Term
Carpel Tunnel
nerve?
Sym?
Tst? |
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Definition
Median nerve
pain over thenar eminance, pos forearm and shoulder, pain Worse @ night
Splint, NSAIDS |
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Term
| Supracondylar fx that leads to contracture of wrist and fingers is due to what and what is it called? |
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Definition
Volkmanns contracture
Compartment syndrome |
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Term
| Pain with passive motion is a sym of what |
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Definition
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Term
| Serious side effect of oral Fluoroquinolones |
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Definition
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Term
| what ca(s) metastasize to the vertebrae and cause back pain |
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Definition
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Term
leg crampin worse at rest, standing and walking
improves with flexion of hips
txt |
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Definition
spinal stenosis
NSAIDS, abd strength |
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Term
most common shoulder dislocation
presentation
at risk |
|
Definition
anterior - externally rotated- axillary n. a.
posterior- internally - radial a. |
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Term
| most common hip dislocation |
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Definition
posterior
interrnally rotated, flexed, adducted |
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Term
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Definition
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Term
what are :
nightstick fx
monteggia's fx
galeazzis fx |
|
Definition
nightstick fx - ulnar shaft
monteggia's fx - diaphyseal fx of proximal ulna with subluxation of the radial head
galeazzis fx - diaphyseal fx of the radius with dislocation of the distal radioulnar jt |
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Term
|
Definition
externally rotated leg
anticoagulate |
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Term
|
Definition
| buckling of the cortex of a long bone |
|
|
Term
|
Definition
1 physis
2 metaphysis and physis
3 Epiphysis and physis
4 epiphysis, metaphysis and physis
5 crush of physis |
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Term
Duchenne Muscular Dystrophy
Hx/Phy
Dx
TxT |
|
Definition
def of dystrophin
3-5yr old
AXIAL AND PROXIMAL more than Distal, pseudohypertrophy of GASTROCNEMIUS, Retardation common
(-) Dystrophin immunostain; increase CK
Physical Therapy |
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Term
Developmental Dysplasia of the Hip
Hx/Phy
Dx
TxT |
|
Definition
Barlows, Ortolanis
US at >10wks
<6mths - Pavlik harness - flexed abducted
6-15mths - Spica cast
15-24mths - Surgery, spica cast |
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Term
|
Definition
| Septic joint, Tumor, AVN, RA, TB, Sickle cell, SCFE, Henoch Shonlein purpura, Osteomyelitis, Trauma, Toxic synovitis |
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|
Term
|
Definition
Boys 4-10
Idiopathic AVN of femoral head
Limited abduction and internal rotation
Observation if little head involve or FROM
good prognosis if <5 FROM little head involve and stable joint |
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|
Term
|
Definition
Fat 11-13yr black male
a~ hypothyroid
Painful limp
Bilateral 50%
Frogleg and AP views
surgical |
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|
Term
|
Definition
metaphyseal regions of distal femor, proximal tibia, and prox humerus
metastasis to LUNG
PAIN WORSE AT NIGHT
SUNBURST PATTERN, Codman's Triangle |
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|
Term
| 2 types of Sarcomas and the difference on X-ray |
|
Definition
Osteosarcoma - sunburst
Ewings sarcoma - Onion skinning |
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Term
|
Definition
Noninflamatory of synovial joints (DIP)
CREPITUS, DECREASED ROM, PAIN WORSE WITH ACTIVITY AND WEIGHT - IMPROVES WITH REST, Morning stiffness <30min
PT, Weight red, NSAIDS, Injections, Joint replacement |
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|
Term
| Reflex Sympathetic Dystrophy |
|
Definition
diffuse pain with TART changes
NSAIDS, steroids, TCAs, gabapentin, pregabalin, calitonin, PT, chemical sympatheic blockaid |
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Term
| How do you treat fibromyalgia? |
|
Definition
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|
Term
Gout
type of crystals?
Test?
TXT? |
|
Definition
acute monoarticular arthritis
monosodium urate crystals
pain awake from sleep, 1st MTP joint, Tophi
aspirate shows a needle shaped negatively birefringent crystal, elevated WBC, Increased Uric Acid level
vs Pseudogout with rhomboid crystals that are (+) birefringent
Acute - NSAIDS, Cochicine, Steroids
Chronic - allopurinol for overproducers
probenecid for undersecretors |
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Term
|
Definition
NSAIDS, colchicine, steroids
Chronic - Allopurinol for overproducers
Probenecid for undersecretors |
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|
Term
(+) HLA B27
Pain worsens with inactivity and in mornings |
|
Definition
Ankylosing spondylitis
eventually fusion of joints |
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|
Term
| Arhrits, uveitis, urethritis |
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Definition
|
|
Term
| oligoarthrits with sausage-shaped digits |
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Definition
|
|
Term
| bamboo spine, fused sacroiliac joints, - RF -ANA increased ESR |
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Definition
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|
Term
| txt of Anklyosing spondylitis |
|
Definition
NSAIDS
TNF inhibitors or sulfasalazine |
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|
Term
| Progressive proximal muscle weakness that is symmetric and can lead to difficulty breathing or swallowing |
|
Definition
|
|
Term
Symmetric progressive PROXIMAL muscle weakness with heliotrope rash, rash on shoulders, and rash on dorsa of hands
how do you dx |
|
Definition
Dermatomyositis
increase CK, aldolase, ast, alt
MUSCLE BIOPSY |
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|
Term
| how do you treat polymyositis and dermatomyositis |
|
Definition
| HIGH DOSE CORITCOSTEROIDS WITH TAPER |
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Term
|
Definition
Symmetric involvement fo both lg and small jts
women 35-50
Insidious onset of Morning stiffness >1hr with MCP PIP and wrist,etc
Ulnar deviation, bakers cysts |
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Term
|
Definition
| Triad of splenomegaly, leukopenia, cutaneous and cutaneous manifestations |
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|
Term
|
Definition
| IgM antibodies against Fc IgG |
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|
Term
|
Definition
increased RF, ESR
Anemia
WBC in synovial fluid
NSAIDS and DMARDS |
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Term
| what do you need to worry about with a 13 year old that has joint pain involving the weight bearing joints |
|
Definition
| Pauciarticular JRA --> iridocyclitis --> blindness |
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