metabolic disorders Flashcards

1
Q

metabolic disorders occur from ____________ of the endocrine and nervous system

A

abnormal physiological process

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2
Q

the _________ is a metabolically active organ what undergoes continuous remodeling

A

skeleton

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3
Q

bone mass peaks between

A

25 and 35 years

at this time, the rate of reabsorption begins to exceed the rate of formation

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4
Q

what are primarily characterized by diffuse loss of bone density and bone strength

A

metabolic bone disorders

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5
Q

softening of bones

A

osteomalacia

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6
Q

low bone mass

A

osteopenia

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7
Q

increased bone density

A

osteopetrosis

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8
Q

systemic disease that decreases bone density

A

osteoporosis

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9
Q

Primary Osteoporosis

A
  • most common
  • aging-related physiologic changes
  • prolonged negative Ca+ balance
  • decline gonadal and adrenal function
  • progressive estrogen deficiency
  • sedentary life
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10
Q

secondary osteoporosis

A
  • diseases, meds, and other conditions
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11
Q

risk factors for osteoporosis

A
  • hormonal status
  • genetics
  • physical inactivity
  • tobacco and alcohol
  • meds
  • depression
  • diet and nutrition
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12
Q

what 2 factors are bone strength based on?

A
  • BMD (bone mineral density) increases during growth and development to enhance the bone density

-mechanical stimuli

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13
Q

clinical manifestations of osteoporosis

A
  • loss of height
  • postural changes
  • Fx
  • msk pain
  • trigger points (paravertebrals and rhomboids)
  • VCF (vertebral compression Fx)
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14
Q

what is a progressive disease in which a lack of mineralization of the bone matrix results in a softening of bone without the loss of the bone matrix

A

osteomalacia

there is insufficient mineralizaton of the bone matrix (vit D, Ca+, Phosphate)

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15
Q

what is referred to as the adult form of rickets

A

osteomalacia

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16
Q

what is the second most common metabolic bone disease after osteoporosis

A

Paget Disease

17
Q

what is Paget Disease

A
  • adult skeletal dysfunction
  • increased bone reabsorption
  • excessive, unorganized new bone formation
  • normal bone marrow is replaced by vascular and fibrous tissue
  • high bone turnover
18
Q

what are common genetic and developmental disorders

A
  • developmental Dysplasia of the Hip (DDH)
  • osteogenesis Imperfecta
19
Q

what are infectious diseases of MSK sys

A
  • Spondylodiskitis
  • infections of Prostheses and Implants
  • Osteomyelitis
20
Q

what is DDH

A
  • hip dys in children and infants
  • congenital hip dysplasia
  • uni lat or bi
  • 3 forms
21
Q

what is unstable hip dysplasia

A

correct positioning
disloc upon manipulation

22
Q

what is subluxation or incomplete dislocation associated with DDH

A

femoral head remains in contact with acetabulum
head of femur partially displaced or uncovered

23
Q

what is complete dislocation in regards to DDH

A

femur head totally out of the acetabulum

24
Q

DDH in nonambulatory (NB and <12 mo) vs ambulatory children

A

NON:
- ortolani or barlow or galeazzie signs
- asym in ROM (esp hip ABD)
- asym in buttock fold, extra skin folds
- LLD

amb:
- compensated Trendelenburg Gait (bilat)
- limp, flexion contracture (unilat)

25
Q

what is a generalized CT disorder that has major manifestations in bone leading to skeletal fragility and growth deficiency

A

Osteogenesis Imperfecta (OI)

  • growth retardation and deformities present
26
Q

what is an inflammation of bone caused by an infectious organism such as bacteria

A

osteomyelitis

27
Q

what areas are most commonly affected by osteomyelitis

A

-spine
- pelvis
- arms or legs

28
Q

how does osteomyelitis enter the body

A

GI
Open wound

29
Q

what is associated with rapid destructive pyogenic infection often seen in children, older adults, and IV drug users

A

acute osteomyelitis

its usually subacute, or chronic in adults because of an open wound

30
Q

_________ osteomyelitis is often the result of a persistent bone infection or acute disease remaining undiagnosed

A

chronic

31
Q

__________ occur around surgery and are probably caused by contaminated instruments

A

perioperative infections

32
Q

_______ occur because of a primary infection someplace else in the body

A

hematogenous infections

33
Q

________ occur secondarily to a nearby infection

A

contiguous infections

34
Q

spondylodiscitis infections affect the _________________ components at the ____________ most commonly infecting the annulus/nucleus/endplates

A

vertebral spine
intervertebral disc

  • fever and spinal pain are classic in children*
35
Q

T or F: spoldylodiscitis can have pain that radiates to LE

A

true

they will usually present with unusual postures and movement patterns that have pain that grows worse with activity