Crash Course Rheumatology and Orthopedics ebook free download pdf

 

Crash Course Rheumatology and Orthopedics ebook free download pdf

Crash Course Rheumatology and Orthopedics ebook free download pdf

Crash Course Rheumatology and Orthopedics ebook free download pdf

Crash Course Rheumatology and Orthopedics ebook free download pdf

Preface

It has been evaluated that musculoskeletal issues are in charge of one in four GP counsels. Regardless of what medicinal or surgical vocation you decide to tail, you are ensured to be presented to patients with orthopedic or rheumatological conditions. In spite of this, educating in these specialities can be dismissed in the undergrad educational program. As a restorative understudy going home for Christmas you will be requested a feeling on your mate’s harmed knee, your close relative’s bunions and your dad’s sciatica. (Every one of these situations transpired!) Hopefully this book will set you up for these humiliating circumstances!

The book is intended to give therapeutic understudies a head begin on the wards and make the energizing universe of orthopedics and rheumatology fun and simple to learn. It is likewise of utilization to establishment specialists (and will help pass your work environment based competency evaluations!), physiotherapists, word related advisors and medical caretakers.

Contents

Part I: The patient presents with . . . . . . . . . . . . . . . . 1
1. Regional pain . . . . . . . . . . . . . . . . . . . . . . . 3
Back, hip and leg pain . . . . . . . . . . . . . . . . 3
Knee pain . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Ankle and foot pain . . . . . . . . . . . . . . . . . 12
Neck and/or upper limb pain . . . . . . . . . . 14
2. Widespread musculoskeletal pain . . . . . . 19
3. An acute hot swollen joint . . . . . . . . . . . . 23
4. A child with a limp . . . . . . . . . . . . . . . . . 27
5. Deformity . . . . . . . . . . . . . . . . . . . . . . . . . 33
6. A limb swelling . . . . . . . . . . . . . . . . . . . . 39
7. An incidental bone lesionon X-ray . . . . . . . . . . . . . . . . . . . . . . . . . . 43
8. Altered sensation and weakness . . . . . . . 49
Part II: Diseases and disorders . . . . . . . . . . . 51
9. Osteoarthritis . . . . . . . . . . . . . . . . . . . . . . 53
10. Rheumatoid arthritis . . . . . . . . . . . . . . . . . 59
11. Spondyloarthropathies . . . . . . . . . . . . . . . 69
Ankylosing spondylitis . . . . . . . . . . . . . . . . 69
Reactive arthritis . . . . . . . . . . . . . . . . . . . . 72
Enteropathic arthritis . . . . . . . . . . . . . . . . . 73
Psoriatic arthropathy . . . . . . . . . . . . . . . . . 74
12. Connective tissue diseases . . . . . . . . . . . . 77
Systemic lupus erythematosus . . . . . . . . . 77
The antiphospholipid syndrome . . . . . . . . 81
Sjögren’s syndrome . . . . . . . . . . . . . . . . . . 82
Polymyositis and dermatomyositis . . . . . . 84
Systemic sclerosis and
related conditions . . . . . . . . . . . . . . . . . . . 86
The vasculitides . . . . . . . . . . . . . . . . . . . . . 88
13. Metabolic bone disease . . . . . . . . . . . . . . 95
Osteoporosis . . . . . . . . . . . . . . . . . . . . . . . 95
Paget’s disease . . . . . . . . . . . . . . . . . . . . . 99
Osteomalacia and rickets . . . . . . . . . . . . 100
14. Crystal arthropathies . . . . . . . . . . . . . . . 103
Gout . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103
Calcium pyrophosphate
dihydrate disease . . . . . . . . . . . . . . . . . . 106
15. Paediatric joint disease . . . . . . . . . . . . . 109
Normal variants . . . . . . . . . . . . . . . . . . . 109
Paediatric hip disorders . . . . . . . . . . . . . . 110
Congenital talipes
equinovarus (clubfoot) . . . . . . . . . . . . . . 113
Osteogenesis imperfecta . . . . . . . . . . . . . 114
Cerebral palsy (CP) . . . . . . . . . . . . . . . . . 114
Non-accidental injury . . . . . . . . . . . . . . . 115
Paediatric knee conditions . . . . . . . . . . . 115
Juvenile idiopathic arthritis . . . . . . . . . . . 117
16. Fractures . . . . . . . . . . . . . . . . . . . . . . . . . 119
17. Trauma . . . . . . . . . . . . . . . . . . . . . . . . . . 127
18. Infection of bones and joints . . . . . . . . . 133
Osteomyelitis . . . . . . . . . . . . . . . . . . . . . 133
Septic arthritis . . . . . . . . . . . . . . . . . . . . . 136
Tuberculosis . . . . . . . . . . . . . . . . . . . . . . 137
19. Fibromyalgia . . . . . . . . . . . . . . . . . . . . . . 139
20. Surgical principles in the treatment
