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MSK Flashcards

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1
Q

plantar fasciitis symp

A

pain with walking felt on instep
localised tenderness on palpation of site
worse after exercising

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2
Q

tendoachilles tendonitis

A

pain at insertion into calcaeneous/pain of the tendon
morning stiffness
worse after exercising
eases w heat

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3
Q

tetanus micro

A

GP anaerobic rods

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4
Q

tetanus symp

A

neurotoxin causes spastic paralysis

muscles spasm - starts in jaw then spreads to the rest of the body

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5
Q

tetanus rx

A

debridement
immunglobulin
pen/metho

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6
Q

tetanus can be found

A

soil
gardens
animal bites

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7
Q

gas gangrene spores where

A

in tissue and predisposing factors (dead tissue, anaerobic conditions)
spores germinate - gas bubbles

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8
Q

gas gangrene micro

A

GP strictly anaerobic rods

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9
Q

treatment of gas gangrene

A

urgent debridement
pen and or metho
hyperbaric oxygen in severe

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10
Q

cellulitis cause

A

SA

group b strep haemolytic

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11
Q

cellulitis treatment general

A

rest, elevation, analgesia, splint

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12
Q

cellulitis treatment mild

not resolving

A

fluclox PO 1g QDS 7 days

not resolving doxy 100mg BD 7 days

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13
Q

cellulitis septic rx

A

fluclox 1g IV QDS

BMI >30 then 2g

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14
Q

septic arthritis treatment
PA
<5s

A

IV fluclox 2g QDS IV 2 weeks oral 4 weeks

PA clindamycin 600mg IV QDS

ceftriaxone <5s for king ella and HI cover

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15
Q

osteomyelitis treatment
PA
chronic
MRSA

A

Fluclox IV QDS 1w IV then 4w PO
clindamycin 600mg IV QDS
PO fluclox 1g QDS
IV vanc

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16
Q

marfans genetics

A

adom

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17
Q

femoral shaft fracture in kids under two

A

gallows

early hip spica

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18
Q

femoral shaft kids 2-6

A

hip spica

thomas splint

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19
Q

femoral shaft 6-12

A

flexible IM nail

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20
Q

femoral shaft >12

A

IM nail

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21
Q

cx of supramcondlar fracture in kids

A

brachial artery and medial nerve

can’t make okay sign FDP FPL

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22
Q

calcanea fracture

A

impingement of lateral ankle tendon

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23
Q

ix for mid foot fracture

A

CT

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24
Q

knee dislocation cx

A

popliteal artery.vein
preineal nerve
compartment syndrome

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25
scaphoid fracture ix
AP lateral 2 oblique
26
ligament in acromioclavicuar joint 1 | 2 - step
acromioclaviaulr | AC and coracoclavicuar
27
acetabulum ix
oblique XR | CT
28
cx of colles
EPL median nerve CRPS loss of grip strength
29
monteggie
ulnar fracture and dislocation of radial lead
30
galaezzie
radial fracture and dislocation of radioulnar joint
31
radial head fracture can occur with
dislocation of elbow
32
cx of humeral shaft fracture
radial nerve in spiral groove wrist drop and loss of sensation in first dorsal web space
33
radial nerve in spiral groove of humeral shaft fracture injury
usually neurprexia
34
cx of proximal humeral fracture
brachial plexus injury AVN non union
35
distal fibular fracture assoc 2
minimally displaces medial malleolus | deltoid ligament rupture -> talar shift
36
proximal tubal fracture cx
post traumatic arthritis
37
cx of femoral shaft fracture
ARDS | fat embolism
38
posterior hip dosclocation presentation | cx
shortened and internally rotated | sciatic nerve injury
39
LCL injury
common perineal
40
dyptrons
type1 to type 3 collagen
41
medial epicondyleisits
can't give steroid injection - ulnar nerve injury
42
DDH treatment
hip thingy 6 weeks full time 6 weeks part time can be used up to 4 years
43
poinsettia method
cast and manipulation till 10-12 weeks | night time brace up to 4 year old
44
browns lesions
hyperparathyroidism
45
supraspinatous
adducts the arm
46
infraspineatous
external rotation
47
teres minor
external rotation
48
subscap
internal rotation
49
order of brachial plexus nerves
``` M A R M U ```
50
musculocuteanous
C5 C6 C7
51
axillary nerve
C5 C6
52
radial nerve
C5 C6 C7 C8 T1
53
median nerve
C5 C6 C7 C8 T1
54
ulnar nerve
C7 C8 T1
55
gluteus max supply
inferior gluten nerve
56
gluteus med and mini
superior gluteal nerve bundle | tredelenburgs
57
fibular neck injury
common fibular nerve
58
pudendal nerve
S2 - S4
59
sciatic nerve
L4-S3
60
femoral nerve
Weakness in knee extension, loss of the patella reflex, numbness of the thigh
61
sciatic nerve
Weakness in knee flexion and foot movements, pain and numbness from gluteal region to ankle
62
obturator nerve
Weakness in hip adduction, numbness over the medial thigh
63
proximal femur intertrochanteric - extracapsulae
dynamic hip screw
64
intracapsular and elderly/poor mobility
austin-moore heiarthroplasty
65
intracapsular and young active and displaced
THR
66
intracapsular and young active and NOT displaced
dynamic hip screw or cannulated screws if minimally displaced
67
hipe and thighs injuries in A and E
thomas splint
68
infratrochanteric fracture of femur
intramedullary nail
69
open fracture rx
clean wound excise non viable tissue stabilise - external fixation
70
both malleoli displaces and fibula fracture at or above the tibiofibular lag
surgical plating of the fibula
71
significant medial malleolar fragment
fix with wire or screw
72
displaced stable fractures of malleolus
closed reduction ad plaster
73
non displaced stable fracture malleolus
plaster cast
74
old man falls left inferior and superior pubic rami fracture intact femur
analgesia and active mobilisation
75
scaphoid fracture
scaphoid plaster and sling - cast & XR in 4 weeks
76
supracondylar fracture in kids
reduction under anaesthetic pin fixation | collar and cuff w arm in flection
77
stabbing in neck then shoulder pain
axillary nerve
78
posterior hip dislocation
internal rotation shortening
79
loss of lumbar lordosis
mechanical back pain
80
extra capsular and intertrochanteric fracture
sliding screw and plate
81
80 women nodules in finger joints
XR
82
radial tunnel syndrome
compression to the posterior interssoeos branch of the radial nerve - no pain at lateral epicondyle - worse when extending the elbow and pronating arm
83
external rotation of tibia and various force
LCL
84
body builder and heavy lifting
patellar or quadriceps tendon rupture
85
what nerve supplied supinator
C6
86
fat guy running now foot in pain
gastrocnemius tendon tear
87
Sternocleidomastoid nerve
11 spinal accessory
88
sustentaculum tali fracture
flexor hallicus longus
89
supracondylar fracture another complication in kids
weakness to the index finger - anterior interrousous nerve injury

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