Joy, a 32-year-old hairdresser presents to the primary care clinic with complaints of pain and stiffness in her hands. Seven months ago, Joy began noticing stiffness in both hands in the morning that is now lasting “longer and longer.” Stiffness now lasts more than 1 hour every morning and includes hands, wrists and ankles. She also has increasing difficulty standing for long periods at work or at home due to foot and ankle pain. She has been taking ibuprofen 800mg 3 times daily and finds it helps her get through her day with less pain and stiffness. Physical examination of all of Joy’s joints demonstrate that many of the joints in the hands and feet are tender, warm and swollen bilaterally. Which of the following tests is most specific to make the likely differential diagnosis for Joy?

Hugo, a 48-year-old male, is in the primary care office today with his wife of 22 years. The patient reports having a resting tremor in his right hand and some stiffness in the right arm for over a year now. He thought the tremors were related to nerves and would eventually resolve on its’ own. He also doesn’t like going to the doctor and his wife finally convinced him to make the appointment today. On inspection you notice a pill-rolling movement in his right hand at rest that resolves with active movement of the hand.  On further inspection, relative slowness of fine rapid movements of the right hand are noted along with rigidity to right arm. Which of the following diagnostics will you order as a part of his differential diagnosis workup? (choose all which apply)

Identify the fracture type:  

An eighty-year-old woman has a bent-over stance with a noticeable hump back. Along with osteoporosis, which condition is indicated?

Use the proper anatomical term: Another name for the shoulder blade is the_________.

Getting a kiss on the cheek means the_________ bone is involved.  

Identify the fracture type:

Which of the following bones is part of the axial skeleton?  

A coroner determines the cause of death to be strangulation because this delicate bone is fractured. Which bone is this?  

Identify the fracture type displayed in the images below.