april 16 Flashcards

(37 cards)

1
Q

Characteristics of patellofemoral syndrome

A
  • poorly localized anterior pain
  • pain with squatting
  • common in runners/women
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2
Q

Characteristics of illiotibial band syndrome

A
  • Poorly localized lateral pain
  • tenderness at lateral femoral epicondyle with flexion/extension
  • common in runners/cyclists
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3
Q

Characteristics of pes anserine bursitis

A
  • highly localized medial pain
  • point tendernes at pes anserine bursa
  • common with osteoarthritis/DM
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4
Q

Patellar tendinopathy characteristics

A
  • Localized pain in the inferior patella
  • tenderness at insertion site
  • common in jumping sports
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5
Q

Prepatellar bursitis characteristics

A
  • Anterior knee bogginess and tenderness

- common in people who work on their kness

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6
Q

Prepatellar bursistis may get a secondary infection with…

A

Staph aureus

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7
Q

XRAY findings in someone with post-op ileus

A

uniformly dilated bowel loops

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8
Q

XRAY findings in someone with small bowel obstruction

A
  • discrete transition point with proximal bowel being dilated
  • air fluid levels
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9
Q

Sounds in SBO?

A

hyperactive or absent

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10
Q

Sounds in post op ileus?

A

decreased or absent

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11
Q

management of post op ileus?

A

bowel rest and serial examinations

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12
Q

prevertebral calcifications on XRAY may be a sign of…

A

abdominal aortic aneurysm

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13
Q

A patient with suspect AAA is hemodynamically stable. Next step?

A

CT/MRI abdomen

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14
Q

why does zollinger ellison syndrome cause fat malabsoprtion?

A

the excess acid causes inactivation of pancreatic enzymes

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15
Q

Risk factors for a rectus sheath hematoma?

A
  • abdominal trauma, forceful contractions (coughing)
  • older female
  • anticoagulation
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16
Q

clinical features of rectus sheath hematoma?

A
  • acute onset abdominal pain with palpable mass
  • blood loss anemia/leukocytosis
  • nausea, vomiting, fever
17
Q

rectus sheath hematoma usually occurs due to rupture of which artery?

A

inferior epigastric artery

18
Q

what is torus palatinus?

A

Benign bony growth on hard palate

19
Q

brown recluse spider bites are usually initially…

20
Q

clinical presentation of someone with a brown recluse spider bite?

A
  • small papule that self resolves

- OR burning pain -> blister -> eschar/necrosis

21
Q

managment of a brown recluse spider bite

A
  • cleanse wound/apply ice
  • NO surgical debridement until wound has stopped growing
  • supportive managmeent
22
Q

acromioclavicular joint sprain most commonly occurs when excess force is applied to…

A

the superior/lateral shoulder

23
Q

adduction of the arm compresses which joint?

A

the acromioclavicular joint

24
Q

AC joint sprain = pain with…

25
rotator cuff tear or tendinopathy = pain with...
ABDuction
26
prognosis of cervical radiculopathy?
gradual resolution over time for most patients
27
management of cervical radiculopathy?
NSAIDs and avoidance of provocative maneuvers | -oral glucocorticoids for severe pain
28
management of idiopathic pulmonary fibrosis?
- antifibrotic therapy - smoking cessation - oxygen/pulmonary rehab - lung transplant
29
subpleural honeycombing + reticular opacities =
pulmonary fibrosis
30
how is the arm held in posterior shoulder dislocation?
adducted and internally rotated
31
how does the patient hold their arm if they have an anterior shoulder dislocation?
abducted and externally rotated
32
thyroglobulin is the precursor to...
active thyroid hormones
33
what causes hypercalcemia of immobalization?
increased osteoclast bone resorption
34
how can you treat hypercalcemia of immobalization?
bisphosphonates
35
does acute rhabdomyolisis cause hypercalcemia?
no - hyPOcalcemia
36
why does rhabdomyolosis cause hypocalcemia?
calcium and phosphorous are precipitated in damaged muscle tissue
37
when may hypercalcemia occur with rhabdomylosis?
during the recovery phase