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PA School Survival
Didactic Year
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PANCE Body Systems
Cardiovascular
11%
Pulmonary
9%
Gastrointestinal/Nutrition
8%
Musculoskeletal
8%
Neurology
7%
Infectious Disease
7%
Psychiatry/Behavioral
7%
Reproductive
7%
Endocrine
6%
Eyes/Ears/Nose/Throat
6%
Hematology
5%
Renal
5%
Genitourinary
4%
Dermatology
4%
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Musculoskeletal
Osteoarthritis
Osteoarthritis
Musculoskeletal · ~8% of blueprint
Pathophysiology
Mechanical “wear-and-tear” cartilage degradation → joint-space narrowing and osteophytes.
Signs & Symptoms
Activity-related joint pain that improves with rest, brief morning stiffness (<30 min), Heberden/Bouchard nodes.
Gold Standard Diagnosis
Clinical + X-ray (joint-space narrowing, osteophytes, subchondral sclerosis); normal inflammatory markers.
First-line Treatment
Exercise/weight loss, topical/oral NSAIDs & acetaminophen; intra-articular steroids; joint replacement.
Drug cards
Acetaminophen
Ibuprofen
High-Yield Pearl
OA: brief stiffness (<30 min), worse with use. RA: prolonged stiffness, better with use.
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More Musculoskeletal conditions
Gout
Rheumatoid Arthritis
All Musculoskeletal