Term
| which type of arthritis affects DIP joints? |
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Definition
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Term
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Definition
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Term
| is primary or secondary OA more likely to occurr in a joint as a result of injury? |
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Definition
| secondary-->thumb, wrists, hip, knees ect |
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Term
| which type of arthritis is aggravated by activity and relieved by rest? |
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Definition
OA
RA--> better w/ activity! |
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Term
| during ROM what indicates OA? |
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Definition
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Term
| is ESR usually incr in OA? |
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Definition
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Term
| narrowing of joint space, osteophytes, ect are seem on MRI/XRAY in what type of arthritis? |
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Definition
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Term
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Definition
MILD: APAP, glucosamine/chondroitin ect
SEVERE: above +/- NSAIDS-->joint inj |
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Term
| what types of arthritis show inflammation |
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Definition
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Term
| what types of arthritis usually involve 1 joint (monarticular)? |
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Definition
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Term
| what type of arthritis involve 2-4 joints (oligoarticular)? |
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Definition
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Term
| arthritis that involves > 5 joints? (polyarticular) |
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Definition
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Term
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Definition
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Term
| affects metacarpophalangeal joints (wrists)? |
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Definition
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Term
| affects 1st metatarsal phalangeal (podagra) |
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Definition
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Term
| sudden onset at night, inflamm + heat. tophi on feets and hands are indicative of what type of arthritis? |
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Definition
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Term
| smear shows negatively bifringent needlelike crystals are seen in what type of arthritis? |
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Definition
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Term
| "rat bite lesions" seen on xray or also tophi are d/o of what type of arthritis? |
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Definition
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Term
| ingesting what can incr urate production and reduce renal urate excretion in gout pts? |
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Definition
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Term
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Definition
Indomethacin
Colchicine-->stop attack
steroids
decr purine rich foods
avoids diuretics
allopurinol-->prevent attack |
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Term
| Most chronic neck pain is caused by |
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Definition
| DJD--> tx conservatively (PT analgesics rest) |
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Term
| most common traumatic injury that causes neck pain? |
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Definition
| whiplash-->tx w/ early immobilization |
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Term
| most common s/sx of neck pain |
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Definition
| limited cervical mvmt (decr ROM) |
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Term
| neck pain at levels C6-7 indicates, decr DTR in tri/biceps, worse w/ coughing |
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Definition
herniated nucleus palposus--> tx w/ traction, rest and NSAIDS
if failed use injections
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Term
| gradual narrowing of disk space on xray indicates? |
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Definition
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Term
| most (80%) pts w/ low back pain will improve in how many wks? |
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Definition
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Term
| if neurological deficits are not present in pts w/ low back pain how do you tx? |
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Definition
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Term
| + straight leg raise good for detected disc herniation with what levels? |
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Definition
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Term
| dorsiflex foot, knee jerk, and sensation over medial calf in what nn root level? |
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Definition
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Term
| dorsiflex big toe, no jerk reflex, and sensation over medial fore-foot found in what nn root level? |
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Definition
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Term
| eversion of foot, ankle jerk, and sensation over lateral foot for what nn root level |
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Definition
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Term
| chronic inflamm arthritis, symm, assoc w/ AM stiffness |
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Definition
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Term
| Earliest RA xray changes seen in what areas |
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Definition
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Term
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Definition
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Term
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Definition
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Term
| Dx of 4 of 11 sx (malar rash, discoid rash, oral ulcers, arthritis, serositis, renal dz, neuro dz, hemat dz, Ab's and +ANA) |
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Definition
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Term
leading cause of death in pts w/ SLE
early, late |
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Definition
infection! --> opportunistic organisms (early)
atherosclerosis (late) |
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Term
| incidence of MI is ___X > in pts w/ SLE |
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Definition
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Term
| chronic d/o characterized by diffuse fibrosis of skin and internal organs |
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Definition
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Term
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Definition
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Term
| limited dz of scleroderma |
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Definition
CREST syndrome
face/hands
digital ischemia |
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Term
| CREST syndrome (scleroderma) |
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Definition
Calcinosis cutis
Raynauds
Esophageal motility d/o
sclerodactyly
telangiestasia |
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Term
| diffuse dz in scleroderma characterized by |
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Definition
skin changes in trunk/proximal extremities
tendon friction rubs
cardiac dz |
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Term
| both forms of scleroderma have involvement of what sx? |
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Definition
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Term
| dysphagia w/ "sticking" near sternum is found in what dz |
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Definition
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Term
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Definition
| symptomatic and supportive (no meds to alter dz course) |
