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10 Musculoskeletal & RA
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Status
Last Update
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Published
07/30/2024
QC. Effectivity to diagnose musculoskeletal disease1. Physical exam2. History {{c1::B}}
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07/30/2024
Anything outside of the joint (muscles, tendons, ligaments, nerves) are considered {{c1::extra-articular or periarticular}}
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07/30/2024
QC. Painful on active movement 1. Articular 2. Periarticular {{c1::C}}
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07/30/2024
QC. Painful on passive ROM1. Articular 2. Periarticular {{c1::B}}
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07/30/2024
Duration of articular pain to be considered chronic?{{c1::6 weeks}}
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07/30/2024
Give causes of peri-auricular pain{{c1::Trauma FractureTendinitisBursiitsNeuropathy Fibromyalgia}}
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07/30/2024
QC. Deep diffuse pain1. Articular 2. Periarticular{{c1::A}}
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07/30/2024
QC. Focal or point tenderness1. Articular 2. Periarticular{{c1::B}}
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07/30/2024
QC. May have neuropathic signs1. Articular 2. Periarticular{{c1::B}}
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07/30/2024
QC. Swelling1. Articular 2. Periarticular{{c1::A}}
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07/30/2024
Give examples of chronic inflammatory articular causes{{c1::OsteoarthritisOsteonecrosisCharcotArthritis}}
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07/30/2024
QC. Morning stiffness lasting several hours1. Inflammatory arthritis 2. Mechanical arthritis{{c1::A}}
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07/30/2024
QC. Morning stiffness <10 min1. Inflammatory arthritis 2. Mechanical arthritis{{c1::B}}
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07/30/2024
QC. Fatigue, fever, rash, weight loss1. Inflammatory arthritis 2. Mechanical arthritis{{c1::A}}
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07/30/2024
QC. Pain worse with movement and better with rest1. Inflammatory arthritis 2. Mechanical arthritis{{c1::B}}
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07/30/2024
QC. NO joint swelling or warmth1. Inflammatory arthritis 2. Mechanical arthritis{{c1::B}}
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07/30/2024
QC. Elevated ESR, CRP, thrombocytosis, anemia1. Inflammatory arthritis 2. Mechanical arthritis{{c1::A}}
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07/30/2024
QC. Synovial fluid WBC count <2000/uL1. Inflammatory arthritis 2. Mechanical arthritis{{c1::B}}
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07/30/2024
QC. Responsive to steroids1. Inflammatory arthritis 2. Mechanical arthritis{{c1::A}}
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07/30/2024
{{c1::Joint effusion}} and {{c1::limited range}} of motion are the most specific signs of arthritis
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07/30/2024
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07/30/2024
CBA Pain at rest and at nightA. Bone pain B. Mechanical joint pain C. Inflammatory joint painD. Neuropathic painE. Referred pain {…
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07/30/2024
CBA Pain on joint use, stiffness after inactivity, pain at end of the day after useA. Bone pain B. Mechanical joint pain C. Inflammator…
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07/30/2024
CBA Pain and stiffness in the joints in the morning, at rest and with useA. Bone pain B. Mechanical joint pain C. Inflammatory joint pa…
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07/30/2024
CBA Diffuse pain and paresthesia in dermatome, worsened by specific activityA. Bone pain B. Mechanical joint pain C. Inflammatory joint…
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07/30/2024
CBA Pain unaffected by local movementA. Bone pain B. Mechanical joint pain C. Inflammatory joint painD. Neuropathic painE. Referred pai…
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07/30/2024
CBA Pain unaffected by local movementA. Bone pain B. Mechanical joint pain C. Inflammatory joint painD. Neuropathic painE. Referred pai…
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07/30/2024
QC. Bone pain 1. Paget's disease2. Osteoarthritis{{c1::A}}
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07/30/2024
QC. Mechanical joint pain1. Paget's disease2. Osteoarthritis{{c1::B}}
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07/30/2024
Chronic pattern of arthritis{{c1::Osteoarthritis}}
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07/30/2024
Intermittent pattern of arthritis{{c1::Crystal-induced arthritis}}
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07/30/2024
Migratory forms of arthritis{{c1::Rheumatic feverGonococcal arthritisViral arthritis::3}}
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07/30/2024
