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Details

Musculoskeletal
UNECOM
96
Medical
Graduate
11/01/2009

Additional Medical Flashcards

 


 

Cards

Term
______________ is a chronic, progressive autoimmune inflammatory disease of insidious onset that involves a loss of range of motion in the joints of the spine, sacrum and can include proximal ribs
Definition
ankylosing spondylitis
Term
A chronic inflammatory disease of the axial joints, especially the SI joint
Definition
ankylosing spondylitis
Term
approximately 90% of patients with ankylosing spondylitis test positive for this protein
Definition
HLA-B27
Term
Rheumatoid arthritis is primarily associated with a disorder of HLA ___
Definition
HLA D
Term
________________ is associated with bacteria in the bowel, in addition to HLA-B27
Definition
ankylosing spondylitis
Term
Sedimentation rate is most significantly affected by which condition of the blood
Definition
anemia
Term
an arthritis developed as a hyper-immune response to a recent infection
Definition
reactive arthritis
Term
a syndrome described by the triad of urethritis, arthritis, and conjunctivitis
Definition
Reiter's syndrome
Term
pannus formation in this type of arthritis
Definition
rheumatoid arthritis
Term
osteoclastic activity in rheumatoid arthritis driven by this product of T cells and synovial fibroblasts
Definition
RANKL
Term
the most common form of childhood arthritis
Definition
juvenile idiopathic rheumatoid arthritis
Term
an asymmetrical arthritis set off within one month of an infection
Definition
reactive arthritis
Term
ABCDEs
Definition
ankylosis; bony reactivity; cartilage loss and joint-space narrowing; distribution; erosions of bone; soft-tissue swelling
Term
an arthritis in which studies have shown that there is a trafficking of lymphocytes from the gut wall to the synovial lining of joints
Definition
arthritis of inflammatory bowel disease
Term
an arthritis that is a chronic autoimmune inflammatory disease of insidious onset with systemic manifestiations including skin, blood vessels, heart, lungs, and muscle. principally it produces a symmetric polyarthritis generally affecting mainly small joints in the hands and feet, as well as larger joints such as the wrists and shoulders. the arthritis is a sterile proliferative and inflammatory synovitis progressing to destruction of the cartilage and ankylosis of the joint
Definition
rheumatoid arthritis
Term
absence of HLA-B27 in a patient with definitive AS increases the likely hood of associated ________________________
Definition
inflammatory bowel syndrome
Term
extra-articular manifestations of ankylosing arthritis
Definition
iritis, pulmonary fibrosis, cardiac conduction system abnormalities including third degree AV block
Term
males are more likely than females to have this type of joint involvement in psoriatic arthritis
Definition
SI joint
Term
_________________ is a complication of long-standing rheumatoid arthritis, and is defined by the presence of 3 conditions: rheumatoid arthritis, an enlarged spleen (splenomegaly), and an abnormally low white blood count (granulocytopenia)
Definition
Felty's syndrome
Term
_______________ is a chronic, slowly progressive, inflammatory autoimmune disease of insidious onset that is characterized by lymphocytic (CD4+ T-cell and B-cell) infiltration of exocrine glands, especially the salivary and lacrimal glands, and sometimes including the pancreas
Definition
Sjogren's syndrome
Term
these proteins are detected in 90% of patients with primary Sjogren's disease
Definition
Ribonuclear proteins SS-A (To) and SS-B (La)
Term
two primary symptoms of Sjogren's syndrome
Definition
keratoconjunctivits (xerophthalmia) and dry mouth (xerosomia)
Term
most common septic arthritis in young adults
Definition
gonococcal arthritis
Term
is gonococcal arthritis higher in incidence in men or women?
Definition
women (related to menses)
Term
most common site of an infective arthritis
Definition
knee
Term
Seeding via hematogenous spread usually from the lung, causing osteomyelitis and confluent granulomas with central caseous necrosis development in the joint is seen in this type of arthritis
Definition
tuberculosis arthritis
Term
viral origins of viral arthritis
Definition
parvovirus B19, rubella, and hepatitis B or C
Term
type of crystal in "classic" gout
Definition
monosodium urate
Term
type of crystal in "pseudogout"
Definition
calcium pyrophosphate dihydrate
Term
lack of the enzyme hypoxantine guanine phosphoribosyl transferase can elevate uric acid production in this disease process
Definition
gout
Term
one form of pseudogout associated with a mutation in the ANKH gene
Definition
hereditary pseudogout
Term
a common hereditary disease in which iron accumulates in the body and can cause osteo-arthritis like symptoms
Definition
hemochromatosis
Term
severely degenerated joints secondary to the loss of innervation
Definition
charcot joints
Term
a type of arthritis in which benign neoplasms that develop in the synovial linings of joints, tendon sheaths and bursae
Definition
villanodular synovitis
Term
specific deformities common to spina bifida
Definition
clubfoot, hip dislocations, and vertical tali
Term
a risk factor for both metatarsus adductus and tibial torsion is thought to include this condition in utero
Definition
oligohydramnios
Term
percentage of cases of scoliosis that are congenital
Definition
10%
Term
