MSK Flashcards
(8 cards)
What is the best initial treatment for rhabdomyolysis?
The initial step in management of rhabdomyolysis is intravenous fluid rescuscitation
Limping and pain in groin and thigh in a young boy
Legg-Calve-Perthes disease (avascular necrosis of the proximal femur)
Dx: hip radiographs
PE: limited passive movement of the affected hip joint as well as limited abductiona and internal rotation
Tx: supportive or surgical
Lightheadedness, confusion, chest pain and SOB after a fracture of a long bone (femur)
Fat embolism syndrome
is most often caused by long bone fractures and causes hypoxemia, altered mental status and a petechial rash
What test is the gold standard for diagnosing avascular necrosis of bone?
MRI
*avascular necrosis of the hip presents with pain in abduction and internal rotation and a severely limited range of motion in all directions.
here are some awesome clues to this diagnosis:
History of cancer, weeks of back pain, loewr extremity weakness and loss of sensation in the saddle region of the legs.
Epidural spinal cord compression is most commonly a complication of metastatic cancer to the spine.
back pain leads to lower extremity weakness or paraplegia.
Initial management is with high-dose corticosteroids (dexamethasone) to reduce inflammation and edema- hence decreasing compression on the spine.
what is the treatment for any cobb angle <20?
observation is the management of choice for patients with a Cobb angle of less than 20 degrees.
what is the first line treatment for ankylosing spondylitis?
NSAIDs (indomethacin)
ankylosin spondylitis is a progressiv, inflamatory spondyloarthritis. It most commonly involves the joints of the axial spint, producing pain and a limited ROM.
A patient develops malignant hyperthermia at the onset of anesthesia. Do you continue with the procedure?
No, you dummy. Administer dantrolene IV and terminate the procedure.
