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Terms in this set (38)
If S1 impinged, may seen a change in ____.
Ankle reflex, sensation in posterior calf and lateral leg
What is the MC location for a herniated disc?
Separation in the vertebral parts interarticularis, usually in lower lumbar vertebrae (L5 common)
**Positive STORK TEST- one legged hyperextension)
*Scottie dog as a collar on XR
When bilateral defects allow the vertebral body to slip anteriorly
*L4-L5 MC involved
Herniated disc pain is worsened with...
*Decreased with hip flexion
When someone has back pain with radiculopathy, urinary incontinence, and ataxia and leg weakness.. think
Cauda Equina Syndrome
*Needs emergent surgical intervention
Ankylosis spondylitis, which results in fusion of the vertebrae often shows ____ on XR.
Bamboo spine- young adults 20-30
*HLA-B27 + in labs
What type of back pain involves pseudoclaudication, that gets better with lying/sitting, but worse with walking?
Dowager's hump is AKA
What is the MC exrtrapulmonary site of TB?
The spine - kyphosis
What is a long term complication of spinal stenosis?
Cauda equina syndrome
When should a joint be aspirated?
If diabetic, immunocompromised, or have a fever
The first carpo-MCP joint and DIP joints are commonly affected with ___.
Joint pain worse in the AM and after rest
Swan neck and boutoineire deformities, as well as ulnar deviation, occur with ____.
*Also pannus formation, which is hyper plastic synovial tissue
What is tx for RA?
NSAIDs, steroids, or MTX
MCC of reactive arthritis
Men can't see, knee or pee with ____.
*Conjunctivitis, arthritis, urethritis
Reiter's syndrome/ reactive arthritis
"Sausage toe"- red, hot swollen digit is seen with what?
Reiter's syndrome (Reactive arthritis) & psoriatic arthritis
What is gelling?
Stiffness that occurs after resting- with OA
*Larger joints affected
Pain with OA gets worse _____
throughout the day
Baker's cysts commonly occur w/ ____
Gout MC involves ____.
Podagra, the base of the great toe
What is tx for gout?
Acute: NSAIDs like Naproxen & Indomethacin, Colchicine, and steroids
Positive birefringement crystals are seen with ____.
*NEGATIVE WITH GOUT
What is the tx for pseudogout?
Acute aspiration and steroid injections followed by NSAIDs
Both strains and sprains require ____.
*Rest, ice, compression, elevation, and support/bracing
A ___ involves ligaments or tendons, while a ___ is injury to the bone-tendon or to the muscle itself.
+ ANA and anti-smith antibody
Systemic Lupus Erythematosus
SLE is also associated with ___.
Tx for SLE
Immunomodulation with cyclophosphamide and corticosteroids
What are antiresorptive agents used for OP that decreased osteoclast activity?
Seizure meds, prolonged excessive weight bearing, menopause, and long term steroid use are all risk factors for ____.
The only anabolic agent on the market for OP, used when T score is <-3.5
What is the tx for fibromyalgia?
Low impact exercise, cognitive therapy, Tricyclics (Elavil)
How many trigger points are required for dx of fibromyalgia?
> or = 11/18
What often coincides with fibromyalgia?
Common in runners and overweight, heel pain (medial side) worse with first few steps in morning and again at night
*Usually have a tight achilles tendon
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