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24 Cards in this Set
- Front
- Back
What questions should we ask when presented with MSK pain?
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-articular or non-articular
-inflammatory or non-inflammatory -acute or chronic -number of joints -pattern of joint involvement |
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What are the non-articular causes of MSK pain?
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-peri-articular (tendon, bursa, ligament, bone, muscle)
-referred visceral pain -nerve (neuropathic) |
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What questions do you ask on Hx to differentiate articular from non-articular pain?
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-location (at a joint)
-nature (deep/diffuse or point/focal) -aggregated by movement/independent of movement |
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Deep and/or diffuse pain is ________ (articular/non-articular) whereas point/focal pain is (articular/non-articular)
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-articular
-non-articular |
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The patient has pain that is aggravated by movement of the joint. This is typically ______________ (articular/non-articular) pain.
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articular
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What things do we look for on physical exam to differentiate articular from non-articular pain?
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-range of motion
-swelling -crepitus, instability, deformity |
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In articular disease, the __________ (active/passive) range of motion is limited.
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-BOTH active and passive
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In non-articular disease, the __________ (active/passive) range of motion is limited.
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-active
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A patient presents with joint pain and swelling. This is typically seen in _________ (articular/non-articular) disease
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-articular
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What are the causes of inflammatory arthritis?
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-infectious
-crystal-induced -immune-related -reactive -idiopathic |
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What are the causes of non-inflammatory arthritis?
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-osteoarthritis
-internal joint derangement: loose body, ligament injury, meniscal tear |
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What things might you find on history that point you in the direction of inflammatory arthritis?
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-young female
-inflammation signs -systemic symptoms |
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What are the four cardinal signs of inflammation?
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-erythema
-warmth -pain -swelling |
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What are the systemic symptoms pointing to systemic disease?
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-fatigue
-fever -rash -weight loss |
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Inflammatory arthritis is ____________ (relieved/aggravated) by rest and gets ______________ (better/stays the same) after about 45 minutes from waking up
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-aggravated
-stays the same |
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A joint appears swollen. You examine it and it feels boney hard. This suggests _________ (inflammatory/non-inflammatory) arthritis
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-non-inflammatory
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What are the key variables used to distinguish inflammatory from non-inflammatory arthritis?
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-age, sex, morning stiffness, aggravating factors, relieving factors, extra-articular features
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If a patient presents with joint pain that has lasted longer than 6 weeks, you would begin to suspect what kinds of diseases?
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-rheumatoid or psoriatic arthritis
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If a patient presents with joint pain that has lasted longer than 6 weeks, you would begin to suspect what kinds of diseases?
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-gout, pseudogout, infection, transient viral infection
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Oligoarthritis has _____ joints involved while polyarthritis has ______ joints involved
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-1 to 4
-more than 4 |
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What are the categories for pattern of involvement in arthritis?
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-additive
-intermittent -migratory |
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"Additive arthritis" has ________ involvement of joints and is seen in ________ arthritis and ______-arthritis
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-progressive
-rheumatoid -osteo |
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When symptoms completely resolve between episodes, it is called an ________ pattern of involvement. It is seen in things like ________ arthritis and what other diseases?
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-intermittent
-crystalline -SLE, palindromic rheumatism |
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A migratory pattern of involvement is seen in what diseases?
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-disseminated gonnococcal infection
-rheumatic fever |