Busy. Please wait.

show password
Forgot Password?

Don't have an account?  Sign up 

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.
We do not share your email address with others. It is only used to allow you to reset your password. For details read 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.
Don't know
remaining cards
To flip the current card, click it or press the Spacebar key.  To move the current card to one of the three colored boxes, click on the box.  You may also press the UP ARROW key to move the card to the "Know" box, the DOWN ARROW key to move the card to the "Don't know" box, or the RIGHT ARROW key to move the card to the Remaining box.  You may also click on the card displayed in any of the three boxes to bring that card back to the center.

Pass complete!

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