Term
| What rare cancer affects the long bones of children most commonly b/w 10-20 yrs of age? Hint: It appears on xray as a lytic mass w/ an "onion skin" reaction? |
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Definition
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Term
| Typically presents as a painless mass & appears in xray as stalk projection near a growth plate |
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Definition
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Term
| What are the common symptoms of multiple myeloma? |
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Definition
| "CRAB" = Calcium (elevated), Renal failure, Anemia, Bone (lytic lesions) |
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Term
| Typically presents in children age 5-20 with pain worse at nt that is relieved by aspirin. Xrays show a small round lucency surrounded by sclerotic bone? |
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Definition
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Term
| Avascular necrosis of the hip in children? |
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Definition
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Term
| long-standing dry scratchy eyes & dry mouth & dyspareunia? Think: |
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Definition
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Term
| Typically presents as a "painless limp" in children 4-10 yrs? |
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Definition
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Term
| Pain in foot in the area of the 3rd metatarsal & a palpable mass in this same area? |
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Definition
| Morton's neuroma (1st try wider shoes & NSAIDS, then if that fails steroid injection) |
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Term
| Splint of choice for a Colles' fracture? |
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Definition
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Term
| Splint of choice for a Scaphoid fracture? |
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Definition
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Term
| Typically presents w/ pain at base of thumb & radial aspect of wrist? |
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Definition
| deQuervain's tenosynovitis (hint: + Finkelstein's test) |
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Term
| A palpable mass in the anterior axilla & space beneath the acromion make you think what? |
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Definition
| The pt has an anterior glenohumeral dislocation |
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Term
| Classic: "Silver fork" deformity on xray? |
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Definition
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Term
| Known as the reverse Colles' fracture b/c fall is on flexed wrist causing ventral radial displacement? |
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Definition
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Term
| Radial fracture that is associated with a dislocation of the radial head? |
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Definition
| Galeazzi's fracture-dislocation |
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Term
| A dz where bone remodeling is disturbed & not synchronized. As a result, the bone that is formed is abnormal, enlarged, not as dense, brittle, and prone to breakage? |
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Definition
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Term
| What are the most common side effects of methotrexate? |
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Definition
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Term
| What is the tx of choice for reactive arthritis (Reiter's syndrome)? |
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Definition
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Term
| Tight shoes aggravate the foot pain. Think? |
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Definition
| Morton's neuroma (b/w 3rd & 4th metatarsal) |
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Term
| RF & anti-CCP antibodies are 70-80% diagnostic of what condition? |
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Definition
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Term
| In children this is characterized by spiking fevers, myalgias, & a salmon-pink maculopapular rash appearing in the evening w/ the fever? |
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Definition
| Systemic juvenile rheumatoid arthritis (Still's dz) |
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Term
| Sexually active young adults are at risk for septic arthritis caused by what organism? |
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Definition
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Term
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Definition
| Aggressive IV antibiotics, then oral antibiotics following for 7-10 days |
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Term
| Joint fluid analysis: Rod-shaped v. Rhomboid shaped crystals? |
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Definition
Rod shaped = Gout
Rhomboid shaped = Pseudogout |
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Term
| This dz is characterized by inflammation & positive ANA's? |
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Definition
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Term
| This dz is characterized by proximal muscle weakness, dysphagia, skin rash, polyarthralgias, & muscle atrophy? |
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Definition
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Term
| This dz is characterized by pain & stiffness in the neck, shoulder, & pelvic muscles? |
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Definition
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Term
| Describe the T-scores for osteoporosis: |
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Definition
* Normal: T score greater than or equal to -1.
* Osteopenia: T score between -1 and -2.5
* Osteoporosis: T score less than or equal to -2.5 |
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Term
| The posterior column of the spinal cord relays ____ & ____? |
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Definition
| Proprioception & vibration sense |
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Term
| The lateral spinal tract relays ____ & ____? |
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Definition
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Term
| The anterior spinal tract relays ____ & ____? |
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Definition
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Term
| Ulnar fracture that is associated with a dislocation of the radial head? |
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Definition
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Term
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Definition
| Extension of the DIP w/ splinting for 6-8 weeks |
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Term
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Definition
| Doxycycline for adults; Amoxicillin for children |
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Term
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Definition
| SSRI's, Lyrica, & exercise |
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Term
| Characteristics of RA v. OA? |
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Definition
| RA is worse in the morning gets better w/ activity & affects joints symmetrically; OA is worse in the evening or w/ activity & is asymmetric |
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Term
| Discrete pain over the tibia indicates what? |
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Definition
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Term
| Pain to palpation over the posterior tibialis muscle indicates what? |
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Definition
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Term
| A dz when too many antibody proteins are produced, which build up in the bloodstream and may be deposited in certain body tissues? |
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Definition
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Term
| Intermittent knee pain w/ a feeling of "locking or giving way" is suspicious for what? |
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Definition
| A meniscus tear (do McMurray test!) |
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Term
| _____ exacerbates the knee pain in Osgood-Schlatter dz? |
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Definition
| Ascending or descending stairs |
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Term
| Hip pain that is worsened w/ internal rotation is suspicious for what? |
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Definition
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Term
| 1st line tx for ankylosing spondylitis? |
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Definition
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Term
| Tx for acute TMJ w/ muscle spasm? |
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Definition
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Term
| Tx for a young person w/ septic arthritis? |
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Definition
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Term
| Most common cause of osteomyelitis in pt's w/ sickle cell anemia? & tx? |
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Definition
| Salmonella & Ciprofloxacin |
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Term
| Scleroderma is associated w/? |
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Definition
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Term
| Polymyositis is characterized by muscle? |
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Definition
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Term
| Polymyalgia Rheumatica is characterized by muscle? |
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Definition
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Term
| ____ exacerbates the knee pain associated w/ Osgood Schlatter dz? |
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Definition
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