musculoskeletal, neurologic, & GI System Flashcards Preview

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Flashcards in musculoskeletal, neurologic, & GI System Deck (131)
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1

kyphosis

thoracic

2

lordosis

lumbar

3

scoliosis

s shaped

4

rheumatoid arthritis

autoimmune
bilateral joint inflammation

5

osteoarthritis

overuse injury
cartilage breaks down in joints
unilateral

6

gout

uric acid crystals form in joints
big toe
tophi = uric acid in ears

7

myalgia

muscle pain

8

ostealgia

bone pain

9

OPQRSTU

Onset of the event
Provocation or palliation
Quality of the pain
Region and radiation
Severity
Time (history)

10

complete musculoskeletal exam appropriate for:

articular disease
history of musculoskeletal issues
problems with ADLs activity of daily living
always compare side to d=side, head to toe

11

musculoskeletal physical exam

no auscultation or percussion
- inspect, palpate, test, assess

12

inspect

bumps, lumps, lesions, bilateral symmetry, muscle circumference, ROM

13

dislocation

loss of contact between articular cartilage of two bones; complete dislocation

14

Subluxation

contact between articular surfaces is only partially lost; partial dislocation

15

Contracture

muscle permanently contracted (due to muscle fiber shortening without an action potential or caused by failure of the sarcoplasmic reticulum even with a available ATP)

16

Ankylosis

stiffening or immobility of joint

17

Palpate and Test

stabalize joint with one hand and move distal portion with other hand
- adduction, abduction, flexion, extension

18

grading muscle strength

0 - no muscle contract
5 - move full ROM against resistance

19

tests for Carpel Tunnel Syndrome CTS

Phalen's Test - acute flexion of wrist for 60 seconds and produces no symptoms of numbness or burning

Tindal sign - direct percussion of location of median nerve at wrist produces no symptoms of burning, tingling along its distribution

- repetitive motion injury
- bulge sign

20

congenital hip dislocation

alli's test - level of keens, push knees back and to bed

ordilionie's maneuver - hip disloaction

21

preschool and school-age children legs and feet

bowlegged - normal 1 year after child begins to walk

knock knees (genu valgum) - normal between 2 and 3 1/2 years

flatfoot (pes planus) - normal until 3 years

broad base stance - normal 12-30 months

pigeon toes - normal til 3 years

tandelenburg's sign - alignment of pelivis when stunned on one foot

22

osteoporosis

loss of bone density
decrease in bone strength leads to it
occurs without many symptoms until a break or kyphosis occurs

23

rheumatoid arthritis

chronic autoimmune disease of connective tissue
- onset is gradual with fatigue
morning onset
ulnur deviation
boutonnieres sign
swan neck deformity
bad in morning but better with use
bilateral

24

osteoarthritis

enlargement of joints
overuse injury
non-inflammatory
swelling and aching
worse with use of joints
can be worse in morning

25

bursitis

inflammation of bursa
common in shoulders, elbow, hip, knee

26

gout

hereditary increase in uric acid
great toe
edema of joints that is painful with limited ROM
tophi - UA in ears
kidney stones cause flank pain

27

herniated nucleus pulpus

- fibrous cartilage surrounding intervertebral disk ruptures and nucleus pulpus is displaced and compresses on spinal nerves
- deep tendon reflexes are depressed or absent

28

scoliosis

s shaped deformity of vertebrae

29

carpel tunnel syndrom CTS

median nerve compressed between floor retinacululm and other structures within carpel tunnel
- repetive movements, injury to wrist
- burning, numbers, tingling in hands at night

30

Syncope

fainting from temporary loss of consciousness due to cerebral ischemia