Rheumatology & Orthopedic

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ee atu une eee oan Ck. ARTHRITIS . Inflammation of Joints. | Reactive Arthritis / Reiter’s Syndrome Joint Inflammation & Pain, due to Infections in the other Parts of the Body (Genitals or Urinary Tract or Intestines). Jk Jk. 3 Main Symptoms (Triads) Inflammation of Joints, Eves & Urethritis / Cervicitis. Signs: Fever, Secretions from 1 Ureth| Itching & Burning of Urethra & Eyes, Lacrimation, Joint Pain. ee "Rheumatoid Arthritis Acute Condition, Due to Autoimmune Damage, causes Systemic Effects like Fever. Jk, Signs: Pain, Inflammation, Redness & Hyperemia of Joints. Most Contributive Symptom for Diagnosis: Reduced Mobility in Morning / Morning Stiffness. Arthrogram: Joint Space Narrowing, unsuration. qk Examination: Roentography of Hands. Sy, Treatment: Methotrexate, NSAIDs Osteoarthritis Chronic Condition, develops Gradually (mainly seen in Aged Persons). Pathology: Degeneration Process in Cartilage. Jf Risk Factors: Over Weight, Trauma. <<" B Fs 3 z 3 Signs: Pain & Deformations / Defigurement of Joints. X- Ray: Constricted / Narrowing of Joint Space, Marginal Vk Osteophytes, Subchondral Sclerosis / Osteosclerosis. dk Raut utes uel aaa Jk, Acute Rheumatic Fever Mainly occurs at Young Age. History of Sore Throat. Causative Agent: Beta - Hemolytic Streptococci. Signs: Pain, Swelling & Stiffness of Joints, Fever, Cardiomegaly, Indicator: Antistreptolysine O. Prolonged Course: 3 Rheumatic Attacks in the last 2 years. a ees Method of Secondary Prophylaxis: Year - Round Bicillin Pophylaxis till the Age of 25. in of Recurrence: Bicillin - 5. L___ kK Systemic Scleroderma se 4 Autoimmune Disease causing Systemic Changes. Raynaud’s Syndrome: Signs: Mask like Face, Polyarthralgia, Difficulty in Deglutition, Numbness, Paleness of Fingers, Cardiomegaly, Muscle Rigidity. Urine: Increased Level of Oxyproline. Pathogenesis: Formation of Antibodies to Collagen. Kidney Disorder Worsens the Prognosis. ees «dk cy ——\RI Sc Lc Wk iY Systemic Lupus Erythematous Mechanism: Production of Antibodies to DNA. LE Cells. Signs: Butterfly Rash on Face, Pain in Small Joints of Hands & Legs, Edema & Eythema of Face, Fever. Blood: Anemia, Leukocytosis, Increased ESR. Riau gts eur uk Urine: Proteinuria, Hematuria. — A 8 e 5 cs F i 3 E A 5 FS EB EH E EB Data for Confirmational Diagnosis: Antinuclear Factor. ak CE Dermatomyositis Violet - Bluish Erythema around the Eyes & Joints, Fever, Pain in Joints & Leg Muscles. Factor for Greatest Diagnostic Importance: Creatine Phosphokinase. a 5 5 i Ss Z www.mcquwithexplanation.com/ a Jk www.mequwithexplanation.com/ Writer’s Cramp A Neurological Focal Motor Disorder. Causes: Overuse of Muscles, Emotional Stress. Signs: Unable to Write, Pain while Writing. WJ Ree eure eae ney ek Eolas jenous Lumbar Ischalgia / Schiatica rs 8 ‘3 FS s g & rt Fs 3 FI 2 5 ia EB Jk Pain caused due to Compression of Lumbar Nerves, L4 / L5 or Sacral Nerves, S2/ S3 or Schiatic Nerve. Signs: : Pain moves Down, from Lower Back to Leg. | Pain in Lumbar Area, Numbness in Leg, Painful Palpation of Shin & Thigh. Ree cae Trigeminal Neuralgia Facial Pain, Tonic Spasm of Facial Muscles. www.mcqwithexplanation.com/ Ey i Treatment: Finlepin Prue ian eae ete = Facial Nerve Neuropathy / Facial Neuritis Signs: Closing of Eye, Smoothed Nasolabial Folds. Ake 5 z a ge \ ite esearch, y Jk Peace neuen Pain at the Exit of Trigeminal Nerve, Paroxysmal Intolerable H] Facial Asymmetry, Absent of Facial Expressions, Problem with www.meqwithexplanati ToT Ulnar Neuropathy / Ulnar Nerve Palsy Cubital Tunnel Syndrome Causes: Trauma, Compression. Signs: Impaired Flexion of 4th & 5th Fingers, Impaired Sensitivity of Inner Dorsal & Palmar Surfaces of Hand & 4th Finger. eee, Radial Neuropathy / Sleep Paralysis / Saturday Night Palsy Damage of Radial Nerve due to Prolonged Compression. Causes: Abduction of Limb, during Operation. Prolonged Sleep after Alcohol or Drug Intoxication. Lead Poisoning, Humerus Fracture eens Main Sign: Drop Hand / Drop Wrist: Problem with Extension of Wrist & Fingers l.e Metacarpopharyngeal Joint. ‘www.meqwithexplanation.com/ < Jk Carpal Tunnel Syndrome Damage of Median Nerve, due to Compression at the Carpal Tunnel. Peni c ae nents Signs: Pain, Numbness, Tingling of 1st 3 Fingers, especially at Night. an eae BBE vrwmrmcqwithexpianation.com/ Ganglioneuroma Round Well Defined Shadow at Costo - Vertebral Angle www.mequwithexplanation.com/ ; ns Mee nd YJ Ankylosing Spondyloarthritis aus Ankylosing Spondylitis (Bechterew Disease) Chronic Inflammation, causing Fusing of Vertebrae. Affection of Sacroiliac Joints Signs: Pain & Reduced Mobility (Stiffness) of Lumbar Joint. Associated Eye Pathology: Iridocyclitis X- Ray: Bilateral Sclerotic Changes of Sacrolumbar Joint, Bamboo Spine, Ankylosis of sacroiliac Joint, Narrowing of Intervertebral Joint. E FI : A Fd 5 ¢ a H E s Re tur ace sea cucea Blood: HLA B27 Antigen, Increased ESR. dk, Tuberculous History of Tuberculosis. rier a uate Intervertebral Ligament Disorder Signs: Pain in Spinal Cord, increases on Changing Body Position & in Vertical Position.

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