Wrist

Question 1

What is in the wrist compartment with deQuervain? causes?

Answer 1

EPB, APL

Overuse, Pregnant

Question 2

deQuervain diag?

Answer 2

Fincklesteins

Question 3

deQuervain tx?

Answer 3

thumb spica or NSAID

Question 4

Carpal tunnel Synd causes? tx?

Answer 4

DM, Overuse, Preg, hypothyroid. SXS = night pain, shake hand 3 1/2 dig

Question 5

Carpal tunnel Synd diag?

Answer 5

Tinel, Phalens

Question 6

Carpal tunnel Syndrome tx?

Answer 6

Volar/night splint, NSAID, ICS, tunnel release

Question 7

ganglion cyst causes, PE?

Answer 7

dorsal, synovial fluids, well-circumscribed, transilluminators

Question 8

ganglion cyst tx?

Answer 8

Observation, Aspirate

Question 9

Colles fx is most common fx?

Answer 9

Yes

Question 10

Colles, dinner fork is tx with?

Answer 10

volar/sugar splint, NSAID, CR

Question 11

MC carpal fx?

Answer 11

Scaphoid - AVN, Thumb spica, NSAID

Question 12

Lunate fx diag?

Answer 12

spill tea-cup on xray

Question 13

Duyuytren contracture, what finger?

Answer 13

ring, fibrosis of fascia

Question 14

Duyuytren contracture diag

Answer 14

knot or painless cord

Question 15

Duyuytren contracture pe tx

Answer 15

Stuck in flex, Collagenase injection (X)

Question 16

Boxer fracture is at the

Answer 16

volar 5th neck/head fx

Question 17

boxer fx diag, tx?

Answer 17

Human bite (augmenten)
Digit malrotation (overlap finger)
Gutter splint - surgery (>40degrees)

Question 18

Gamekeepers thumb moa

Answer 18

Thumb abd - ulnar collateral ligament

Question 19

Gamekeeper tx?

Answer 19

UCL laxity -> no pincer.

thumb spica to surgery

Question 20

trigger finger mc at the?

Answer 20

A1 pulley (PIP) at ring finger

Question 21

trigger finger tx?

Answer 21

Splint, NSAID, ICS, Surgery

Question 22

Swan neck comes from

Answer 22

mallet finger, RA, PIP ext, DIP flexed

Question 23

swan neck tx?

Answer 23

PIP splint, surgery

Question 24

Boutonniere def looks like

Answer 24

ext tendon injury, cant extend finger

Question 25

Boutonniere tx?

Answer 25

PIP neutral splint

Question 26

mallet finger MOA

Answer 26

hyperflex, cant extend DIP

Question 27

Mallot finger tx?

Answer 27

mallet finger splint - keep DIP in neutral

Question 28

subungual hematoma associated with

Answer 28

nail bed damage

Question 29

subungual hematoma tx?

Answer 29

trephination, if open = surgery.

Question 30

subungual hematoma if >50% then?

Answer 30

remove nail bed

Question 31

Paronychia associated with?

Answer 31

osteomyelitis, abscess

Question 32

Paronychia tx?

Answer 32

I&D, CEPHALEXIN | Bactrim/Clinda for MRSA

Question 33

flexor tenosynovitis cause?

Answer 33

abscess in flexor = felxed fingers (like paronychia tx, but admitted)

Question 34

does the thumb have a middle phalanx?

Answer 34

no

Question 35

human bites

Answer 35

strep/staph (Bactrim/amox)

Question 36

animal bites

Answer 36

pasturella (augmentin) | bartonella (azythro/doxy)