Term
| shoulder pain after repetitive activity, point tenderness at anterior humerous or AC joint. + drop arm test or apprehension test |
|
Definition
| rotator cuff injury (SITS muscles) |
|
|
Term
| football player with burning pain, numbness, tingling from shoulder to hand which resolves |
|
Definition
brachial plexus neruapraxia "stinger"
caused by stretching of the brachial plexus |
|
|
Term
| FOOSH, radial fracture with doral displacement, dinner fork deformity |
|
Definition
|
|
Term
| typing, scretary, wrist pain and numb/tingling from wrist to hand, new mothers, pregnant may worsen |
|
Definition
|
|
Term
| pain at base of thumb, distal radial styloid. Pain reproduced with ulnar deviation of clenched fist. |
|
Definition
| deQuervain's tenosynovitis |
|
|
Term
| hand injury after a punch |
|
Definition
Boxer's fracture
tx = ulnar gutter splint
ORIF if angulation > 40 degrees |
|
|
Term
| female exam, asymmetric posterior chest wall or uneven scapula height with forward bending |
|
Definition
| scoliosis (>25 degree Cobb angle = surgery) |
|
|
Term
| tibial pain after running (military recruits), athletic activity (running sports) |
|
Definition
shin splints, stress fracture
get bone scan if negative x-ray |
|
|
Term
| common knee injury during a football game |
|
Definition
| ACL tear (+ lachman and anterior drawer tests) |
|
|
Term
| 8-10 yo male with limp, knee pain |
|
Definition
| Legg-Calve Perthes disease |
|
|
Term
| 12-15 yo overweight male, knee pain, limp, hip pain, knee xray = normal |
|
Definition
|
|
Term
| adolescent male with knee pain, tenderness over tibial tuberosity |
|
Definition
|
|
Term
| retropatellar knee pain esepcially in females |
|
Definition
| patellofemoral pain syndrome - increased Q angle, strengthen quadriceps |
|
|
Term
| pin on plantar foot at 2nd-3rd metatarsal. associated with tight shoes, relieved by removing shoes. Palpable painful mass |
|
Definition
Morton's neuroma.
Tx = NSAIDs, wide shoes, possible steroid injection |
|
|
Term
| pain after tx of fracture w/ cast |
|
Definition
|
|
Term
| what 2 diseases are associated with HLA-B27 |
|
Definition
ankylosing spondylitis
Reiter's syndrome |
|
|
Term
| acute joint pain, swollen, warm, erythema |
|
Definition
septic arthritis
(synovial joint = leukocytosis, low glucose) |
|
|
Term
| large joint pain, knees wiht medial joint space narrowing, osteophytes, no erythema or warmth |
|
Definition
osteoarthritis
DOC = acetaminophen |
|
|
Term
|
Definition
osteoarthritis
PIP = Bouchard's node
DIP = Herberden's node |
|
|
Term
| female morning joint pain and stiffness especially hands/wrists. MCP joint swelling, ulnar deviation |
|
Definition
rheumatoid arthritis
DOC = methotexate |
|
|
Term
|
Definition
|
|
Term
| proximal symmetric muscle pain and stiffness especially shoulder, neck, pelvic girdle |
|
Definition
|
|
Term
| male with low back pain, stiffness. Pain worse wakening, improves throughout the day. Decreased ROM at spine, plain flims show SI abnormality. HLA-B27 positive |
|
Definition
Ankylosing Spondylitis
Tx = indomethacin |
|
|
Term
| conjunctivitis, iritis, arthritis, cervicitis, urethritis |
|
Definition
|
|
Term
|
Definition
| systemic autoimmune diseases (RA, IBD), OCP |
|
|
Term
| female with arthralgias, malar rash, + ANA, + anti-double stranded DNA antibodies, + anti-phsopholipid antibodies |
|
Definition
|
|
Term
| dusky red, well localized single or multiple papules or plaques usually on the face |
|
Definition
|
|
Term
| female, fatigue, general aching, pain at neck, upper shoulders, sleeping problems, tender points |
|
Definition
|
|
Term
| cold induced pain at extremities with color change as they warm up |
|
Definition
|
|
Term
| Osteomyelitis after stepping on nail wearing sandals or tennis shoes |
|
Definition
| pseudomonas auruginosa (from foam padding in shoes) |
|
|
Term
| teenage female wiht long bone pain without trauma or injury. xray with lytic mass, multi-laminated periosteal reaction |
|
Definition
| Ewing Sarcoma - periosteal "onion skin" reaction |
|
|
Term
| painless bony mass. Plain films = stalky or broad based projection from the bone surface |
|
Definition
|
|
Term
| lytic lesion in the back or skull |
|
Definition
|
|
Term
| procainamide, hydralazine + rash |
