Shared Flashcard Set

Details

Case 25
fam med cases
9
Medical
Graduate
01/26/2011

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Cards

Term
referred shoulder pain
Definition
MI, lung cancer, cholecystitis, rupture ectopic pregnancy
Term
Musculoskel causes of shoulder pain that require urgent rx
Definition
Septic arthrits or Septic subacromial bursitis (fever, chills, myalgias). Urgent ortho consult--drainage and antibiotics
Term
loss of active and passive ROM is _______ disease.
Definition
Joint disease. Loss of passive ROM is musculoskeletal.
Term
Rx of Tinia pedis (athletes foot)
Definition
Dermatophyte infection. Rx is tinactin twice a day.
Term
poor posture or rounded shoulders on visual inspection
Definition
impingement syndrome
Term
atrophy of smaller shoulder muscles? of larger shoulder muscles?
Definition
smaller muscles: torn rotator cuff
larger muscles immobilization or lack of use
Term
Unilateral winging of scapula during standing wall pushup
Definition
damage to long thoracic nerve. Bilateral winging suggests weakness in scapular stabilizers.
Term
Rotator Cuff tendonitis clinical sign? Rotator cuff tear?
Definition
some pain/diminished ROM on appley Scratch test.
If rotator cuff tear, unable to raise arm above head.
Term
Management of rotator cuff tendonitis and shoulder instability
Definition
Relative Rest, physical therapy, NSAID/Acetaminophen, subacromial injection
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