Why should you give thiazide diuretic for treatment of HTN in a woman with
osteoporosis?
Thiazide diuretics reduce urinary calcium excretion and therefore might
prevent osteoporosis.
DEXA scan
A normal T-score falls between +1 and -1.
1. Scores between -1 and -2.5 indicate low bone density, also called _______.
2. A T-score of -2.5 or lower indicates an established case of ______.
DEXA scan
A normal T-score falls between +1 and -1.
1. Scores between -1 and -2.5 indicate low bone density, also called
Osteopenia
2. A T-score of -2.5 or lower indicates an established case of Osteoporosis.
Osteoarthritis vs. Rheumatoid Arthritis
1. Osteoarthritis presents with which types of node development on proximal
interphalangeal (PIP)joint ?
2. Osteoarthritis presents with which types of node development on distal
interphalangeal (DIP) joint ?
,3. Rheumatoid arthritis presents with which type of node development on the
proximal interphalangeal (PIP)joint ?
4. When considering OA vs. RA; Which disease process presents with node
development symmetrically?
1. Osteoarthritis presents with which types of node development on proximal
interphalangeal (PIP)joint ? Bouchard's Nodes
2. Osteoarthritis presents with which types of node development on distal
interphalangeal (DIP) joint ? Heberden's Nodes
3. Rheumatoid arthritis presents with which type of node development on the
proximal interphalangeal (PIP)joint ? Bouchard's Nodes
4. When considering OA vs. RA; Which disease process presents with node
development symmetrically? Rheumatoid Arthritis! Symmetry is the key
determinant in diagnosing this autoimmune disease.
Tennis Elbow vs. Golfer's Elbow
1. Medial epicondylitis is also referred to as: Tennis Elbow or Golfer's Elbow?
2. Lateral epicondylitis is also referred to as: Tennis Elbow or Golfer's Elbow?
1. Medial epicondylitis is also referred to as: Tennis Elbow or Golfer's Elbow?
Golfer's Elbow
2. Lateral epicondylitis is also referred to as: Tennis Elbow or Golfer's Elbow?
Tennis Elbow
, The patient fell and landed on their hands, palm down two days ago. Today
they present to your office with "SNUFF BOX" Tenderness. You ordered an X-
ray and it was negative. What should you do next?
The patient fell and landed on their hands, palm down two days ago. Today
they present to your office with "SNUFF BOX" Tenderness. You ordered an X-
ray and it was negative. What should you do next? Order an MRI, this is
classic presentation of scaphoid fracture.
ARC TEST for Shoulder Impingement Syndrome
The patient is instructed to abduct the interested shoulder to 180°. If the
patient complains of pain when the arm is between 180° and 150°, the test is
considered positive for AC joint injury.
Patient's with which co-morbidity are most at risk for developing Impingement
Syndrome (AKA Frozen Shoulder)?
Patient's with which co-morbidity are most at risk for developing Impingement
Syndrome (AKA Frozen Shoulder)? DM II
Sciatica
1. Where will the patient with Sciatica say their pain is?
2. How do you test for Sciatica?