|
Definition
|
|
Term
| produce a photosensitive rash |
|
Definition
|
|
Term
| wood's light shows 'coral red' |
|
Definition
|
|
Term
|
Definition
fungus
candida shows hyphae and buds or spaghetti and meatballs |
|
|
Term
| what is gram stain used for? |
|
Definition
|
|
Term
| beefy red, sharp bordered rash in groin (infants), under breast folds (adults) with satellite lesions |
|
Definition
|
|
Term
| warm, erythematous, tender skin with possible induration or fluctuance |
|
Definition
|
|
Term
| Red, less distinct borders. coral red under wood's lamp |
|
Definition
|
|
Term
| distinct, sharp raised demarcated border with fever, chills. Group A Strep |
|
Definition
|
|
Term
| grouped vesicles on an erythematous base |
|
Definition
|
|
Term
| infant or peds wiht grouped vesicles on thumb, aka "tapioca" |
|
Definition
|
|
Term
| pain preceeding vesicular rash in a dermatomal pattern |
|
Definition
|
|
Term
| hx URI, palpable purpuric rash to buttocks, posterior thights |
|
Definition
|
|
Term
| honey colored crusts on erythematous base around nose and mouth |
|
Definition
|
|
Term
| small white papules on diffusely red base on buccal mucosa |
|
Definition
koplik spots - rubeola (measles)
spots occur before rash |
|
|
Term
| cough, coryza, conjunctivitis |
|
Definition
|
|
Term
| pastia's lines, postive ASO titer |
|
Definition
| scarlet fever (group A strep) |
|
|
Term
|
Definition
|
|
Term
| pruritic raised erythematous plaques |
|
Definition
|
|
Term
| dewdrops on a rose petal, pustules and vesicles in different stages of healing |
|
Definition
|
|
Term
| flesh-colored, pink or yellow-brown lesion with rough, sandpaper feel at sun-exposed areas |
|
Definition
|
|
Term
| non-pruritic, raised, warty brown-black plaques, stuck onto skin, feel greasy |
|
Definition
|
|
Term
| flat brown spots with sharp borders on dorsum of hand |
|
Definition
|
|
Term
| erythematous, dome shaped nodule with central plug |
|
Definition
|
|
Term
| raised pearly borders, telangiectasia, cental ulcer |
|
Definition
|
|
Term
| pearly papule with umbilicated center |
|
Definition
|
|
Term
| sexually active person with rash on palms and soles, general LAD |
|
Definition
| secondary syphilis (money spots) |
|
|
Term
| what can you not treat scabies with in peds? |
|
Definition
Lindane (Kwell)
DOC = permethrin (elimite) |
|
|
Term
| christmas tree pattern, erythematous papules with oval plaques, with scaly, itchy border. Rash preceeded by large oval plaque with central clearing and scaly border (herald patch) |
|
Definition
|
|
Term
| hypopigmented lesions, white, scaly. gets worse with tanning or sun exposure |
|
Definition
|
|
Term
| erythematic ring with scaly border and central clearing |
|
Definition
|
|
Term
| tick, yellow, brittle nails |
|
Definition
onychomycosis
tx = PO terbinafine |
|
|
Term
| infant with erythematous, scaly, crusty lesions at vertex of scalp |
|
Definition
cradle cap - seborrheic dermatitis
tx = baby shampoo, warm olive oil compress, mild hydrocortisone cream.
adults = selenium sulfide shampoo |
|
|
Term
| children < 10 yo with vesicles on pharynx, mouth, hands, feet, with NO ulceration |
|
Definition
hand-foot-mouth disease.
coxsackie virus |
|
|
Term
| healthy-looking < 5 yo with lace-like rash on both cheeks - red papules |
|
Definition
erythema infectiosum "slapped cheek"
"fifths disease" |
|
|
Term
| pediatric with high fever, followed by macular rash over trunk and neck |
|
Definition
roseola infantum (herpes virus),
tx = motrin and symptomatic therapy |
|
|
Term
| fever, pharyngitis, "sand paper" rash over face, neck, trunk, extremities |
|
Definition
|
|
Term
| high fever (up to 105) x 5 days then rash. May have conjunctivitis, cracking, lip fissures |
|
Definition
Kawasaki's disease
look for cardiac complications (myocarditis, pericarditis, arteritis, aneurysms) |
|
|
Term
|
Definition
|
|
Term
| silvery scaling, plaques on extensor sensors. Auspitz sign, Koebner's phenomena |
|
Definition
|
|
Term
| rat bite erosions on xray |
|
Definition
|
|
Term
| dark skinned person with "whitening and lightening" of skin. Hx pernicious anemia or other autoimmune disease |
|
Definition
| vitiligo. skin biopsy to diagnose |
|
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