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09. Musculoskeletal
Rapid Review - First Aid
17
Medical
Professional
07/24/2015

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Cards

Term
Back pain that is exacerbated by standing and walking and relieved with sitting and hyperflexion of the hips
Definition
Spinal stenosis
Term
Joints in the hand affected in rheumatoid arthritis
Definition
MCP and PIP.

DIPs are spared!
Term
Joint pain and stiffness that worsen over the course of the day and are relieved by rest
Definition
Osteoarthritis
Term
A genetic disorder that is associated with multiple fracture and blue sclerae and is commonly mistaken for child abuse.
Definition
Osteogenesis imperfecta
Term
Hip and back pain along with stiffness that improves with activity over the course of the day and worsens at rest.
Diagnostic test?
Definition
Suspect Ankylosing Spondylitis
-Check HLA-B27
Term
Arthritis, conjunctivitis and urethritis in young men. Associated organisms?
Definition
Reactive (Reiter's) arthritis.
Most commonly associated with Chlamydia.

Also consider:
-Campylobacter
-Shigella
-Salmonella
-Ureaplasma
Term
A 55yo man has sudden, excruciating first MTP joint pain after a night of drinking red wine.
-Diagnosis?
-Work up?
-Chronic treatment?
Definition
Dx: Gout
W/u: Needle-shaped negatively birefringent crystals seen on joint fluid aspirate
Tx: Allopurinol or Probenecid
Term
Rhomboid-shaped, positvely birefringent crystals on joint fluid aspirate.
Definition
Pseudogout
Term
An elderly woman presents with pain and stiffness of the shoulders and hips.
She cannot lift her arms above her head. Labs show anemia and increased ESR
Definition
Polymyalgia rheumatica
Term
An active 13yo boy has anterior knee pain. Diagnosis?
Definition
Osgood-Schlatter Disease
Term
Bone is fractured in a fall on an outstretched hand.
Definition
Distal Radius (Colles' Fracture)
Term
A complication of scaphoid fracture
Definition
Avascular necrosis
Term
Signs suggesting radial nerve damage with humeral fracture
Definition
Wrist drop
Loss of thumb abduction
Term
A young child presents with proximal muscle weakness, waddling gait and pronounced calf muscles
Definition
Duchenne muscular dystrophy

[Look for Gower's sign]
Term
A first-born female who was born in breech position is found to have asymmetric skin fold on newborn exam.
Dx?
Tx?
Definition
Dx: Developmental dysplasia of the hip

Tx: If severe--consider Pavlik harness to maintain abduction
Term
An 11yo obese African American boy presents with sudden onset of limp.
Dx?
W/u?
Definition
Dx: Slipped capital femoral epiphysis (SCFE)
W/u: AP and frog-leg X-rays
Term
The MCC primary malignant tumor of bone
Definition
Multiple myeloma
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