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on 12-Jun-2015 (Fri)

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In the assessment of an arthritic presentation, pay particular attention to the dis- tribution of joint involvement (including spine) and the presence of symmetry. Also look for disruption of joint anatomy, limitation of movement (by pain or contracture), joint eff usions and peri-articular involvement

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3 screening questions for musculo-skeletal disease: 1 Are you free of any pain or stiff ness in your joints, muscles or back? 2 Can you dress yourself without too much diffi culty? 3 Can you manage walking up and down stairs? If yes to all 3 , serious infl ammatory muscle/joint disease is unlikely

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Mind Map: Patterns of presentation of arthritis

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Flashcard 150896301

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Question
Which direction does a Valgus Deformity go ?
Answer
A valgus deformity deviates laterally (away from the mid-line)


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Flashcard 150896308

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Question
What is the Schober’ s test ? What conditions is it used in ?
Answer
A test to assess the function of the spine, used to aid diagnosis of Ankylosing Spondylitis

Make a mark on the lumbar spine at the level of the posterior iliac spine. Measure out a line from 5 cm below to 10 cm above the mark. Ask to bend forward as far as they can. If the line does not lengthen by at least 5 cm in fl exion, there is reduced lumbar fl exion, eg in ankylosing spondylitis


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Flashcard 150896315

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Question
What is the most important investigation in any monoarthritis presentation ?
Answer
Joint aspiration is the most important investigation in any monoarthritis presentation


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Flashcard 150896322

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Question
What is the important investigations to request on Synovial Fluid?
Answer
Send synovial fluid for urgent white cell count, ​Gram stain, polarized light microscopy (for crystals, p 550 ) and culture.


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