________________ is an autosomal dominant congenital disorder of skeletal development with deficient and imperfect ossification of the bones midline bones especially those formed membrane (clavicle, cranium, pelvis); it appears to be a mutation in a transcription factor Runx2/CBFA1, which controls osteoblast differentiation
Definition
Cleidocranial dysostosis
Term
_______________ is a congenital disorder featuring an abnormally high position scapula that failed to descent to the normal position during development, and can be accompanied by webbing of the skin between the neck and scapula
Definition
Sprengel deformity
Term
the most common adolescent hip disorder
Definition
slipped capital femoral epiphysis
Term
an idiopathic congenital syndrome characterized by contractures and rigid joint deformities involving multiple joints, usually caused by amyoplasia (loss of muscle)
Definition
arthrogryposis multiplex congenital
Term
diffuse idiopathic skeletal hyperostosis
Definition
a degenerative process with subsequent ossification of anterior longitudinal ligament, involving at least 4 segments and adjacent intervertebral discs
Term
sequestrum
Definition
dead pieces of bone insolated in an osteomyelitic infection
Term
involucrum
Definition
live bone that surrounds the dead bone in an osteomyelitic infection
Term
birth position associated with 50% of cases of congenital/developmental dysplasia of the hip
Definition
breech position
Term
percentage of cases of talipes equinovarus (clubfoot) that are congenital in nature
Definition
75%
Term
definition of osteoporosis
Definition
T score less than -2.5
Term
osteomalacia vs. osteoporosis
Definition
a disorder of mineralization, not bone loss, per say
Term
Paget's disease
Definition
a disorder of abnormal bone remodeling caused by overactive osteoclasts, and subsequent bone formation; associated with the RANK protein, which controls osteoclast function
Term
biochemical marker of Paget's disease
Definition
alkaline phosphate
Term
most common site of benign bone forming tumors (osteoma, osteoid osteoma, and osteoblastoma)
Definition
metaphysis or diaphysis of long bones
Term
osteochondromas
Definition
cartilage-capped bony outgrowths
Term
chondroma
Definition
benign tumor of hyaline cartilage
Term
sexual predilection of benign bone and cartilage tumors vs. giant cell tumors
Definition
male and female, respectively
Term
most common malignant bone tumor
Definition
osteosarcoma; found on the diaphysis of knee most commonly, followed by hip
Term
benign cartilage and fibrous tumors vs. malignant cartilage and fibrous tumors
Definition
usually painless vs. painful
Term
85% of this type of tumor shows t(11,22); "small round blue cell tumor"; second most common bone tumor in children; affect children and adolescents ( 80% <20 yrs.)
Definition
Ewing sarcoma and primitive neuroectodermal tumors
Term
avascular necrosis of the capital femoral head
Definition
legg-calve-perthes disease
Term
sexual predilection of legg-calve-perthes disease
Definition
male 5:1
Term
a disease process in which degeneration or aseptic necrosis of a growth center in a bone is followed by reossification; this form specific to tibial tuberosity
Definition
Osgood-Schlatter disease
Term
often presents as a butterfly rash in a young women accompanied by fever, joint pain, pleuritic pain, and photosensitivity; other clinical problems are protean but neurologic, renal and cardiac are common
Definition
systemic lupus erythematosus
Term
panniculitis is an inflammatory reaction in the subcutaneous fat and fascia; ________________, the most common form of panniculitis, is an acute onset of a tender nodular, erythematous eruption that usually is limited to the extensor aspects of the lower legs
Definition
erythema nodosum (EN)
Term
initial symptoms can include Raynaud's phenomenon via microvascular sclerosis; followed eventually by hardening of skin, esophageal dysmotility and pulmonary fibrosis
Definition
systemic sclerosis
Term
_______________ is of idiopathic origin, possible related to an infection, and can feature pain and stiffness in the neck, shoulders and pelvic region; it is closely related to giant cell arteritis and could be a manifestation of the later disease
Definition
polymyalgia rheumatica
Term
______________ is a chronic, multisystem granulomatous disorder of unclear etiology characterized pathologically by the accumulation of immune cells and the formation of noncaseating granulomas in effected tissue
Definition
sarcoidosis
Term
a disease process involving the benign proliferation of fibroblasts and subsequent collagen deposition thickening the surrounding connective tissue
Definition
fibromatosis
Term
myositis ossificans
Definition
the fibrotic proliferation and the formation of metaplastic bone in skeletal muscle usually following a trauma
Term
______________ is a systemic necrotizing vasculitis of arterioles, capillaries and venules with common involvement of the lung and kidney, that is associated with the p-ANCA gene
Definition
microscopic polyangitis
Term
a systemic necrotizing vasculitis of small and medium sized vessels with typical involvement of renal and visceral organs
Definition
polyarteritis nodose
Term
This is the most common soft tissue tumor of adulthood. It presents as a soft, mobile, painless mass.
Definition
Lipoma
Term

 

Presents a slow, progressing contracture of the palmar fascia in the hand. Initially affect the fifth digit and gradually spread to the other digits. Dimpling or puckering of the overlying skin can help in the diagnosis.

