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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

Neer's impingment test/Hawkins impingement test

suggests rotator cuff tear