week 6 path Flashcards

1
Q

what is the main purpose of bone

A

to bear weight, levers for movement, and produces red and white blood cells in the bone marrow

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2
Q

what is hematopoesis

A

bone marrow producing RBC and WBC

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3
Q

which two vitamins does bones store

A

calcium and phosphate

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4
Q

whats the difference between a joint and cartilage

A

joints: enclosed in a capsule of fibrous tissue and joins two bones together, forming a cavity
cartilage: rigid connective tissue that supports soft tissue and bones

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5
Q

how is cartilage protective

A

it absorbs sick from things like running, jumping, etc.

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6
Q

what is the synovial membrane

A

it lines the cavity of a joint and creates synovial fluid

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7
Q

whats a synarthrodial joint

A

completely immovable joint

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8
Q

what is an alpha artrhodial joint

A

slightly movable joint

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9
Q

what is a diarthrodial joint

A

a freely movable joint (most common, like the elbow)

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10
Q

what is articular cartilage

A

cartilage between two joints

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11
Q

what are the three types of muscles

A

cardiac muscle: myocardium
smooth muscle: like in the bladder, GI tract, etc
skeletal muscle: all muscles involved with voluntary movement

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12
Q

whats the difference between ligaments and tendons

A

tendons attach muscle to bone
ligaments connect bones to bones and provide stability

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13
Q

why do tendon and bone injuries take longer to heal than other injuries

A

because theyre made of dense CT, they have low blood supply which means they’ll take longer to heal because inflammatory process isn’t as good

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14
Q

whats a fracture

A

a break in the structure of the bone

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15
Q

whats the difference between an open and closed fracture

A

open: if it broke skin and is exposed to air (risk for infection)
closed: fracture under closed skin

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16
Q

how would you classify fracture according to directioin

A

transverse: along the bone
spiral

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17
Q

what is crepitus

A

a crunching noise that you hear from a bone after a fracture

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18
Q

what are the four fracture complications

A

infection, compartnemtn syndrome, venous thromboembolism, fat embolism

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19
Q

what types of fractures pose the biggest risk for infection

A

open fractures because theyre exposed to outside air and bacteria. (also fractures that require surgery)

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20
Q

how would you look for signs of infection in a patient with a fracture

A

inflammation, warmth, redness, swelling, increased pain, fever

21
Q

what is compartment syndrome

A

increased pressure in the muscle which can lead to iscemia and decrease in blood flow

22
Q

what are the 6 Ps of compartment syndrome

A

pain, pressure, parenthesis, pallor, pulselessness (bad), paralysis (v bad)

23
Q

what is a venous thromboembolism

A

from venous stasis, clot forms and can travel around

24
Q

which types of fractures pose a risk of venous thromboembolism

A

hip fractures, hip and knee surgery

25
what is virchows triad
- immobility - endothelial damage - hypercoaguability
26
what is a fat embolism
it occurs when bone breaks, can pop up 24-48 hours after damage usually asymptomatic, only bad when it travels to vital organs basically a bit of fat develops in pulmonary circulation
27
what are some symptoms of a fat embolism
tachycardia, tachypnea, and dyspnea and well as neurological conditions such as bitchiness
28
what are the three types of arthritis
osteoarthritis rheumatoid arthritis gout
29
what is osteoarthritis
degenerative, gradual loss of cartilage. causes pain as bones have no protection and rub together
30
what are the risk factors for OA
obesity trauma repetitive use post menopausal (because estrogen is protective against OA) family history
31
what are the main clinical manifestations of OA
- non systemic - stiffness in the tAM - pain usually gets worse, relieved with rest - crepitus (cronch) - asymmetry
32
what are the two joint deformities in osteoarthritis
heberden nodes (small, pea-sized bony growths that right before the nail bed) Bouchard nodes (joint of the finger is swollen)
33
what is rheumatoid arthritis
chronic disease that causes inflammation around the body and commonly presents with pain in the joints. (systemic)
34
what causes RA
environmental triggers and genetics
35
what are the main general symptoms of RA
fatigue, fever, anorexia, weight loss, generalised stiffness
36
what are some localised symptoms of RA
pain worse in the AM and improves as joint is used multiple joints bilaterally are effected (all over and even) limitation of movement heat swelling
37
what are the 4 RA joint deformities
google cuz I don't get it lol
38
what is the patho of gout
accumulation of uric acid crystals in one or more joints. quick onset
39
what substances will trigger gout
purines, they can be exogenous or endogenous.
40
what are the risk factors of gout
being male, obesity, hypertension, diuretic use, excessive alcohol, high diet in purine rich foods.
41
what is osteoporosis patho
basically osteoclasts work faster that osteoblasts, which means bone is being broken down faster than its being built. this results in low bone density and porous bones
42
what are some risk factors for increased loss of bone mass
low calcium, low vitamin D, low estrogen, smoking, ETOH, drugs, physical inactivity
43
what is a primary risk factor for osteoperosis
natural aging, genetic factors
44
what is a secondary risk factor for osteoporosis
diseases such as turners, cushings, diabetes, RA
45
what are the pain clinical manifestations of osteoporosis
fractures that occur with little to no trauma pain (worse with activity and improves with rest) loss of vertebral height and kyphosis
46
which two joint deformities occur with osteoarthritis
heberdens nodes (on the hands) bouchards nodes (on the feet)
47
which two joint deformities occur with gout
tophi (all over the hands) podagra (on the joint in the big toe)
48
what is a hallux valgus and which MSK issue is it associated with
rheumatoid arthritis
49
what is ESR and C reactive protein
theyre both inflammatory markers that could indicate Rheumatoid arthritis