Term
| Knee injury during football game |
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Definition
| ACL (look for description of lachman or drawer test) |
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Term
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Definition
| Ankylosing spondylitis, Reiter’s syndrome |
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Term
| Male w/ low back pain, stiffness. Pain worse wakening, improve during day. Decreased ROM at spine. Plain films show sacroiliac abnormality. HLA-B27 positive |
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Definition
| Ankylosing spondylitis; Tx = NSAIDs (Indomethacin) |
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Term
| Hand injury after a punch |
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Definition
| Boxer’s fracture. Ulnar gutter w/ intrinsic plus positioning. ORIF if angulation > 40 degress |
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Term
| Football player with burning pain, numbness, tingling from shoulder to hand which resolves |
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Definition
| Brachial plexus neurapraxia, “stinger”. Caused by stretching of brachial plexus |
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Term
| Typing, secretary wrist pain and numb/tingling from wrist to hand. New mothers, pregnant may worsen |
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Definition
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Term
| FOOSH, Radial fracture w/ dorsal displacement, dinner-fork deformity |
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Definition
| Colle’s Fx; Tx = volar splint |
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Term
| Pain after tx of fracture w/ cast |
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Definition
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Term
| Pain at base of thumb, distal radial styloid. Pain reproduced with ulnar deviation of clenched fist. |
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Definition
| deQuervain’s tenosynovitis |
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Term
| dusky red, well localized single or multiple papules or plaques usually of face |
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Definition
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Term
| Teenage female with long bone pain without trauma or injury. XR w/ lytic mass, multi-laminated periosteal reaction |
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Definition
| Ewing sarcoma – periosteal “onion skin” reaction |
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Term
| Female, fatigue, general aching, pain at neck, upper shoulders, sleeping problems, tender points |
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Definition
| Fibromyalgia (exercise program good management) |
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Term
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Definition
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Term
| 8 – 10yo male with limp, knee pain |
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Definition
| Legg-Calve-Perthes Disease |
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Term
| Pain on plantar foot @ 2 – 3rd metatarsal. Associated w/ tight shoes, relieved by removing shoes. Palpable painful mass |
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Definition
| Morton’s neuroma; Tx w/ NSAIDs, wide shoes, then steroid injections |
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Term
| Lytic lesions in the back or skull |
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Definition
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Term
| Adolescent male with knee pain, tenderness over tibial tuberosity |
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Definition
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Term
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Definition
| Osteoarthritis (herberden – PIP; bouchard – DIP) |
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Term
| Large joint pain. Knees w/ medial joint space narrowing, osteophytes. No erythema or warmth. |
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Definition
| Osteoarthritis. Acetaminophen #1 choice |
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Term
| Painless bony mass. Plain films = stalky or broad-based projection from bone surface |
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Definition
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Term
| Retropatellar knee pain esp. in females |
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Definition
| Patellorfemoral pain syndrome – increased Q angle, strengthen quadriceps |
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Term
| Proximal symmetric muscle pain & stiffness esp. shoulder, neck, pelvic girdle |
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Definition
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|
Term
| Osteomyelitis after stepping on nail wearing sandals or tennis shoes |
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Definition
| Pseudomonas aeruginosa (foam padding in shoes) |
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Term
| Cold induced pain at extremities with color change as they warm up |
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Definition
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Term
| Conjunctivitis, iritis, arthritis, cervicitis, urethritis |
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Definition
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Term
| Female morning joint pain & stiffness esp. hand/wrists. MCP joint swelling, ulnar deviation |
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Definition
| Rheumatoid arthritis. Methotrexate (DMARDs) #1. |
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Term
| Shoulder pain after repetitive activity, point tenderness at anterior humerus or AC joint. + drop arm test or apprehension test |
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Definition
| Rotator cuff injury (SITS muscles) |
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Term
| 12 – 15yo overweight male knee pain, limp, hip pain (knee XR normal) |
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Definition
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Term
| Female exam, asymmetric posterior chest wall or uneven scapula height with forward bending |
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Definition
| Scoliosis (> 25 degree Cobb angle = surgery) |
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Term
| Acute joint pain. Swollen, warm, erythema. |
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Definition
| Septic arthritis (synovial fluid = leukocytosis, low glucose) |
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Term
| Tibial pain after running (military recruits), athletic activity (running sports) |
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Definition
| Shin splints, stress fracture. Get bone scan if negative x-ray |
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Term
| Female with Arthralgias, malar rash, +ANA, + anti-double stranded DNA antibodies, +anti-phospholipid antibodies |
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Definition
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|
Term
|
Definition
| Systemic autoimmune diseases (RA, IBD), OCP |
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