of bone and joint disease . . . . . . . . . . . . 143
Sterility . . . . . . . . . . . . . . . . . . . . . . . . . . 143
Operations . . . . . . . . . . . . . . . . . . . . . . . 143
21. Pre- and postoperative care . . . . . . . . . . 149
Preoperative assessment . . . . . . . . . . . . . 149
Immediate preoperative care . . . . . . . . . 150
Basic postoperative care . . . . . . . . . . . . . 150
Complications . . . . . . . . . . . . . . . . . . . . . 150
Shock . . . . . . . . . . . . . . . . . . . . . . . . . . . 152
22. Bone tumours/malignancy . . . . . . . . . . . 155
Secondary bone tumours . . . . . . . . . . . . 155
Primary bone tumours . . . . . . . . . . . . . . 157
Haemopoietic diseases . . . . . . . . . . . . . . 160
Leukaemia . . . . . . . . . . . . . . . . . . . . . . . 161
23. Disorders of the spine . . . . . . . . . . . . . . 163
Musculoskeletal back pain . . . . . . . . . . . 163
Prolapsed intervertebral disc . . . . . . . . . . 165
Spondylolisthesis . . . . . . . . . . . . . . . . . . . 166
Spinal stenosis . . . . . . . . . . . . . . . . . . . . . 167
Discitis/Vertebral osteomyelitis . . . . . . . . 168
Scoliosis . . . . . . . . . . . . . . . . . . . . . . . . . 169
24. Sports injuries . . . . . . . . . . . . . . . . . . . . 173
Knee injuries . . . . . . . . . . . . . . . . . . . . . . 173
Shoulder dislocation . . . . . . . . . . . . . . . . 178
Ankle sprain . . . . . . . . . . . . . . . . . . . . . . 180
25. Peripheral nerve lesions . . . . . . . . . . . . . 181
Carpal tunnel syndrome . . . . . . . . . . . . . 181
Ulnar nerve entrapment . . . . . . . . . . . . . 181
Radial nerve injuries . . . . . . . . . . . . . . . . 183
Common peroneal nerve injuries . . . . . . 183
26. Soft tissue disorders . . . . . . . . . . . . . . . . 185
Tendon lesions . . . . . . . . . . . . . . . . . . . . 185
Bursitis . . . . . . . . . . . . . . . . . . . . . . . . . . 187
Dupuytren’s contracture . . . . . . . . . . . . . 187
Part III: History, examination
and common
investigations . . . . . . 189
27. Taking a history . . . . . . . . . . . . . . . . . . . 191
Presenting complaint . . . . . . . . . . . . . . . 191
History of the presenting
complaint . . . . . . . . . . . . . . . . . . . . . . . . 191
Past medical history . . . . . . . . . . . . . . . . 192
Drug history . . . . . . . . . . . . . . . . . . . . . . 192
Social history . . . . . . . . . . . . . . . . . . . . . . 192
Family history . . . . . . . . . . . . . . . . . . . . . 192
Systemic enquiry . . . . . . . . . . . . . . . . . . . 192
28. General principles of examining joints . . . . . . . . . . . . . . . . . . . 193
Getting off to the right start . . . . . . . . . . 193
Examining joints . . . . . . . . . . . . . . . . . . . 193
29. Examination of joints . . . . . . . . . . . . . . . 195
Examination of the hip . . . . . . . . . . . . . . 195
Examination of the knee . . . . . . . . . . . . . 197
Examination of the ankle and foot . . . . . 201
Examination of the spine . . . . . . . . . . . . 202
Examination of the shoulder . . . . . . . . . . 205
Examination of the elbow . . . . . . . . . . . . 208
Examination of the wrist and hand . . . . . 208
30. Writing up a medical clerking . . . . . . . . 211
Introduction . . . . . . . . . . . . . . . . . . . . . . 211
Presentation . . . . . . . . . . . . . . . . . . . . . . 211
Content . . . . . . . . . . . . . . . . . . . . . . . . . 211
31. Investigations . . . . . . . . . . . . . . . . . . . . . 215
Blood tests . . . . . . . . . . . . . . . . . . . . . . . 215
Synovial fl uid analysis . . . . . . . . . . . . . . . 217
Nerve conduction studies and
electromyography . . . . . . . . . . . . . . . . . . 217
Biopsy . . . . . . . . . . . . . . . . . . . . . . . . . . . 217
Imaging . . . . . . . . . . . . . . . . . . . . . . . . . 218
Part IV: Self-assessment . . . . 221
Multiple-choice questions (MCQs) . . . . . . . . 223
Short-answer questions (SAQs) . . . . . . . . . . . 233
Extended-matching questions (EMQs) . . . . . 235
MCQ answers . . . . . . . . . . . . . . . . . . . . . . . . 255
SAQ answers . . . . . . . . . . . . . . . . . . . . . . . . . 265
EMQ answers . . . . . . . . . . . . . . . . . . . . . . . . 269
Index. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 279

Crash Course Rheumatology and Orthopedics ebook free download pdf

Crash Course Rheumatology and Orthopedics ebook free download pdf

Crash Course Rheumatology and Orthopedics ebook free download pdf

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