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Aquifer Internal Medicine Case 31 questions and answers rated A+ 2034/2025
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Aquifer Internal Medicine Case 31 questions and answers rated A+ 2034/2025
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Aquifer Internal Medicine Case 31medial knee pain differential - ANSpes anserine bursitis
lateral knee pain differential - ANSiliotibial band tendonitis
posterior knee pain differential - ANSpopliteal cyst
causes inflammatory monoarticular arthritis - ANSinfectious (gonococcal arthritis, nongonoccoal
septic arthritis, Lyme disease)
causes noninflammatory arthritis - ANSosteoarthritis
management osteoarthritis - ANSgood footwear, cortisone injection, liniments, capsacian,
diclofenac, physical therapy, social support, weight loss (if overweight), exercise, patellar taping,
bracing
risk joint injection - ANSseptic joint, bleeding, reaction to local anesthetic, synovitis flare,
treatment failure, local tissue atrophy
initial tests for osteoarthritis - ANSxray, liver tests (because significant acetaminophen use)
radiology finding osteoarthritis - ANSnarrowing of joint space, sclerosis appearing as productive
bone of increased density, odtephyte formation, small cysts
radiology RA - ANSsoft tissue swelling
osteoporosis
narrowing of joint space
marginal erosions
usually bilateral and symmetrical
hand: swelling MCP and PIP
radiology gout - ANSfour-six years see changes (if not treated)
large scattered erosions of bone, hook-like margins, soft tissue nodules, random joints, tophi
may or may not calcify
when to obtain arthrocentesis - ANSunexplained arthritis with synovial effusion
symptomatic relief of large effusion '
hemarthrosis
suspicion of septic arthritis
suscpected crystal-induced arthritis
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