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Term
| primary manifestation of idiopathic inflamm myopathies |
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Definition
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Term
| gradual and progressive mm weakness (proximal mm) and dysphagia found in what idiopathic inflamm myopathy? |
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Definition
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Term
| how do polymyositis and scleroderma differ from one another in terms of esophageal involvement |
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Definition
scleroderma: sm mm--> sticking
polymositis/dermatomyositis: striated mm --> initial swallow=difficult! |
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Term
| "dusky red" rash in malar distribution, erythema on chest and back ("shaw sign"), scaly patches over PIP/MCP |
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Definition
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Term
| most useful dx and assessment of idiopathic inflamm myopathies |
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Definition
| measurement of serum mm enzymes |
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Term
| anti-Jo 1 AB seen in pts w/ what? |
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Definition
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Term
| only specific diagnostic test for myopathies |
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Definition
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Term
| endomysial infiltration of inflamm infiltrate found in what myopathy? |
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Definition
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Term
| perifascicular atrophy found in what myopathy |
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Definition
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Term
| most pts w/ myopathies respond to what tx |
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Definition
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Term
| sjorgrens syndrome--> think what? |
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Definition
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Term
| autoimmune d/o resulting from dysfxn of exocrine glands? |
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Definition
| sjogrens--> dry eyes/mouth, ect |
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Term
| measures quantity of tears secreted? |
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Definition
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Term
| only specific diagnostic technique for sjogren's |
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Definition
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Term
| urine dipstick + for blood in the absence of RBC's in sediment--> |
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Definition
myoglobinuria
(rhabdomyolysis) |
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Term
| chronic low backache in young adults, worse in the AM, ascending involvement ect |
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Definition
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Term
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Definition
| ensethopathy: achilles tendon, plantar fascitis, and "sausage" fingers |
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Term
| AS will show what lab findings |
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Definition
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Term
| earliest Xray changes for AS seen where |
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Definition
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Term
| squaring and bamboo spine--> |
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Definition
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Term
| aseptic arthritis, conjunctivitis, uveitis, and mucocutaneous lesion most common features of |
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Definition
| Reiter's (reactive) arthritis |
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Term
| usually followed by infx (dysentery or STI)--> days/wks |
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Definition
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Term
| once reiter's develops are ABX used to tx? |
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Definition
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Term
| most common organism in septic arthritis? |
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Definition
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Term
| direct contamination of bones from open fx, surgical proceedures, GSW's, ect |
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Definition
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Term
| sickle cell, IV drug users, and elderly are at highest risk for what type of osteomyelitis |
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Definition
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Term
| prosthetic joint replacement, decubitous ulcer, neurosurgery, trauma are at highest risk to develop what type of osteomyelitis |
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Definition
| contiguous--> soft tissue spread to bone |
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Term
| DM, vascular insuff are at highest risk of what type of osteomyelitis |
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Definition
vascular insufficiency
infxn from skin break |
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Term
| most sensitive test to detect osteomyelitis |
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Definition
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Term
| most valuable test for osteomyelitis when suspected but site cannot be detected |
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Definition
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Term
| most common sites of TB osteomyelitis |
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Definition
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Term
| TB osteomyelitis generally spread how |
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Definition
| hematogenous via primary lesion of resp tract |
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Term
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Definition
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Term
| most serious commplication of spinal TB |
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Definition
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Term
| most affected mm in rotator cuff injuries |
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Definition
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Term
| patients w/ complete rotator cuff tears usually show what |
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Definition
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Term
| tennis elbow affects that aspect of the epicondyle? |
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Definition
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Term
| golf elbow affects what aspect of the epicondyle |
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Definition
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Term
| most common cause of knee complaints |
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Definition
| patellar femoral syndrome (PFS) |
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Term
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Definition
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Term
| pain medial and inferior to knee joint over tibia |
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Definition
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Term
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Definition
| medial meniscus injury--> test w/ twisting action on knee while standing |
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Term
| most common of all sports injuries? what ligament most commonly affected? more severe? |
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Definition
ankle sprain
Lat ligament-->anterior talofibular
more severe--> calcaneofibular |
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Term
| + anterior drawer sign with excessive anterior motion indicates what grade of sprain? |
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Definition
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Term
| most common cause of foot pain in outpatient med? caused by excessive standing, improper footwear. pain in the AM w/ 1st steps |
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Definition
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