipped capital femoral epiphyses. AP and frog-leg lateral view.
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the most common 1* malignant tumor of the bone
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multiple myeloma
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