Thoracic Pathophysiology Flashcards

1
Q

only blank percent of disk herniations are symptomatic

A

1

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2
Q

females or males have more thoracic spine disorders

A

females

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3
Q

high prevalence of blank percent in adolescents for thoracic spine conditions

A

41

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4
Q

lateral curvature of spine is a blank scoliosis

A

type 1 dysfunction

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5
Q

reversible lateral curvature

A

functional scoliosis

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6
Q

irreversible lateral curvature

A

structural scoliosis

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7
Q

primary curve in scoliosis

A

major 1 prime

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8
Q

compensatory curve in scoliosis

A

secondary 2 prime

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9
Q

most benign and least deforming scoliosis

A

primary lumbar 23.6 percent

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10
Q

not severely deforming scoliosis 16 percent

A

thoracolumbar

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11
Q

worst scoliosis and blank yeears of active growth can increase curve

A

primary thoracic (22.1 percent)

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12
Q

aka postural scoliosis

A

nonstructural

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13
Q

postural scoliosis may present with pain and muscle blank and blank discrepancy which may not be real

A

spasm, limb length

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14
Q

birth to 3 years scoliosis

A

infantile

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15
Q

4 to 9 scoliosis

A

juvenile

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16
Q

10 to end of growth scoliosis

A

adolescent

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17
Q

85 percent of structural scoliosis is blank

A

idiopathic

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18
Q

two osteopathic structural scoliosis

A

congenital, acquired,

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19
Q

congenital scoliosis can be blank or blank

A

localized, generalized

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20
Q

acquired scoliosis can be from blank

A

fractures/dislocations

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21
Q

structural scoliosis that can be from spina bifida (congenital) or cerebral palsy/ paraplegia (acquired)

A

neuropathic

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22
Q

structural scoliosis that can be from muscular atrophy (congenital) or dystrophy (acquired)

A

myopathic

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23
Q

infantile idiopathic scoliosis is more common in blank

A

boys

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24
Q

juvenile and adolescent idiopathic scoliosis is more common in blank

A

girls

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25
most common type of idiopathic scoliosis in adolescent girls
right thoracic
26
idiopathic scoliosis begins blank but can be blank in adolescents
slow, fast
27
idiopathic scoliosis progresses when wedge shape blank form on concave side
vertebrae
28
< 10 degree scoliosis is blank
normal
29
< 30 degree scoliosis is blank
mild
30
< 40 degree scoliosis is blank
severe
31
scoliosis less than 30 degrees does not usually blank
progress
32
exercises and body casts do not prevent blank of scoliosis
progression
33
scoliosis brace for 1 prime thoracic
milwaukee
34
scoliosis brace for lumbar and T/L curves
boston
35
operative treatment of scoliosis is for curves bigger than blank and cast is on for blank
40 degrees, 3 months
36
scoliosis that needs operation is not performed until child is blank
10 years old
37
osteochondrosis of secondary centers (pressure epiphysis) of ossification in the spine (end of long bones most often)
scheuermanns disease
38
osteochondrosis of primary center of ossification in the spine
calve's disease
39
idiopathic avascular necrosis affecting epiphyses
osteochondrosis
40
common population for getting osteochondrosis
boys aged 3 - 10
41
osteochondrosis may blank spontaneously
heal
42
first phase of osteochondrosis
necrosis
43
second phase of osteochondrosis
bone deposition and resorption and revascularization
44
3rd phase of osteochondrosis
bone heals
45
an object in body that can mold into normal or abnormal shape depending on forces applied
biologic plasticity
46
osteochondrosis fourth phase
residual deformity
47
joint incongruity and motion limitation will lead to blank from osteochondrosis
osteoarthritis
48
in scheurmanns disease there is a growth disturbance in the blank anteriorly
epiphyseal plates
49
scheuermanns disease results in increased blank
kyphosis
50
scheurmanns disease is most common in blank and involves blank vertebrae in the thoracic region
older teens, 3-4 adjacent
51
scheuermanns disease may interfere with blank growth and cause blank nodes
epiphyseal, schmorl's
52
goal of intervention of scheurmanns disease is to minimize blank
deformities (rounded shoulders/poor posture)
53
disease less common than scheuermanns and is limited to one vertebral body
calves
54
calves disease is usually in these ages
2-8
55
calves disease is characterized by blank that creates discrete but destructive lesions in bone
avascular necrosis 2 prime
56
calves disease is diagnosed by blank vertebrae on x ray
very thin
57
postural syndrome is greater in blank than blank
females, males
58
postural syndrome is characterized by blank or blank pain
local, referred
59
syndrome characterized by compression of neurovascular bundle as it emerges from thorax and enters upper limb
thoracic outlet
60
space between clavicle and first rib
clavicular
61
thoracic outlet is in the space between the blank and blank and compartmentalized by the blank
clavicle, first rib, scalenes
62
vein entering from arm and exiting between clavicle, first rib and anterior scalenes
subclavian
63
thoracic outlet syndrome symptoms are like blank touch or blank of arms
cold to touch, heaviness
64
most common fracture of thoracic spine
compression
65
less common but more serious thoracic spine injury because of instability
fracture dislocation
66
fall from height compression fracture where ligaments are intact and spinal cord is stable but can be injured from fragments of bone
burst compression fracture
67
surgery may be done for burst compression fracture to remove blank
fragments
68
thoracic spine injury from high velocity injury where ligaments are torn and vertebral column is unstable
fracture dislocation
69
these fractures heal very rapidly and almost never nonunion
ribs