Shared Flashcard Set

Details

Abdomen and MSS
final
16
Other
Graduate
06/12/2013

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Cards

Term
mechanical low back pain
Definition
aching pain in the lumbosacral area
risk factors- heavy lifting, poor conditioning, obesity
caused by muscle and ligament injuries
physical sign- pain with movement
Term
sciatica
Definition
shooting pain below knee with paresthesias and weakness
pain worse when bending, sneezing, coughing, valsalva maneuver
caused by herniated disc with nerve compression (L5 or S1)
physical sign- calf wasting, weak ankle dorsiflexion
Term
lumbar spinal stenosis
Definition
pseudoclaudication pain in back or legs with walking
resolves with rest or lumbar flexion
caused by hypertrophic degenerative dz causing narrowing of spinal cord
physical sign- posture flexed forward, hyporeflexia
Term
chronic back stiffness
Definition
caused by ankylosing spondylitis (an inflammatory polyarthritis)
Term
nocturnal back pain
Definition
metastatic malignancy to the spine from cancer
rest does not relieve it
physical sign- muscle spasm, limited flexion
Term
Referred pain form abdomen or pelvis
Definition
deep aching pain
look for signs of primary disorder
Term
mechanical neck pain
Definition
aching pain in the cervical paraspinal muscles and ligaments
caused by poor posture, stress, poor sleep, poor head position
physical signs- muscle tenderness, pain on movement
Torticollis if prolonged neck posture and muscle spasm
Term
mechanical neck pain
whiplash
Definition
aching paracervical pain and stiffness with occipital headache, dizziness
caused by musculoligamentous sprain
physical sign- decreased neck range of motion
Term
cervical radiculopathy
from nerve root compression
Definition
sharp burning or tingling pain in the neck and one arm with paresthesias and wakens
caused by foraminal encroachment of the spinal nerve
physical sign- C7 compression causes weakness in triceps and finger flexors and extensors
C6 compression causes weakness in biceps, brachioradialis, wrist extensors
Term
cervical myelopathy
from cervical cord compression
Definition
B/L weakness and paresthesias in both upper and lower extremities with urinary frequency
caused by cervical spondylosis (cervical degenerative disc dz)
physical sign- hyperreflexia, Lhermitte's sign (neck flexion with electrical shock down spine)
Term
rheumatoid arthritis
Definition
chronic inflammation of synovial membranes
chronic with frequent swelling; tender and warm; stiffness in mornings with fatigue, weight loss, low fever
Term
osteoarthritis
Definition
degeneration and progressive loss of cartilage
produces small effusions; stiffness in morning and after inactivity
Term
acute gout
Definition
inflammatory reaction to microcrystals of monosodium urate; usually occurs on big toe; sudden pain at night
Term
chronic tophaceous gout
Definition
local accumulations of sodium urate; usually gradual pain in joints and other tissues (kidneys)
Term
polymyalgia rheumatica
Definition
occurs in people older than 50
pain in muscles of hip and shoulder girdle and neck, self limiting
Term
fibromyalgia syndrome
Definition
widespread MSS pain
pain feels all over with "trigger points"
stiffness in morning
pain causes sleep disturbances
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