Additive forms of arthritis{{c1::Rheumatoid arthritisPsoriatic arthritis::2}}
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07/30/2024
{{c1::Raynaud’s phenomenon}} is a reversible, vasospastic disorder characterized by transient, stress-induced ischemia of the digits, nose-tip, and/or…
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07/30/2024
QC. Indicates ocular sensitivity to light1. Photophobia 2. Photosensitivity {{c1::A}}
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07/30/2024
QC. Refers to the development of a rash following <30 minutes of sun exposure1. Photophobia 2. Photosensitivity {{c1::A}}
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07/30/2024
Two main phases of normal gait{{c1::Stance (60%) - Leg bears weightSwing (40%) - Leg advances and does not bear weight}}
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07/30/2024
Interval from the time one heel strikes the ground to the time when it again strikes the ground{{c1::Strike}}
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07/30/2024
The most common type of gait abnormality {{c1::Hemiplegic gait}}
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07/30/2024
Identify the type of gait Circumduction of footPossible abnormal hand swinging {{c1::Hemiplegic gait}}
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07/30/2024
Identify the type of gaitPosture overall flexion Take small steps with tremor{{c1::Parkinson's Gait}}
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07/30/2024
Identify the type of gaitBroad stand and wide staggeringFall toward the side Titubations{{c1::Cerebellar gait}}
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07/30/2024
Identify the type of gait Develops waddleTrunk leans opposite side of weakened hip{{c1::Myopathy gait}}
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07/30/2024
Identify the type of gaitFoot dropEquine gaitCannot dorsiflex foot{{c1::Neuropathic Gait}}
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07/30/2024
For arthritis of the hand, which joint only shows reactive arthritis?{{c1::Distal Interphalangeal joint (DIP)}}
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07/30/2024
Which three joints of the hand manifest osteoarthritis?{{c1::DIPPIP1st carpometacarpal joint}}
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07/30/2024
Which joint of the hand can SLE only affect?{{c1::PIP}}
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07/30/2024
Which joints of the hand only manifest RA?{{c1::PIPMCP Wrist}}
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07/30/2024
Which region of the hand does De Quervain's tenosynovitis be felt?{{c1::Radial aspect of the wrist (1st extensor compartment)}}
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Which joint disease show Gull Wing Deformity on x-ray with short duration of stiffness?{{c1::Osteoarthritis}}
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07/30/2024
Which joint disease of the hand manifest as Boggy swelling with morning stiffness that last > 1 hour?{{c1::Early Rheumatoid Arthrit…
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07/30/2024
Deformities associated with chronic RA of the hand {{c1::Ulnar deviation Swan neck deformity Boutonniere's deformity Telescoping o…
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07/30/2024
{{c1::1st metatarsophalangeal}} joint is the first joint that is involved in the gout (90% of gout)
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07/30/2024
CBASausage digits (dactylitis) with scaly skin rashes and onycholysis of the nailsA. Psoriatic arthritisB. Tophaceous goutC. Acute gout D.&n…
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07/30/2024
CBARecurrent acute monoarthritis which may present with history of nephrolithiasisA. Psoriatic arthritisB. Tophaceous goutC. Acute gout D. C…
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07/30/2024
CBARecurrent monoarthritis with chalky material coming outA. Psoriatic arthritisB. Tophaceous goutC. Acute gout D. Chronic Rheumatoid Arthri…
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07/30/2024
Tinel’s test is best performed with wrist in {{c1::extension}}
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07/30/2024
Two tests for assessment of Carpal Tunnel syndrome{{c1::Tinel’s testPhalen’s test}}
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07/30/2024
Diseases associated with bilateral CTS{{c1::DiabetesHypothyroidismVasculitisPregnancyAcromegalyAmyloidosis}}
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07/30/2024
Two tendons associated with De Qeurvain’s Tenosynovitis{{c1::Extensor pollicis brevisAbductor pollicis longus}}
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07/30/2024
Test for assessment of De Quervain's Tenosynovitis{{c1::Finkelstein test}}
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07/30/2024
Stenosing Flexor TenosynovitisRange of motion affected: {{c1::Extension of finger }}Structure of finger affected: {{c1::A1 pulley }}
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07/30/2024
Remember that a joint line is actually about {{c1::1}} cm distal to the tip of the knuckle
