Orthopedic Exam Flashcards Preview

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Flashcards in Orthopedic Exam Deck (16):
1

What are common causes of forelimb lameness?

Elbow dysplasia
OCD
Fractures

2

What are common causes of hindlimb lameness?

Hip dysplasia
Pelvic fractures
ACL rupture
Patellar luxation
Fractures

3

What are the steps to a lameness exam?

Signalment
History
Distant observation
Gait
Standing palpation
Recumbent palpation
Diagnostics

4

What are you looking for in a distant observation>

Body conformation

Decreased weight bearing while standing

Asymmetrical joint or swelling

Muscle atrophy

Joint alignment

5

What are you watching for in a walking/trotting exam?

Shortened stride
Dragged toenails
Toeing in or out
Limb circumspection
Hypermetria
Stumbling/weakness
Head bobbing

6

T/F: when examining limbs you should work distal to proximal

True

7

T/F: you should always examine the injured limb first then compare to the sound limb

False

Sound limb first

8

What are you checking for when doing your limb palpation?

CREPI

Crepitus
Range of motion
Effusion/swelling
Pain
Instability

9

What are the joint tests done on the hind limb and what are they testing for?

Ortolani sign — hip dysplasia

Anterior drawer — cranial cruciate rupture

Tibial compression — cranial cruciate rupture

10

How do you test the collateral ligaments at the stifle?

Varus/valgus stress test

11

T/F; cruciate disease is usually chronic

True

Degenerative disease, often bilateral

12

T/:F you should take radiographs first before palpating the injured limb to prevent stress on the animal

False

Always isolate the lameness first
Then take radiographs

13

What diagnostic test provides good cross sectional 3D imaging and is a good imaging a fragmented coronoid process?

CT

14

Which imaging modality provides good soft tissue contrast and allows you to evaluated soft tissue of joints or spinal cord compression?

MRI

15

What diagnostic test is good for evaluating soft tissue structures like tendons, ligaments, and muscles (eg bicipital tenosynovitis)?

Ultrasound

16

What imaging modality evaluates physiology and activity of bone?

Bone scintigraphy