Term
| Back pain that is exacerbated by standing and walking and relieved with sitting and hyperflexion of the hips |
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Definition
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Term
| Joints in the hand affected in rheumatoid arthritis |
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Definition
MCP and PIP.
DIPs are spared! |
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Term
| Joint pain and stiffness that worsen over the course of the day and are relieved by rest |
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Definition
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Term
| A genetic disorder that is associated with multiple fracture and blue sclerae and is commonly mistaken for child abuse. |
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Definition
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Term
Hip and back pain along with stiffness that improves with activity over the course of the day and worsens at rest.
Diagnostic test? |
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Definition
Suspect Ankylosing Spondylitis
-Check HLA-B27 |
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Term
| Arthritis, conjunctivitis and urethritis in young men. Associated organisms? |
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Definition
Reactive (Reiter's) arthritis.
Most commonly associated with Chlamydia.
Also consider:
-Campylobacter
-Shigella
-Salmonella
-Ureaplasma |
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Term
A 55yo man has sudden, excruciating first MTP joint pain after a night of drinking red wine.
-Diagnosis?
-Work up?
-Chronic treatment? |
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Definition
Dx: Gout
W/u: Needle-shaped negatively birefringent crystals seen on joint fluid aspirate
Tx: Allopurinol or Probenecid |
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Term
| Rhomboid-shaped, positvely birefringent crystals on joint fluid aspirate. |
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Definition
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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 |
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Definition
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Term
| An active 13yo boy has anterior knee pain. Diagnosis? |
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Definition
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Term
| Bone is fractured in a fall on an outstretched hand. |
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Definition
| Distal Radius (Colles' Fracture) |
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Term
| A complication of scaphoid fracture |
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Definition
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Term
| Signs suggesting radial nerve damage with humeral fracture |
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Definition
Wrist drop
Loss of thumb abduction |
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Term
| A young child presents with proximal muscle weakness, waddling gait and pronounced calf muscles |
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Definition
Duchenne muscular dystrophy
[Look for Gower's sign] |
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Term
A first-born female who was born in breech position is found to have asymmetric skin fold on newborn exam.
Dx?
Tx? |
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Definition
Dx: Developmental dysplasia of the hip
Tx: If severe--consider Pavlik harness to maintain abduction |
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Term
An 11yo obese African American boy presents with sudden onset of limp.
Dx?
W/u? |
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Definition
Dx: Slipped capital femoral epiphysis (SCFE)
W/u: AP and frog-leg X-rays |
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Term
| The MCC primary malignant tumor of bone |
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Definition
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