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Flashcards in Musculoskeletal Deck (60)
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1

How often does lower back pain resolve?

90% in 6-12 weeks

2

DD for lower back pain?

Lumbar strain, disc buldge, Degenerative disc disease, spinal stenosis, spondyloarthropathy, spondylosis, sacroiliac dysfunction

3

What do you do to test for spondylosis?

HLA-B27

4

When do you do radiographic tests?

Hx trauma, 55 years with persistent pain, noted spinal deformity, S&S of spondyloarthropathy, suspicion for tumor or infection, failure of conservative treatment after 6 weeks.

5

When is lower back pain an emergency?

Cauda Equina syndrome

6

Treatment for lower back pain?

NSAIDs, steroids, non-narcotics, muscle relaxers, narcotics rarely indicated, Physcial terapy, surgery

7

What is herniated disc?

Nucleus pulpus is forced through a weakened part of the disc;

8

Symptoms of herniated disc

Low back pain with associated leg symptoms

9

How successful is conservative treatment with herniated disc?

90% symptom management with non operative management

10

What is a tendon?

Attach muscle to bone

11

Common sites of tendonitis?

Rotator cuff, insertion of wrist extensors and flexors at elbow, tibial tenon at leg, patellar and poplital, illiotibial, achilles tendons

12

Symptoms of Tendonitis?

Pain under pressure, restricted movement, burning sensation, swollen, red, warm

13

Treatment of tendonitis?

Radiology is rarely indicated, PRICE, brace area, anti-inflammatory agents

14

Treatment for DeQuervian's Tendonitis?

Base of thumb, occurs over snuff box, point for 3-6 weeks, NSAIDS for two weeks

15

What is bursitis?

Painful inflammation of bursa

16

Risk factors for bursitis?

Over use, not stretching, rheumatoid disease, staphylococcal or other bacterial infections

17

Symptoms of bursitis

Pain that increases with movement of joint, joint tenderness, with swelling and redness in affected area

18

Treatment of bursitis?

Anti-inflammatory drugs, injection of corticosteroids, may need surgical intervention

19

Three types of femoral neck fractures?

Femoral neck (high risk for avascular necrosis), intertrochanteric, and subtrocanteric

20

Diagnosis and S&S of hip fracture?

Pain, inability to bear weight, shortened leg, externally rotated, tenderness over groin, hip motion painful, XR of hip. If negative, do MRI

21

What is carpel tunnel syndrome?

repetitive stress injury due to inflammation of the tissues around the median nerve

22

S&S of Carpal tunnel?

Pain in wrist and hand, nubness, pain that wakes you up at night, all but pinky and side of ring fever

23

DD of carpel tunnel syndrome?

Arthritis, cervical radiculopahty, (C6 thumb and index finger only), DM with neuropathy, cubism, wrist arthritis

24

Exam for carpel tunnel?

Tunnel's sign, phalen's sign, hypothenar atrophy

25

Diagnostic test for carpel tunnel?

Electromyography, XR to r/o fractured bones

26

Conservative tx for carpel tunnel?

RICE, NSAIDs, srugery, B6, acupuncture, electromagnetic fields

27

When do you refer for carpel tunnel?

Thenar atrophy or failure of conventional treatment

28

What is plantar fasciitis?

Inflammation of plantar fascial tissue, adjacent to its insertion into heel.

29

Etiology of plantar fasciitis?

strucutral abnormlaitis, flat foot, high arch, runners

30

Symptoms of plantar fasciitis?

Foot pain with worst pain in morning, sharp, dull,