Joan Spaulding MF4 MSK
Activity
Tutorial
Tutorial
Joan Spaulding is a 32 year old lady who arrives at your clinic with a history of joint pains in the hand. The pain in her hands was predated by a viral flu that manifested itself as generalized arthralgias and fatigue. The pain has been ongoing for 10 weeks and transformed itself from generalized arthralgias to symptoms in the hands and feet associated with morning stiffness that lasts approximately 1 hour.
Curriculum Block
Medical Foundation 4 / Musculoskeletal Medicine / Part 4 / Week 3
- Indicates most relevant
Objectives
General Objectives
- Describe how the immune system is closely tied in with many disease entities affecting the musculoskeletal system. Central concepts include inflammation, the adaptive and innate immunities and Th1 and Th2 factors.
- Describe the scope and multi-system nature of many autoimmune musculoskeletal diseases.
- Describe the clinical difference and approach to monoarthritis and polyarthritis.
- Discuss rheumatic disorders, including vascultis and myopathies, that present with overlapping neurological symptoms.
Global Objectives
Assessments
Mid-Unit Tutorial Assessment
Concept Application Exercise (CAE)
End-Unit Tutorial Assessment
Tags
Basic Sciences
Classification
Diagnosis
Genetics
Pathology
Pharmacology
Physiology
Therapy
Cohort Year
2010
Curriculum Block
Medical Foundation 4
Musculoskeletal Medicine
Part 4
Week 3
Curriculum Week
Part 4
Week 3
Discipline
Genetics
Orthopedics
Pharmacology
Radiology
Rheumatology
General MCC Objectives
Management Skills
Longitudinal Discipline
Immunology
MCC Presentations
Non-Articular Musculoskeletal Pain
Polyarthralgia (Pain in More Than Four Joints)
McMaster Program Competencies
1.1 Gather essential and accurate information about patients and their health through history-taking, physical examination, and the use of laboratory data, imaging, and other tests.
1.3 Interpret laboratory data, imaging studies, and other tests required for the area of practice
1.4 Make informed decision about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment
1.5 Develop and carry out patient management plans
1.7 Counsel and educate patients and their families to empower them to participate in their care and enable shared decision-making
1.8 Provide appropriate referral of patients including ensuring continuity of care throughout transitions between providers or settings, and following up on patient progress and outcomes
2.2 Apply biomedical scientific principles fundamental to health care for patients and populations.
2.3 Apply principles of clinical sciences to diagnostic and therapeutic decision-making, clinical problem-solving, and other aspects of evidence-based healthcare
2.4 Apply principles of epidemiological sciences to the identification of health problems, risk factors, treatment strategies, resource allocation, and disease prevention/health promotion efforts for patients and populations
MeSH
Arthralgia [C05.550.091]
Arthritis, Rheumatoid [C05.550.114.154]
Chronic Disease [C23.550.291.500]
Cytokines [D23.529.374]
Edema [C23.888.277]
Foot Joints [A02.835.583.378]
Hand Joints [A02.835.583.405]
Methotrexate [D03.438.733.631.192.500]
Pain [C23.888.646]
Th1 Cells [A11.118.637.555.567.569.200.400.900]
Th2 Cells [A11.118.637.555.567.569.200.400.905]
Tumor Necrosis Factors [D12.644.276.374.750]
