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Flashcards in Ortho Deck (88)
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61

what is the most common type of amputation?

fingers

62

how to tx an amputation

stop bleeding, salvage if possible
wrap in sterile gauze- soak in lactated ringer's, place in plastic bag and then place on ice

63

what is Virchow's triad?

stasis
intimal injury
hyper coagulability

64

what PE signs are significant for DVT

Homan's Sign (+/-) unreliable
palpable cords (feels like guitar strand)
tenderness
edema

65

what is the gold standard for DVT

venography

66

what is the typical imaging for DVT

venous doppler (US)

67

Signs of a PE

pleuritic chest pain
tachypnea
tachycardia
EKG R BBB

68

tx for PE

IV heparin

69

what usually causes necrotizing fascitis

Group A Strep > clostridia

70

best places to treat nacrotizing fascitis

burn center

71

most common hand infection – at nail fold – nail bitters

paronchyia

72

what shows an infection, will be tender along sheath proximally – finger held flexed with pain on passive ext., sausage digit

Kanavel Sign's

73

what abx do you use for a "fight bite"

Augmentin

74

Abx to use for dog or cat bites?

augmentin

75

All trauma pts. should remain in a cervical collar until c

complete C-Spine XR from occiput to T1 are (-), including AP, LAT, Odontoid Views
awake, sober, alert, and full range of motion w/o pain and no neuro deficits

76

if a trauma patient has an ALOC what should you get?

XR of entire spine

77

what is a C1 ring fracture called

Jefferson's

78

What is a C2 isthmus fx known as

hangman's fracture

79

What is an avulsion fracture of the spinous process from C6-T1 known as?

Clay shoveler's

80

what are the three columns of spine injury?

anterior
middle
posterior

81

failure of the anterior column with preservation of the middle column

compression fracture

82

fracture of the anterior and middle column with axial load +/- posterior column involvement (more likely to be unstable)

Burst fracture

83

where does the spinal cord usually end?

L2

84

sacral fracture have a high incidence of what?

neuro injury (check for drop foot)

85

what is the gold standard for coccyx fracture?

pain w/ rectal exam and defecation

86

tx for coccyx fracture

stool softener
donut pad
time

87

what drug can you give to trauma patients for any neuro deficit

methylprednisolone

88

who is methylprednisolone C/I in

Pregnancy
Age < 13
Open Spine Injury
Uncontrolled DM