Busy. Please wait.
Log in using Clever

show password
Forgot Password?

Don't have an account?  Sign up 
Sign up using Clever

Username is available taken
show password


Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account.
Your email address is only used to allow you to reset your password. See our Privacy Policy and Terms of Service.

Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.
Didn't know it?
click below
Knew it?
click below
Don't know
Remaining cards (0)
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

  Normal Size     Small Size show me how

Ortho Tx 2


Tx of choice: acute gout NSAIDs (indomethacin, celecoxib)
Acute gout: other tx colchicine (esp for prophylaxis); c’steroids (oral, IV, intra-art) for pt who cannot take NSAIDs;
Gout tx: never: start a drug to tx elevated uric acid in midst of acute attack; don’t stop prophylactic tx (if already on it) during acute; tx arthritis first, then hyperuricemia (not both at once)
Indications for gout prophylaxis: 2 or more attacks/yr; erosive dz on plain film; uric acid nephropathy/ nephrolithiasis; chronic polyarticular gout
gout prophylaxis: Pharmacology: colchicine; uricosurics (probenecid); xanthine oxidase inhibitors (allopurinol, Uloric)
Enteropathic arthritis: Tx NSAIDs (indomethacin: AS); DMARDs for chronic / refractory; Abx if nec; Ct guided intra-art injections; PT & lifestyle mod
Psoriatic arthritis: Tx Pts have 2 chronic dz; NSAIDs (or combo NSAIDS & sulfasalazine); Physical therapy; Methotrexate in refractory
OA tx that are not effective wedged insole (esp not for severe); unloader brace; some thermal (diathermy, infrared)
OA tx: patellar taping for P-F compartment, for medial pull of patella only; combo w/VMO exercise
Useful thermal tx OA US (only modality to increase hip temp); microwave (deeper)
OA alt tx: glucosamine / chondroitin (safe, won’t slow progression); doxycycline, vit C,D; acupuncture?
Tx: fish oil (re: arthritis) evidence for RA (not OA)
OA: surg tx wedge osteotomy okay; Arthro debridement no (except for torn meniscus); microfx (not LT cure); Carticel; OATS; joint replacement
Gono arthritis: Tx: hospitalize pt; ceftriaxone 1gm (IM or IV) q 24 hours until clinical improvement; po cefixime or cefpodoxime > 1 wk
Nongono arthritis gram pos Rx: Nafcillin or cefazolin (vanc for MRSA)
Nongono arthritis: gram neg esp Enterobacteriaceae; IVDU; & neutropenic (also pseudomonas) ; ceftazidime or genta; IV 2wks & po 4 wks
TB arthritis: Tx same as for pulmonary dz: multiple agents for at least 9 months
Lyme arthrtitis: Tx oral doxycycline or amox x 1-2 mo; or IV ceftriaxone for 2-4 wks
Fungal arthritis: Tx Ampho B (IV +/- intra-art)
Infxs arthritis: prosthetic joint: Tx aggressive debridement (early), removal of prosthesis (late), and prolonged Abx tx
Fibromyalgia: Tx multifaceted; Self-care/ pt ed (exercise, yoga, support grp); CBT; Sleep improvement
Fibromyalgia: Tx: antidepressants TCA; SSRIs (fluoxetine, paroxetine); SNRIs (duloxetine / milnacipran)
Fibromyalgia: Tx: analgesics: tramadol, gabapentin, pregabalin
Fibromyalgia: Tx: muscle relaxers: cyclobenzaprine
Fibromyalgia: Tx (genl) NSAIDS, prednisone not helpful; combination therapy best
Nonspecific NSAIDs: Side effects: HTN, GI, altered renal function, MI (ibuprofen and diclofenac)
Rheumatoid Arthritis: Rx: DMARDs, steroids
Joint & Soft Tissue Injections/ Aspirations: CI Intra-tendinous injections (future rupture likely); drug allergies; steroids are immunosuppressive
Joint & Soft Tissue Injections/ Aspirations: Side effects Tendon rupture, Infection, Hypopigmentation, Fat atrophy, Steroid flare; caution in diabetics
Created by: Abarnard



Use these flashcards to help memorize information. Look at the large card and try to recall what is on the other side. Then click the card to flip it. If you knew the answer, click the green Know box. Otherwise, click the red Don't know box.

When you've placed seven or more cards in the Don't know box, click "retry" to try those cards again.

If you've accidentally put the card in the wrong box, just click on the card to take it out of the box.

You can also use your keyboard to move the cards as follows:

If you are logged in to your account, this website will remember which cards you know and don't know so that they are in the same box the next time you log in.

When you need a break, try one of the other activities listed below the flashcards like Matching, Snowman, or Hungry Bug. Although it may feel like you're playing a game, your brain is still making more connections with the information to help you out.

To see how well you know the information, try the Quiz or Test activity.

Pass complete!

"Know" box contains:
Time elapsed:
restart all cards