Term
| Joint involvement in gout, RA and OA |
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Definition
Gout: great toe
RA: 3 joints, hands and feet (morning stiffness)
OA: Knees, hips and back (older adults0
(worse with effort) |
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Term
|
Definition
w/in past month
1. Have you often been bothered by feeling down, depressed or hopeless?
2. Have you often been bothered by little interest or pleasure in doing things? |
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Term
|
Definition
asymmetry of the wrists, skin discoloration, swelling or warmth,
and atrophy of the thenar eminence (the raised fleshy area on the palm of
the hand near the base of the thumb)
Tinel's sign: tapping median nerve-->symptoms
Phalens test: flexion of wrists--> reproduction of symptoms |
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Term
| Rheum Arthritis Clinical features |
|
Definition
| 3 or more joints, typically involves hands and feet, bilateral involvement of joints, subQ nodules that are firm and tender @ pressure points. Check serum RF |
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Term
|
Definition
migratory joint pain, fever, skin rashes, Raynaud's phenomenon, pleuritis, or chest pain
Malar "butterfly rash" over nose and cheeks w sun exposure
Discoid lesions (erythematous) with scaling |
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Term
|
Definition
| monoarticular arthritis, often in great toe |
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Term
| Psoriatic Arthritis clinical features |
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Definition
| Psoriatic plaques: thickened silvery plaques, located on extensor surfaces. Psoriasis must be present to make the dx. |
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Term
| Lyme Disease clinical features |
|
Definition
| Borriela burgdorferi, w acute monoarticular joint pain |
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Term
|
Definition
| single painful, swollen, warm joint, +fever. Risk factors:diabetes, RA, prosthetic joints, recent surgery, preceeding skin infection. Diff from gout by joint aspiration. |
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Term
| Popliteal Cyst clinical features |
|
Definition
| Assoc w RA or OA. Posterior knee pain, difficulty flexing |
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|
Term
|
Definition
| spondyloarthritis of axial skeleton. Assoc w HLAB27. Chronic back pain, loss of motion of spine. Hips sometimes involved. |
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|
Term
| Xray findings of Osteoarthritis |
|
Definition
Joint space narrowing (best predictor of prognosis)
subchondral cysts
osteophytes
subchondral sclerosis |
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Term
| Arthrocentesis findings for sprain/meniscal injury (simple effusion) |
|
Definition
| Clear straw colored transudative fluid |
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Term
| Artherocentesis of ACL tear or fracture |
|
Definition
| Hemarthrosis; dark discolored fluid |
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Term
| Artherocentesis of osteochondral fracture |
|
Definition
| Hemarthrosis + fat globules; dark, discolored fluid with fat globules |
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Term
| Artherocentesis for septic arthritis |
|
Definition
| Turbid fluid, High leuk count (15k to >200k) |
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Term
| Artherocentesis findings in SLE, gout, RA |
|
Definition
| Inflammation; slightly turbid fluid w moderate white cell count (3K-50k). Crystals in gout (- bifringent) and pseudogout (+ bifringent) |
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Term
| Osteoarthritis Management |
|
Definition
Acetominephen is first line. NSAIDs are second line.
Others: cox2 inhib, Tramadol (opioid), low impact exercise, phys therapy, acupuncture, intra-articular steroid injections (no more than 3 injections a year) |
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Term
|
Definition
1) Tramadol
2) Short acting opioid soon converted to long acting opioids
3) TCA antidepressants
4) Anticonvulsants (esp for trigem neuralgia) |
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Term
| Carpal Tunnel Syndrome management |
|
Definition
| Nocturnal splint for 1 month, then reassess. nerve conduction study is not necessary. |
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Term
| Screening for lipid disorders |
|
Definition
Women > 45 (w risk)
Men > 35 (w risk) |
|
|
Term
| Abd aortic aneurysm screen |
|
Definition
USPSTF
men:one time ultrasound between 65-70 w hx of smoking
women: no screen |
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|
Term
| Zoster vaccine is available when? |
|
Definition
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|
Term
| When is the pneumococcal vaccine offered? |
|
Definition
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