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joy's deck for FNP > musculoskeletal > Flashcards

Flashcards in musculoskeletal Deck (31):
1

navicular fracture

wrist pain at snuffbox (loading of thumb)

splint write (thumb spica spling) and refer to hand surgeon
usually from a fall

2

colles fracture

most common WRIST fracture
distal radius

3

hip fracture

"sudden" one sided hip pain.
elderly have 1 year mortality rate increased after
leg shortening with displacement

4

pelvic fracture

ecchymosis and swelling of lower abdomen, hips, groin, scrotum.
bladder/fecal incontinence
check ABC for internal hemorrhage

5

cauda equina syndrome

sudden bladder incontinence
LEG NUMBNESS (due to pressure o a sacral nerve root)

Surgical emergency, needs spinal decompression

6

low back pain from dissecting abdominal aneurysm

"tearing" of low back pain/abdominal pain.
ABDOMINAL BRUIT
s/s of shock
most common in elder, white male, smoker

7

tendon

connects muscle to bone

8

ligament

bone to bone

9

finklestein test

test for de quervain's tenosynovitis (base of thumb)
test is thumb in wrist and flex downwards

10

mc murray's

medial meniscus
knee pain and "click"
medial mensicus= valgus pressure (knee in), foot out
lateral meniscus= varUS stress (knee out, feet in)

gold standard is MRI

11

lachman's

ACL tear
knee joint laxity, more sensitive than drawer test

The examiner should place one hand behind the tibia and the other on the patient's thigh. It is important that the examiner's thumb be on the tibial tuberosity. On pulling anteriorly on the tibia, an intact ACL should prevent forward translational movement of the tibia on the femur ("firm endpoint").

soft endpoint= tear

12

test for "MEDIAL collateral ligament. which stress test.

valgus

13

test for "LATERAL collateral ligament. which stress test.

varus

14

morton's neuroma

inflammation of the digital nerve of the foot between the 3rd and 4th metatarsal, > risk with high heels, tight shoes, dancers
"pebble sensation"

15

mulder test

test for morton's neuroma.
positive is click and pain when squeezing the forefoot

16

herberden's nodes

nodes of the DISTAL interphalangeal joint

17

bouchard's nodes

bondy nodules of the proximal interphalangeal joint

18

RA versus OA

RA: symmetrical, > pain/stiffness, systemic systems (fever)
NORMACYTIC anema

19

TREatement of RA

systemic steroids ( NOT for OA)
antimalarials (plaquenil)
antimetabolites (methotrexate)
biologics (HUMIRA, Enbrel)

20

lupus

>women (9:1)
> AA, hispanic
affects skin, kidneys, heart, blood vessels

MACULOPAPULAR butterfly rash (malar rash)
DISCOID RASH ( non itchy rash)
PROTEINURIA

21

tx for lupus

refer to rhemuatologist; plaquenil, methotrexate, biologics ( same as RA)

22

RA S/S

"sausage" joints
swan's neck deformity (50%), flexion of dip joint, hyperextension PIP joint

boutonnier deformity- hyperextion of the DIP with flexion of the PIP joint

23

rx for RA

DMARD- disease modifying agent for rheumatoid disease;
methotrexate, sulfasalazine, cyclosproine, hydroxychloroquine (antimalarial drug)

Gold salt compounds IM injections
anti TNF (humira, enbrel, remidade)

plaqunil (antimalarial)

24

Gout

uric acid crystals inside joint and tendons due to genetic excess or low excretion of purine crystals (by product of protein metabolism).

LARGE JOINT OF FIRST TOE common, middle age males common
worse with alcohol, meat, seafood

Chronic gout has tophi (small white nodules full of urates on ears and joints)

25

rx for gout

nsaids (indocin, anaprox)
colchicine

26

ankylosing spondylitis

early 20's, > males
inflammation of seronegative arthritis effects spine (upper thoracic)

27

best for dsg herniated disc

MRI

28

cauda quina syndrome

acute pressure on the SACRAL nerve root (anal and bladder

bowel/bladder incontinence

29

Sprains grade (ottawa) to determine needs for radiographs

1- mild sprain, able to bear weight
2-partial tearing of ligament. painful ablution
3- complete rupture of ligaments. Can't ambulate 4 steps

30

baker's cyst

bursitis behind the knee (bursae are synovial sacs located o certain joints)
if cyst ruptures, will cause reaction like celulitis (calf redness, swelling)

31

ankylosing spondilytis presentation

upper back pain >3 months,