Definition
Dupuytren's Contracture
Term

 

Necrotizing vasculitis that commonly affect the respiratory and renal systems. Associated with a saddle-nose deformity. c-ANCA antibodies are present in 95% of cases.

Definition
Wegener's Granulomatosis
Term

Triad:

Acute necrotizing granulomas of teh mucosa in the upper and lower respiratory tract. Necrotizing granulomatous vasculitis affecting small to medium sized vessels. Focal necrotizing renal disease involving cresentic glomerulitis.

Definition
Wegener's Granulomatosis
Term
Widespread granulomatous inflammatory reaction that leads to stenosis in the walls of medium and large-sized vessels, typically involving the aortic arch and its branches. Most commonly present in the Asian population. Also known as a "Pulseless Disease."
Definition
Takayasu Ateritis
Term
What is the gold standard diagnostic test for Takayasu Arteritis?
Definition
Arteriography
Term
Necrotizing vasculitis of small and medium sized vessels with typical involvement of renal and visceral organs. Renal involvement features arteritis WITHOUT glomerulonephritis. Strongly associated with Hepatitis B antigen.
Definition
Polyarteritis Nodosa
Term
Inflammation of the articular capsule of the shoulder that leads to contraction of the capsule, adhesion formation and eventual loss of range of motion. Type I Diabetes is a common risk factor.
Definition
Adhesive Capsulitis
Term
A rare, multi-systems, chronic disease that involves the deposition of amyloid proteins between cells in various tissues of the body. Congo Red Staining is a diagnostic test for this disease.
Definition
Systemic Amyloidosis
Term
Widespread diffuse chronic pain of idiopathic etiology presenting for at least three months. Prevalent in women and especially among people of lower socioeconomic status. No laboratory abnormalities and normal neurologic exam.
Definition
Fibromyalgia
Term
Pharmacologic treatments that are contraindicated in Fibromyalgia.
Definition
Glucocorticoids and opiates
Term
Vascular infarction leading to the cellular death of bone tissue. Common in the hip and knee. Presents as an insidious onset of a dull, achy, throbbing pain in the affected area. Associated with "creeping substitution" in which new bone is laid down on the scaffolding of the old, dead bone.
Definition
Osteonecrosis
Term
What is the gene associated with Osteonecrosis?
Definition
COL2A1 (Type II Collagen)
Term
A form of osteochondrosis which commonly involves the (medial) femoral condyle in the knee. This condition can also affect the ankles and elbow. Often results from chronic, repetitive trauma.
Definition
Osteochondritis Dissicans
Term
The most common childhood-onset muscular dystrophy.
Definition
Duchenne muscular dystrophy
Term
A hereditary disease of skeletal muscle involving a mutation in a cytoskeletal protein. Most cases are X-linked recessive and primarily affect males. Presents with Gower's sign and muscles undergo repeated cycles of necrosis and regeneration. Elevated CK levels.
Definition
Duchenne Muscular Dystrophy
Term
Hereditary, chronic and progressive skeletal muscle disease involving a triple-repeat disorder, CTG, on chromosome 19.
Definition
Myotonic Dystrophy
Term
An autosomal-dominant, progressive skeletal muscle disease with anticipation over generations. Present as an insidious onset of gait abnormalities in late childhood, sustained muscle contractions and "Hatchet-Face".
Definition
Myotonic Dystrophy
Term
Treatment for sustained muscular contractions in Myotonic Dystrophy.
Definition
Phenytoin
Term
A rare, congenital myopathy involving a defect in the cytoskeleton of the muscle cells preventing the marginalization of the nucleus. The myocyte nuclei are located centrally instead of peripherally.
Definition
Centronuclear Myopathy
Term
A chronic inflammatory myopathy. Presents with heliotrophic rash in upper eyelids and periorbital edema as well as back, neck or chest. Bilateral and symmetrical muscle weakness, greater in the proximal muscles. Grotton lesions also present.
Definition
Dermatomyositis
Term
A subactue inflammatory myopathy without a rash. Present with symmetric proximal muscle weakness in upper and lower extremties; muscle pain and tenderness; dysphagia and dysphonia; possibly fever, weight loss and morning stiffness. Jo-1 antibodies (Anti-Jo-1) are present.
Definition
Polymyositis
Term
Myopathy due to mutations in the mitochondrial genome. Could present with myopathic abnormalities and encephalopathic findings.
Definition
Mitochondrial Myopathy
Term
The most common neoplasm for women. Present as a non-painful lump, but pain can result from compression of surrounding tissue.
Definition
Leiomyoma
Term
The most common soft-tissue sarcoma of childhood and adolescence.
Definition
Rhabdomyosarcoma
Term
A rare, aggressive and malignant tumor of skeletal muscle. Present before 20 y/o and usually found in the head, neck and GI/GU tract. Due to a PAX3-FKHR gene defect. The Embryonal form is the most common type.
Definition
Rhabdomyosarcoma
Term
Malignant tumor of smooth muscle.
Definition
Leiomyosarcoma
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