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Flashcards in Adult - Musculoskeletal II Deck (40):
1

What condition does compression of the median nerve cause?

Carpal tunnel syndrome

2

Is carpal tunnel more common in men or women?

women

3

What is dorsiflexion of the wrist?

hand in "stop" position

4

Tinel's sign

tapping the median nerve on the flexor surface of the wrist
+ for carpal tunnel if tingling sensation from wrist to hand is provoked

5

Phalen's sign

opposite of Namaste hands
hold for 1 minute
+ if symptoms provoked

6

What type of splint is most effective for carpal tunnel syndrome?

"cock up" splint

7

Can corticosteroid injection be used in carpal tunnel?

yes

8

What test can be used to document motor involvement in carpal tunnel syndrome?

electromyography

9

What is the typical pain/complaint of carpal tunnel?
features?
timing?
exacerbation?

numbness
tingling
burning
nocturnal pain
excerbation with dorsiflexion

10

What is the leading cause of lost work days in the US?

low back pain

11

What is the typical pain/complaint of low back pain?

may be localized or radiating
may include:
numbness
muscle weakness
limp

12

What are two assessment maneuvers that may be done to assess low back pain?

straight leg raise test - one leg at a time
pelvic rock test

13

Which lumbar nerve root dysfunction results in diminished or absent patellar reflex?

L3 - L4

14

Which lumbar nerve root dysfunction results in diminished or absent achilles reflex?

L5 - S1

15

Which lumbar nerve root dysfunction results in pain along the buttocks?

L5 - S1

16

What type of X-ray would be helpful in evaluating low back pain?

AP and lateral

17

Beyond an X-ray what diagnostics might be helpful in low back pain?

CR or MRI

18

Management of low back pain (10)

rest
heat/ice
brace
PT
body mechanics
ultrasound/TENS
NSAIDs
weight loss
psychosocial
refer

19

Morton's neuroma

a benign neuroma of an intermetatarsal nerve

most commonly in 3rd or 4th intermetatarsal space

20

What is a common cause of Morton's neuroma?

Wearing high heels shoes with closed toes

21

What is the common complaint of Morton's neuroma?

feeling of "standing on a pebble"

22

What are the diagnostics for Morton's neuroma?

ultrasound
MRI

23

Management of Morton's neuroma?

orthotics
steroid injection

24

What is the plantar facsia?

o the thick tissue on the bottom of the foot
o connects the heel bone to the toes
o creates the arch of the foot

25

Who most commonly develops plantar fasciitis?

Men 40 - 70 years old

26

What is the common complaint of platar fasciitis?

heel pain and stiffness in the morning

pain can be dull or sharp
can radiate from the heel to the toes

27

What are the diagnostics for plantar fasciitis?

physical exam
X-ray to rule out other causes

28

Management of plantar fasciitis

NSAIDs
corticosteriods
orthotics
night splints
PT
surgery (very painful)

29

"Tibial tubercle apophyseal traction injury"

Osgood-Schlatter

30

Treatment for Osgood-Schlatter

RICE
NSAIDs
surgery (rare)

31

Define costochondritis

inflammation of the cartilage that connects a rib to the sternum

32

What are the possible causes for costochondritis?

o injury
o physical strain
o URI
o infection
o fibromyalgia

33

An inflammatory disorder involving pain and stiffness in the shoulder and usually also the hip

Polymyalgia rheumatica

34

What are possible causes for polymyalgia rheumatica?

unknown

35

Who is typically afflicted by polymyalgia rheumatica?

those over 50 years

36

In 15% of cases, polymyalgia rheumatica is associated with what other condition?

temporal arteritis

37

What is temporal arteritis characterized by?

headache
high fever

38

Signs and symptoms of polymyalgia rheumatica?

o stiffness of neck, shoulders, and hips
o loss of ROM in affected areas
o fatigue, anemia, and mild fever

39

Is ESR increased in polymyalgia rheumatica?

yes

40

Management of polymyalgia rheumatica?

corticosteroids
symptomatic management