Use of which type of diuretics can increase the risk for gout?
Thiazide
There is known multifactoral family inheritance for gout, which is X-linked, and has polymorphisms at which 2 receptors?
URAT1 and GLUT9
Why is getting an EKG important for pt with Gout?
Gout is an independent risk-factor for cardiovascular and all-cause mortality
What is the clarity of inflammatory vs. septic synovial fluid?
- Inflammatory: translucent-opaque
- Septic: opaque
What underlying conditions would be contraindications for using Colchicine to tx gout?
Renal failure and HTN
If on examination th pt cannot make an “O” with thumb and forefinger pinched together (“OK” Sign) this indicates involvement of what nerve?
Anterior Interossous N.
What is a Colle’s Frarcture of the wrist?
Fracture of distal radius in forearm with dorsal (posterior) and radial displacement of the wrist and hand
Differentiate Monteggia from Galeazzi fractures.
- Monteggia: fracture of prox. ulna and dislocation of radial head
- Galeazzi: fracture of the distal radius and dislocation of the ulna
How to perform the Yergason’s Test and what does (+)-test indicate?
- Pt’s arm at side and elbow flexed at 90°. Doc monitors bicipital groove and grasps pt’s wrist.
- Have pt supinate and ER against resistance
- (+)-test = unstable bicipital tendon/subluxation bicipital tendonitis
What does a (+)-test of Neer Impingement indicate?
Subacromial bursa or rotator cuff impingement
What is the Apprehension Test for GH instability?
- Pt seated or supine w/ shoulder abducted to 90° and elbow flexed to 90°
- Stabilize shoulder with 1 hand (blocking linkage) and force arm into ER with othr hand
