Screening for Shoulder and Upper Extremity Flashcards
(33 cards)
What are three different kind of infections that could present as shoulder pain?
- septic arthritis
- Osteomyelitis
- Mononucleosis
What joints are septic arthritis common in the shoulder region?
AC and SC jt
What is PMH with SA?
iv drug use (illegal or medical), diabetes, trauma, surgery or animal bite
What is most common form of OM?
staph aureus
What organs are affected most by mono?
lungs, liver, spleen (LUQ pain)
sx: sore throat, fever, HA, fatigue
What gynecologic problems could present as shoulder pain?
Ectopic pregnancy which is a medical emergency
lower ab, pelvis or shoulder pain with bleeding or spotting
What areas refer pain to the left shoulder?
pancreas, spleen (Kher’s sign)
What areas refer to right shoulder?
peptic ulcer, cholecystitis, MI, liver
What areas can refer pain to either shoulder?
kidney, lung, gyno, MI
What are 5 big DD of the shoulder?
MI, ligamentous instability, central cord, pancoast tumor, brachial plexus
What major area near shoulder area is affected by ligamentous instability?
alar and transverse ligament
What are causes of lig. instability?
trauma, RA, AS, oral contraceptive use, down syndrome pts
What are signs and sx of central cord syndrome?
incontinence, balance and gait issues due to LE tone, UE can have numbness and atrophy
What is number one cause of a pan coast tumor?
over 50 and SMOKING
starts as nagging pain and then is a constant burning
What are sx of brachial plexus injury?
numbness, pain at rest, tenderness of mm that is innervated by damaged nerves, motor and sensory patterns that follow peripheral pattern
What nerve damage can present as MS?
spinal accessory, axillary, long thoracic, suprascapular
What will pt present with if damage to spinal accessory nerve?
unable to shrug shoulders, weak ABD, dropping of shoulder, no scap stabilization
What will pt present with if damage to axillary nerve?
weak abd and flexion, sensory loss at deltoid insertion
What will pt present with if damage to long thoracic nerve?
SA weakness, loss of scap humero rhythm
usually from recent trauma or unexpected chest surgery
What will pt present with if damage to suprascaoular nerve?
looks like a RC injury but will never get better, weakness of ABD and ER, deep poor localized pain
What muscles are most commonly affected by a long flexor tendon rupture?
pronator teres, FCR, palmaris longus, FCU
What will a grade 1-3 tendon rupture present with?
- will likey never see bc it will only last a couple of days
- tender, pain, hematoma, pain with motion or stretch
- loss of motion, palpable defect, no power of movement
How can someone get a space infection of the hand?
recent puncture, cut, scrape, resulting in swelling, pain, tenderness, and warmth
How can you differentiate between an MS injury of hand or infection?
pt will likely have a fever, chills malaise and weakness
