Polymyalgia rheumatica (PMR)

Clinic A/P, adults, MUSCULOSKELETAL

Diagnosis -H&P -ESR, CRP -Prednisone 15mg po daily (max 20-30 mg/day) with a slow taper over 1-2 years. -A response to treatment with prednisone would help to confirm the diagnosis of PMR. “The hallmark of this condition is the rapid and often dramatic...

Osteoporosis Screening

MUSCULOSKELETAL

USPSTF Screening Guidelines The USPSTF recommends screening for osteoporosis in women aged 65 years and older and in younger women whose fracture risk is equal to or greater than that of a 65-year-old white woman who has no additional risk factors. The USPSTF...

Rheumatoid arthritis (RA)

Clinic A/P, adults, MUSCULOSKELETAL

RA is the most commonly diagnosed systemic inflammatory arthritis. Diagnosis H&P Risk factors. Ddx and Etiology: 2010 Classification Criteria for RA reviewed. Joint involvement: ____________ Duration of symptoms: •≥ 6 weeks Diagnostic studies -RF and anti-CCP...

Polymyositis

Clinic A/P, adults, MUSCULOSKELETAL

-Definition: It’s an inflammatory myopathy of the polymyositis/dermatomyositis group. -Proximal muscle weakness on PE. -Creatine Kinase, Aldolase: Will order these serum muscle enzymes because their elevation is together with proximal muscle weakness is...

FABER and FADIR tests

MUSCULOSKELETAL

FABER: Flex the hip to 90 degrees, ABduct (move away from the central line), Externally Rotate. E.g. FABER of the right hip: R. Knee flexion, abduction and external rotation of the R. leg until the R. ankle rests on top of (i.e. is proximal to) the opposite (or...