100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
Summary Rheumatology Medical Notes CA$12.00   Add to cart
Quickly navigate to
Preview
  2.  
  3. Queens University Belfast (QUB)
  4.  
  5. Medicine

Summary

Summary Rheumatology Medical Notes
 9 views  0 purchase
  • Course
  • Medicine
  • Institution
  • Queens University Belfast (QUB)

Rheumatology notes detailing rheumatological pathologies and conditions for medical school examinations. Notes made from multiple resources such as oxford handbook, question banks, university lectures and UK guidelines. Look at specialty section and content list for the summary contents of this ...

[Show more]

Preview 3 out of 28  pages

Document information

  • September 5, 2022
  • 28
  • 2022/2023
  • Summary

Subjects

  • rheumatology
  • musculoskeletal medicine
  • msk
  • rheumatoid
  • medicine
  • autoimmune
  • autoimmunity
  • antibodies
  • med notes
  • medical school
  • medical notes

Written for

  • Queens University Belfast (QUB)
  • Unknown
  • Medicine
All documents for this subject (59)

Seller

avatar-seller
sk25

Reviews received

Content preview

Rheumatology

Seán Keenan

2022

,Back Pain




Description
Often self-limiting but can be sign of sinister cause such as malignancy, infection or inflammatory disease. If presenting
with red-flag signs, further investigations are required


Back Pain in General
Presentation Investigations
- Spine: Assess Forward/Lateral Flexion; Extension - General: FBC; ESR; CRP
- NB: Schober’s test - Paget’s: U&E; ALP
- Sacrum: Assess sacroiliitis - Myeloma: Electrophoresis; Bence-Jones in urine
- Nerve: Limb sensation/power; Nerve root pain - X-ray: Bony abnormalities or fractures
- NB: Straight leg raise; Femoral stretch tests - MRI: Prolapse; Cord compression; Various lesions
Causes Management
- 15-30 YO: Prolapsed disc; Trauma; AS; Pregnancy - Neuro Sx: Urgent referral (see below)
- 30-50 YO: Prolapsed disc; Malignancy - Thoracic Pain: Urgent referral
- >50 YO: Paget’s disease; Myeloma; Spinal stenosis - Non-specific Sx: Paracetamol ± NSAIDs ± Codeine
- Rare: Cauda equina tumour; Psoas abscess; Pott’s - Alternative: Consider low dose neuropathic meds
Red Flag Symptoms Associated with Back Pain
Aged <20 YO or >55 YO Worse pain on being supine Thoracic back pain Sphincter disturbance
Acute onset in elderly people Fever + Night sweats + ↓ Weight Morning stiffness Current or recent infection
Constant / Progressive pain Hx of malignancy Bilateral or alternating leg pain Immunosuppression (e.g. steroid/HIV)
Nocturnal pain Abdominal mass Neurological disturbance (sciatica) Leg claudication
Neurological Emergencies
Description - Acute cord compression
- Acute cauda equina compression o Pain: Bilateral pain
o Pain: Alternating or bilateral root pain in legs o LMN: Occur at level of compression
o Sensation: Saddle anaesthesia (perianal) o UMN: Occur below level of compression
o Tone: Loss of anal tone on PR o Tone: Sphincter disturbance
o NB: Bladder ± Bowel incontinence
- Immediate urgency treatment
o Disc protrusions: Laminectomy
o Tumours: Radiotherapy
o Abscesses: Decompression

Nerve Root Lesions
Nerve root Pain Weakness Refex affected
L2 Across upper thigh Hip flexion and adduction Nil
Hip adduction
L3 Across lower thigh Knee jerk
Knee extension
Knee extension
L4 Across knee to medial malleolus Foot inversion Knee jerk
Dorsiflexion
Knee extension
L4 Across knee to medial malleolus Foot inversion Knee jerk
Dorsiflexion
Hip extenion and abduction
L5 Lateral shin to dorsum of foot and great toe Knee flexion Great toe jerk
Foot and great toe dorsiflexion
Knee flexion
S1 Posterior cald to lateral foot and little toe Foot and toe plantar flexion Ankle jerk
Foot eversion

, MRI showing disc herniation and spinal cord compression

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller sk25. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for CA$12.00. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

70840 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
CA$12.00
  • (0)
  Add to cart