Bradford VTS Online Resources:
path: MSK, ORTHO & RHEUM
path: MSK, ORTHO & RHEUM
- OSCEs in MSK (BVTS)
- Versus Arthritis: its most amazing pages are…
- Cores clinical skills in MSK
- Clinical assessment of the MSK system
- Booklet: Clinical Assessment of Patients with MSK conditions
- Clinical Examination videos
- Paediatric MSK Assessment
- Joint Matters – newletter for the latest medical updates
- Osteoarthritis focus – because it is so common
- MSK Impact Tool – for those of you who want to reflect on your clinical practice in this area
- Patient Exercise Leaflets – some of the best I’ve seen!
- Video Exercises (you should know for CSA)
- Video playlist (incl clinical Ex)
- Moving Medicine – This is seriously a fabulous resource and I just love it. Especially the dancing doctor on the home page. Go check it out. It is step by step guide to conversations with patients about physical activity. Healthcare professionals have an important role to play in promoting physical activity, but historically the confidence and skills required to have good quality conversations to support behavioural change have been low. Moving Medicine is a resource that has been designed to equip all healthcare professionals with the knowledge and skills required to do this. It is packaged into structured conversations based on the time you have available. Impress your CSA examiners!
Important features in the history
Important features in the Examination
Giant Cell Arteritis is an Emergency
Giant cell arteritis is a medical emergency, because prompt identification can prevent sight loss. Patients are sick and require long-term, high-dose oral steroids, a treatment that is not without risks of its own. It is therefore important to have a high index of suspicion.
- If you think GCA is highly probablye, you should take bloods that same day, start steroids and pick up the phone to speak to a rheumatologist.
- If there is visual disturbance, you should arrange IMMEDIATE ophthalmology assessment.
- If you think GCA is one of a number of possibilities, we should still pick up the phone and speak to rheumatology to agree a plan for further investigation and whether to start steroids.
- GCA patients will end up on high doses of steroids
- They need regular shared care follow-up to monitor comorbidities, e.g. hypertension, diabetes, and for side-effects.
- All will need a steroid treatment and a steroid emergency card.
- Nearly all will need bone and gastro-protection.