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Exam 2: Musculoskeletal
Nutt's Week 6 Lecture
30
Nursing
Graduate
10/09/2013

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Cards

Term
bone grating manifestation
Definition
crepitus: crackling sound
Term
Age alone can cause kyphosis, how?
Definition
loss of musculoskeletal integrity (weaker muscles, osteoporosis)
Term
supine
Definition
ventral side facing examiner (lying on back, or standing facing examiner), with palms up/facing examiner
Term
health history specific to musculoskeletal
Definition
pain/swelling/stiffness, mobility aids, falls & ADLs
Term
Physical Exam (musculoskeletal)
Definition
Inspection: alignment/posture/gait
Palpation: tenderness, crepitus
ROM & muscle testing
Term
Functional assessment: movement
Definition
Standing from lying/sitting
walking, stairs
pick up objects off floor
Term
Functional assessment: ADLs
Definition
Hygiene & Elimination
Eating
Communicating
Term
Allis Test
Definition
in addition to ortolani test: tests for CHD (congenital hip displacement); flex both knees vertically from horizontally supine baby, if one knee is lower than they other, possible CHD in ipsilateral hip
Term
Metatarsus Adductus vs. club foot
Definition
begins at the metatarsals vs. involves the ankle and tarsus
resolves ~3 yrs vs. requires intervention
Term
Genu varum
Definition
"bow-legged" normal finding b/t 6 mo. and 2 years of age
Term
Genu valgum
Definition
"knock-knee" normal finding b/t 2 and 11 years
Term
Spina Bifida Occulta
Definition
An often undiagnosed opening in the dorsal portion of some vertebrae; site of the lesion may look normal, dimpled, hairy, or discolored
Term
Spina Bifida Meningocele
Definition
parts of the meninges (the protective connective tissue layers of the spinal cord) grow outside of the openings in the vertebrae in cysts; "meningo-": meninges; "-cele": cyst

chronic complications unlikely
Term
Spina Bifida Myelomeningocele
Definition
Similar to SB Meningocele excepting that along with the meninges, the spinal cord itself protrudes through the unfused vertebrae, the meninges forming a sac around it
Term
Spina Bifida
Definition
"bifid spine" bifid meaning split (a snake's tongue is known as "bifid"); lack of fusion in one or more areas of one or more vertebrae: types depend on degree of separation and/or tissues which effuse through the split
Term
polydactyly
Definition
having more than the standard 20 phalanges
Term
syndactyly
Definition
condition where two or more digits are fused
Term
Ankylosis
Definition
stiffness/fixation of a joint
Term
Foot Drop
Definition
loss of function in the flexors of the foot (worsened by tight bed sheets)
Term
Subluxation
Definition
partial dislocation of a joint; in reference to spinal/cervical: pinches nerves can cause severe unforeseen signs and symptoms
Term
Causes of Joint Swelling
Definition
effusion of/excess joint fluid (synovial fluid)
inflammation
Term
Bursitis vs. Gout
Definition
swelling confined to area of joint: swelling of individual bursa; common in the elbow (olecranon) and shoulder (subacromial)

VS.

inflammation caused by uric acid deposits on joints, often multiple nearby joints swollen simultaneously (usually in the feet); tender
Term
Herniated Disc
Definition
intravertebral disc protrudes from between vertebrae compressing spinal nerve roots

Manifests as distal pain, numbness, and/or decreased mobility
Term
Spinal Curvature Abnormalities
Definition
Kyphosis: hunchback
Scoliosis: lateral sigmoid formation
Lordosis: sway back (opposite of kyphosis)
Term
Arthritis:
Rheumatoid vs. osteo-
Definition
systemic autoimmune attack on joints vs. abnormal wearing of joint cartilage

possible ankylosis vs. progressive degeneration

regular movement reduces pain vs. pain on movement
Term
Causes of Involuntary Muscle Cramping
Definition
I've got a cramp in my HAND:
Hypocalcemia/Hypomagnesemia
Activity
Nerve impulse
Dehydration/Hypernatremia
Term
paresis
Definition
muscle weakness
caused by:
I've lost my FLARe!
Flaccidity
Low Potassium (Hypokalemia)
Atrophy
Rigidity
Term
Signs of Compartment Syndrome
Definition
6 Ps:

Early:
Parasthesia
Pain
Pallor

Late:
Pressure
Paralysis
Pulselessness
Term
Grade 5 Muscle strength
Definition
Full ROM against gravity, full resistance
Term
Osteoporosis
Definition
decreased bone density: evidenced by decrease in bone size (vertebrae--> kyphosis); tenderness, easily bruised, etc.
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