Musculoskeletal Flashcards

1
Q

Most common manifestations of musculoskeletal impairment

A
  • pain & weakness
  • deformity
  • limitation of movement
  • joint crepitation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Compartment Syndrome

A

involves the compression of nerves and blood vessels due to swelling within the enclosed space

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

6 Ps of compartment syndrome

A
  • Pallor
  • Pain
  • Pressure
  • Paresthesia (early sign)
  • Paralysis
  • Pulselessness
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Embolism Signs

A
  • REEDA
  • pain
  • decreased function
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Signs of fractures

A
  • High: WBC, HR, RR, Temp
  • malaise
  • nausea
  • anorexia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Venous Thromboembolism

A
  • most common in lower extremities
  • warm, red
  • tender
  • localized edema
  • paresthesia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Fat Embolism

A
  • common in femur, rib, tibia or pelvis injury
  • tachypnea (priority)
  • petechiae
  • patient reports “impending doom”
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Cast Care

A
  • apply ice for first 24 hrs
  • check with HCP before getting wet
  • elevate above heart for first 48 hrs
  • exercise joints above & below site
  • relieve itching with cool air
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

When to report a problem: Cast

A
  • increasing pain
  • swelling associated with pain & discoloration of toes or fingers
  • pain during movement
  • burning or tingling
  • sores or foul odor
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Neurovascular Impairment Signs

A
  1. color
  2. temperature
  3. cap refill
  4. distal pulses
  5. edema
  6. sensation
  7. motor function & pain
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Lower Back Pain Neuro Assessment

A
  • depressed/absent achilles tendon or patellar reflex

- positive results from straight leg test, crossover test, trendelenburg test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Do’s of Patient Teaching: Back Pain

A
  • sleep side-lying with knees & hips bent
  • or sleep on back w/ lift under knees and legs
  • place a foot on a stool during standing
  • healthy weight
  • lumbar roll or pillow for sitting
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Vertebral Disc Surgery Important Dont’s

A
Do not:
-Bend
-Lift
-Twist
your spine
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Osteomyelitis

A

inflammation of bone and bone marrow

-use antibiotic or analgesics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Osteomyelitis Symptoms

A
  • bone pain
  • fever
  • swelling
  • restricted limb movement
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Osteomyelitis past health history

A
  • bone trauma
  • open fracture
  • puncture wounds
17
Q

Fibromyalgia Symptoms

A
  • nonarticular musculoskeletal pain
  • 11/18 tender points
  • sleep disturbances
  • morning stiffness
18
Q

Fibromyalgia Care

A
  • massage
  • alternating heat & cold packs
  • gentle stretching
  • limit intake of: sugar, caffeine, & alcohol
19
Q

Systemic Exertion Intolerance Disease (SEID)

A

AKA chronic fatigue syndrome

  • avoid total rest
  • well balanced diet
20
Q

Systemic Lupus Erythematosus

A

chronic autoimmune inflammatory disease of collagen in the skin, joints, and internal organs

21
Q

SLE Symptoms

A
  • fatigue
  • arthritis
  • tachypnea & cough
  • renal problems
  • vascular skin lesions
22
Q

SLE enviromental risk factors

A
  • stress
  • viral infections
  • UV light
  • exposure to toxins & chemicals
23
Q

SLE Diagnostic Tests

A
  • urinalysis
  • ECG
  • chest x-ray
  • serum complement
  • CBC
24
Q

SLE marker

A

ANA

25
Q

Rheumatoid Arthritis Objective Data

A
  • lyphadenopathy
  • keratoconjunctivitis
  • symmetric pallor & cyanosis
  • chronic bronchitis
  • splenomegaly (felty syndrome)
  • joint swelling, heat
26
Q

RA diagnostic findings

A
  • positive rheumatoid factor
  • increased ESR
  • anemia
  • high WBC
27
Q

RA Acute Intervention

A
  • drug therapy
  • assess disease impact & pain
  • rehab
  • need for balance of rest & activity
  • UAP: ROM
28
Q

RA Ambulatory & Home Care

A
  • rest & exercise
  • body alignment
  • joint protection
  • heat & cold therapy
29
Q

RA Rest

A
  • total bed rest should be avoided

- daytime rest

30
Q

OA Assessment

A

type, location, severity, frequency, and duration of the patient’s joint pain & stiffness

31
Q

Skin Traction

A

short-term

  • tape, boots, splints
  • buck’s traction: hip, knee, femur
  • weight: 5-10 lb
  • assess pressure points every 2-4 hrs
32
Q

Skeletal Traction

A

long-term

  • pins, wires, weights
  • weight: 5-45 lb
  • balanced suspension