Term
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Definition
| Severe inflammation of the bone, bone marrow surrounding the tissue |
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Term
| Signs and Symptoms of Osteomyelitis |
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Definition
| Night sweats, fever, constant bone pain that worsens with activity |
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Term
| DX studies of Osteomyelitis |
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Definition
| Culture wound, blood and biospy, bone scan or MRI, XRAY won't show til after 10 days |
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Term
| Treatment of Osteomyelitis |
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Definition
| Treat aggressively, IV vancomycin (peaks and troughs), Surgery, amputation if bone cannot be saved, wound vac, hyperbaric |
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Term
| Complications of Osteomyelitis |
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Definition
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Term
| DX test/Labs for Osteomyelitis |
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Definition
| Watch WBC, ESR, BUN, CRE, ototoxic: ringing in the ears |
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Term
| Nursing Care for Osteomyelitis |
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Definition
| Dressings, Pain control, put in isolation with contact precautions, patient teaching on staying on drugs, have to stay on 6 weeks |
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Term
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Definition
| Bone Tumor, hard masses, beign overgrowth of cartilage, bone over growth plate common in leg and pelvis |
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Term
| Treatment of Osteochondroma |
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Definition
| Painless hard immobile masses, remove if possible |
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Term
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Definition
| Extremely aggressive cancer, Common in young males, Gradual onset, May restrict motion |
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Term
| Treatment of Ostogenic Sarcoma |
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Definition
| To save limb need 6 to 7 cm margin, pre and post chemo, 5 year survival rate 60% |
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Term
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Definition
| Local bone pain, pathological fracture, comes from breast, prostate, lung, colon cancers, spreads into the bone, vertebrae, pelvis, femur, humerus, ribs |
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Term
| Treatment for Metastatic Bone Cancer |
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Definition
| Pallative, pain management |
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Term
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Definition
| X linked, progressive symmetric wasting of skeletal muscle |
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Term
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Definition
| Dx under 5 years old, don't walk after 12 years, mental impairment |
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Term
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Definition
| Dx 5 to 15 years, slower progression, live into 30-40s, cardiomathopy risk |
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Term
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Definition
| Autosomal dominant, slow progression, deafness by 20 years old is common |
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Term
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Definition
| Common in adults, dominant or recessive |
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Term
| Treatment and Outcome for Muscular Dystrophy |
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Definition
Dx: Muscle Biopsy
TX: Corticosteriods, genetic couseling, goal is to preserve muscle function |
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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
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Definition
| Start hot and cold, NSAIDS, PT/OT, muscle relaxants, teach about posture, lift with legs, hold items close to body |
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Term
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Definition
| Narrowing of spinal column |
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Term
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Definition
| Cannot lift leg when laying flat, radiates down leg, MRI gives best detail, be aware of CSF leaks, Worry about CSF fluid (clear) |
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Term
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Definition
| NSAIDS, Muscle Relaxants, Surgery |
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Term
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Definition
| Neuro assessment before surgery, higher the vertebrae, the higher the risk, No twisting and sleep on firm mattress |
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Term
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Definition
| Ricketts in kids, Vitamin D defency |
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Term
| TX for metabolic bone disease |
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Definition
| Sunlight for 10 to 15 minutes a day, vitamin D supplements, weight bearing exercises, Dilatin puts you at risk, "Bow legged" |
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Term
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Definition
| Decrease in density of the bone, osteoclast take over |
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Term
| DX studies for Osteoporosis |
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Definition
| Bone Mineral Density and DEXA |
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Term
| Prevention Tx for Osteoporosis |
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Definition
| Diet (spinach, almonds, sardines, dairy), Supplements 1000mg pre menopausal, 1500mg post menopausal, post meno breast cancer, PE, DVT, Stroke |
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Term
| Drug Therapy for Osteoporosis |
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Definition
| HRT,Calcitonin, Bisphosphonate (Fosamax, Actonel, Boniva), No corticosterioids, methotrexate, ETOH, antiseizure meds, alum antacids, smoking |
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