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Characteristic of osteoarthritis clinical manifestation on ff. hand jointsDIP: {{c1::Heberden’s nodes}}PIP: {{c1::Bouchard’s nodes}}
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07/30/2024
To palpate the MCP, we use the {{c1::Four Finger}} Technique
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07/30/2024
In the four finger technique palpation of MCP, {{c1::middle finger}} is used to support underside of {{c1::joint}} whereas thumb is used to feel dorsa…
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07/30/2024
While performing the four finger technique on the MCP, the joint must be {{c1::flexed::extended or flexed}}
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07/30/2024
Clinical manifestation of dorsal interossei atrophy {{c1::Ulnar deviation MCP synovitisSwelling at extensor carpi ulnaris tendon}}
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07/30/2024
Thickening of the palmar aponeurosis leading to a flexion deformity of the MCP joints (4th finger usually followed by 5th finger and 3rd finger){{c1::…
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07/30/2024
Painful condition that causes a snapping or jerky sensation upon flexion and extension of the involved finger{{c1::Flexor tenosynovitis}}
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07/30/2024
QC. Boutonniere deformity1. Osteoarthritis2. RA{{c1::B}}
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07/30/2024
CBAPermanent flexion deformity of DIP due to detachment of extensor tendon from base of distal phalanxA. Mallet/Baseball fingerB. Swan neck defor…
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07/30/2024
CBAFlexion contracture at the MCP joint & Hyperextension of PIP joint A. Mallet/Baseball fingerB. Swan neck deformityC. Boutonniere…
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07/30/2024
Swelling on common extensor tendon that inserts on the lateral epicondyle{{c1::Lateral Epicondylitis / Common Extensor Tendon Tenosynovitis}}
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07/30/2024
Give a test to assess lateral epicondylitis{{c1::Passive wrist flexion Extension of hand against doctorExtension of middle finger against doctor}…
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07/30/2024
Swelling on common flexor tendon that inserts on the medial epicondyle{{c1::Medial Epicondylitis / Common Flexor Tendon Tenosynovitis}}
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07/30/2024
Two maneuvers to assess medical epicondylitis {{c1::Pronation of forearm Flexion of wrist against resistance of doctor}}
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07/30/2024
QC. Joint moves freely1. True elbow arthritis2. Olecranon bursitis{{c1::B}}
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07/30/2024
QC. Elbow pain and tenderness of lateral epicondyle1. Tennis elbow2. Golfer's elbow{{c1::A}}
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07/30/2024
QC. Elbow pain and tenderness of medial epicondyle1. Tennis elbow2. Golfer's elbow{{c1::B}}
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07/30/2024
What single maneuver can best differentiate glenohumeral joint involvement from that of the periarticular tissue?{{c1::PASSIVE EXTERNAL ROTATION of th…
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07/30/2024
Periarticular structures account for {{c1::80}}% of shoulder pain, even in patients with known inflammatory disease
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07/30/2024
CBAPainful arc of shoulder during 60 - 120 degrees abduction A. Acromoclavicular joint B. Subacromial impingementC. Rotator cuff tendonitis{…
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07/30/2024
CBAPainful arc of shoulder > 120 degrees abduction A. Acromoclavicular joint B. Subacromial impingementC. Rotator cuff tendonitis{{c1::A}…
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07/30/2024
During drop arm test, sudden dropping of arm during adduction indicate complete tear of {{c1::supraspinatus tendon}}
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07/30/2024
Tests for assessment of subacromial impingement syndrome {{c1::Neer's test - bring arm up NEAR the earHawkin's test - forearm flexed at 90 …
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07/30/2024
Special test for assessment of torn subscapularis muscle {{c1::Lift-Off test}}
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07/30/2024
Special tests for assessment of bicipital tendonitis{{c1::Yergason's TestSpeed’s Test}}
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07/30/2024
Special test for assessment of acromioclavicular joint pathology {{c1::Scarf test}}
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07/30/2024
UTZ result of shoulder pain syndrome{{c1::Anechoic fluid inside subdeltoid bursa, showing tear of supraspinatus tendon }}
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07/30/2024
UTZ findings of Bicipital tendonitis {{c1::Anechoic fluid surrounding biceps tendon}}
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07/30/2024
Test maneuver for assessing neck pain, positive results felt 3 minutes after procedure{{c1::Roos' test}}
