Flashcards in Orthopedics Deck (45)
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1
Osteoarthritis
Pain exacerbated by movement, relieved by rest. AM stiffness less than 30 minutes, tenderness to palpation, crepitus, osteophytes, joint space narrowing
2
Rheumatoid arthritis
Autoimmune disease, symmetric peripheral polyarthritis, morning stiffness greater than 30 min
3
What joints are usually affected with RA?
MCP and PIP joints
4
How long should sx be present with RA?
6 weeks
5
Risk factors for gout
High purine diet, diuretic use, ASA use, low fluid intake, alcohol overuse
6
Lateral deltoid shoulder pain dif dx
Impingement syndrome, SA bursitis, rotator cuff tendonitis or tear
7
Lateral shoulder pain
chronic or non-traumatic shoulder impingement syndrome, subacromial bursitis
8
Test for ritator cuff pain
Painful arc sign, drop arm test, weakness in external rotation
9
Painful arc test
Pain with active abduction beyond 90 degrees
10
Drop arm test
Start with patient abducted 90 degrees, slowly lower arm, pt will be unable to lower slowly or smoothly
11
Anterior shoulder pain
AC, GH OA, AC separation`
12
Posterior shoulder pain
cervical strain, cervical rediculopathy
13
What structure is compressed with carpal tunnel?
Median nerve
14
Positive Finkelstein means?
DeQuervain's tenosynovitis
15
Snuffbox tenderness
Consider scaphoid fx, dull pain
16
Dupuytens contracture
Inherited but may be related to alcoholic cirrhosis
17
Muscle injury called?
strain
18
Ligament injury called?
sprain
19
Anterior groin pain indicates?
OA of the hip
20
When should you consult ortho with a sprain?
Grade III, eversion sprain, if not improved 3 weeks in
21
Local point tenderness of heel indicates
Plantar fasciitis
22
A/P stability - acute knee pain
Anterior drawer test, posterior drawer test, Lachman test
23
Torn meniscus
McMurray's test
24
Systemic reaction - erosion or scale on the penis and crusting scaling papules on the soles and palms
Reiter's syndrome (arthritis, uvitis, urithritis)
25
Systemic reaction - Red, burning, and itchy eyes
Reiter's syndrome, Behcet's Syndrome
26
Systemic reaction - Preceding sore throat
Acute rheumatic fever of gonacoccal arthritis
27
anterior dislocation of shoulder shows?
Rounded lateral aspect of shoulder appears flattened.
28
Crossover test
Adduct patient's arm across the chest. - Suggests inflammation or arthritis on acromioclavicular joint
29
Apley scratch test
Touch the opposite scapula. Suggests rotator cuff disorder
30
