H&P Flashcards

1
Q

30M found laying on arm.

What is your initial step?

A
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2
Q

20F with leg pain running?

What is your initial step.

A
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3
Q

Replant Hx

A
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4
Q

Flexor Hx

A
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5
Q

Leddy Classification

A
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6
Q

Hand fracture, Hx and PE

A
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7
Q

Hand Infection Hx PE

A
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8
Q

Hand infection

What is the differential of a wound?

OR principles

A
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9
Q

Injection Injury

A
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10
Q

Hand Tumors

A
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11
Q

OA Hx

A
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12
Q

RA hx

A
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13
Q

Hypothenar hammer hx

A
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14
Q

Wrist Hx

A
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15
Q

Wrist Exam

A

Both wrists

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16
Q

Wrist Xray

A

BOTH: AP, lat, Oblique, Scapoid.

PA:

  1. G’s lines - 2mm,
  2. Ulnar Var - 2mm,
  3. Rad Inc - 23o,
  4. Other: Sig Rig (S tubercle),

Lat:

  1. Quality: Colinear 3mc, Cap, R, & Pisi volar b/t S&C
  2. SL(47, 30-60 >60SL DISI, <30 VISI),
  3. CL & RL (15),
  4. Radius Volar INC 12.

45o: TM/Td, Tq.

Other: Clenched: TT, CT View, Stress - dynamic

MRI: Arthrogram: communication b/t DRUJ and MC.

Angio for Vascularity of S

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17
Q

You suspect a SL tear what do you look for on exam and XR?

A
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18
Q

You have a chronic SL tear how do you manage, what do you look for?

A
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19
Q

What are the stages of SLAC and tx?

A
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20
Q

What is the diagnosis and treatment of Ltq ligment injury?

A
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21
Q

Brachial Plexus PE

A
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22
Q

Do a gross exam of the nerve roots.

A
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23
Q

Differential for BP injury.

A
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24
Q

Brachial Plex Hx/ PE

A
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25
Brachial plex Inv
26
What are the postures of a Erb, Erb+, Klumpe palsy & what is lost.
27
Obstetrical BPI Hx
28
Compression neuropathy Hx
29
Chest reconstruction Hx, Pe
30
What are the options for chest wall Soft tissue recon?
31
What are the options for rigid chest wall recon?
32
Abdo Recon Hx
33
How would you assess an eye lid?
34
How do you examine for ptosis? What is Hering's test - what does it test? What is the ptosis algorthim?
LPS is equally intervated, severe ptosis on one side creates strong retraction force on both sides. Alleviate ptosisi with q-tip while immob brow.
35
Lower extremity trauma
TETANUS/ ABX/ SMOKING/ RADS
36
Nasal reconstruction hx pe
37
Local nasal flaps. What is the maximum size? What is the blood supply of the Dorsal nasal miter flap?
38
What are the options for nasal lining?
* Ipsilateral caudal septal muco-pericondrial hinge flap - Septal br of sup lab art - Ips ala and tip * Contralateral dorsal septal mucopericondrial hinge - Ant/Post ethmoid art - CL wall/nasal roof * Biped Mucosa advancement + sg donor * Inferior turbinate Mucoperiosteal hinge flap - alar lining * * Composite septial chondromucosal pivot Other Infolded NL, forehead Tunnelled turnover NL, Buccal
39
Label the arteries
40
What are the options and donors for nasal support?
Bone: osteal condral rib IC cort cancel Split calvarial
41
What are the options for columella reconstruction?
42
Pressure Sore Hx
43
Hair loss hx pe
44
Cleft Lip Hx
45
What are the features of unilater cleft lip?
46
What are the features of bilateral celft lip?
47
What are the cleft nose deformities?
48
Cleft palate hx
Important Issues: AIRWAY - prone, cpap, intubation, Distraction, trach FEEDING - haberman/ 45o/ extra time/ monitor weight. EAR -myringotomy tubes Goals: Seperation, Vp spincter, Eust tube, Min growth disturbance
49
VPI Hx
50
Congenital Ear Hx
51
Congenital hand Hx
52
Craniofacial Clefts Hx
53
Omens
54
Craniosynostosis Hx
* Hx- present at birth * Head Cirm, * Ridging * Hands. - all but crouzons. Functional = Early operative intervention * Tx: MultiD * Airway: Sleep stidy, Resp, Trach * ICP: MRI, Neuro Sx * Eyes: Lube, Optho, sx
55
Facial Trauma Hx
56
Facial trauma part 2
57
Head and Neck Reconstruction Hx
58
Facial paralysis Hx
59
Differential for Facial Paralysis
60
What is the House-Brackman Classification
4 - can not close eye completely. 1-6 1 being normal, 6 none
61
Mandible hx
62
Goals Mandible
63
Orthognathic Surgery Hx
64
Genioplasty Assessment
65
Mandible fracture Hx
66
Neck Mass Hx
67
Head and Neck malignant lesion Hx.
68
What is the differential for a Parotid mass?
69
TMJ Hx
70
Mandibular Cyst Hx
71
Blepharoplasty Hx
72
Brow Lift Hx
73
Neck Lift Hx
74
Ritidectomy Hx
75
Laser Hx
76
Massive Weight Loss Hx
77
Rhinoplasty Hx
78
Rhinoplasty PE
79
Breast Cancer Hx
80
Breast Augmentation Hx
81
Secondary Breast Augment Hx
82
Breast reduction Hx
83
Mastopexy Hx
84
Gynecomastia Hx
85
Congenital Breast Hx
86
Breast Reconstruction Hx
87
Adv/dis of immediate recon?
88
Adv/ Dis of Alloplastic vs Autologus:
89
Scar Hx
90
Lymphedema Hx
91
Melanoma Hx
92
Burn Hx
93
Hypothernia Hx
94
Electrical Hx
95
Chemical Injury Hx
96
Osteoradionecrosis Hx
97
Vascular Disease Hx