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07/30/2024
Special test for cervical spine nerve impingement{{c1::Spurling’s Test}}
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07/30/2024
Special test to assess subclavian artery in Thoracic Outlet syndrome{{c1::Adson’s Test}}
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07/30/2024
{{c1::Mechanical Back Pain::Type of back pain}} is 95% of all back pain, usually worse after movement and improves with rest
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07/30/2024
QC. Exaggerated in a pregnant woman1. Lumbar Lordosis2. Kyphosis{{c1::A}}
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07/30/2024
QC. Exaggerated in an elderly woman with osteoporosis1. Lumbar Lordosis2. Kyphosis{{c1::B}}
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07/30/2024
Special test for spinal mobility {{c1::Schober’s Test}}
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07/30/2024
{{c1::Ankylosing Spondylitis (Axial Spondyloarthritis::Type of back pain)}} tends to present with chronic inflammatory back pain with peripheral joint…
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07/30/2024
Landmark to be noted during Schober's Test in assessment of spinal mobility {{c1::Posterior superior iliac spine (dimples of Venus)}}
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07/30/2024
Positive X-ray finding of ankylosing spondylitis {{c1::“Bamboo spine” appearancePresence of syndesmophytes}}
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07/30/2024
Special test to distinguish lumbosacral joint pathology and sacroiliac jiont pathology {{c1::Gaenslen’s Test}}
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07/30/2024
True hip joint pain is in the {{c1::groin (inguinal region)::Specific body region}}, elicited on hip {{c2::internal rotation::Type of motion}}
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07/30/2024
Besides true hip joint pain, what other pathology could be elicited in hip pain?{{c1::Localized tenderness on the lateral aspect, greater trochanter, …
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07/30/2024
Interpretation of Faber test/Patrick test for hip pain Low back pain → {{c1::SI joint pathology}}Anterior groin pain → {{c1::intraarticular hip p…
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07/30/2024
Special test to asses tightness of iliotibial band {{c1::Ober’s test}}
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07/30/2024
Knee condition when the legs curve outward at the knees while the feet and ankles touch{{c1::Genu Varum}}
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07/30/2024
Knee condition when knees touch while ankles are apart{{c1::Genu valgum}}
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07/30/2024
Case. 50 year old femaleObeseKnee pain on standing & climbing stairs+ crepitation - swelling Genu valgum deformity What is the diag…
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07/30/2024
Osteoarthritis may present with {{c1::suprapatellar}} effusion and synovial proliferation
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07/30/2024
QC. Medial meniscus protrusion1. Genu valrum 2. Genu valgum {{c1::B}}
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07/30/2024
Pes anserinus bursa; formed by the 3 tendons:{{c1::○ Semitendinosus tendon○ Sartorius tendon○ Gracilis tendon}}
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07/30/2024
This is the number 1 sprained ligament in the body, especially from a sudden fall while running/walking {{c1::Anterior Talofibular Ligament (inve…
Published
07/30/2024
Case. 47 year old female● Bilateral wrist, MCP, PIP joint pain and swelling for 5weeks after developing fever & rash● B elbow, B knee, B ankl…
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07/30/2024
Case. 26 year old female● Symmetrical polyarthritis with morning stiffness >1 hourfor 8 weeks● She went to the beach and developed malar rash,…
Published
07/30/2024
Arthritis that occurs as a reaction to an infection distant from the joint (typical with history of UTI){{c1::Reactive arthritis}}
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07/30/2024
Determine the diagnosis with the ff. parametersSymmetry: SymmetricNo. of joints: Poly- arthritisSize: Large & SmallDistribution:&nb…
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07/30/2024
Determine the diagnosis with the ff. parametersSymmetry: AsymmetricNo. of joints: Oligo- arthritisSize: LargeDistribution: Central…
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07/30/2024
Determine the diagnosis with the ff. parametersSymmetry: AsymmetricNo. of joints: Poly/ Oligo- arthritisSize: Large (w/ dactylitis)Distribution:&…
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07/30/2024
Determine the diagnosis with the ff. parametersSymmetry: AsymmetricNo. of joints: Poly/ Oligo- arthritisSize: Large (w/ dactylitis)Distribution:&…
Published
07/30/2024
CASE: 22 year old female● Right knee pain & swelling 5 days ago that resolved● Left elbow pain & swelling 3 days ago that got better● Right an…
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