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Test 4 Health Assessment Musculoskeletal/breast
Test 4 Health Assessment Musculoskeletal/breast
46
Medical
Graduate
04/21/2015

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Cards

Term
which type of disease causes swelling and tenderness to the entire joint?
Definition
articular disease
Term
What structures are involved in articular disease
Definition
1. joint capsule
2. articular cartilage
Term
which type of musculoskeletal disease, articular or extra-articular, has pain related to a inflammatory or infectious process
Definition
Extra-artciular disease (b/c they have more blood flow and more interaction with surrounding tissue to be infected and be inflammed)
Term
what type of joints is completely immovable? Which type is freely movable? Which is in betwee?n
Definition
1. freely movable = synovial joints 2. slightly movable = cartilaginous joint 3. Immobile = fibrous joint
Term
what type of synovial joint is convex or concave. give an ex
Definition
Condylar synovial joints (knee, TMJ)
Term
which type of synovial joint is flat, planar
Definition
hinge synovial joints (elbow).
Term
Which type of synovial joint is has free motion in the coronal plane
Definition
condylar
Term
give two examples of a spheroidal synovial joint
Definition

shoulder / hip

 

-sphere in a socket. Convex structure in a cocave structure

Term
a ball and socket joint is also called a ___ synovial joint
Definition
spheroidal synovial joint
Term
a pain localized to one joint is also called
Definition
monoarticular pain
Term
What type of arthritis is associated with systemic disease that also causes a scaly rash
Definition
psoriatic arthritis
Term
A bull's eye rash + joint pain or inflammation is often associated with what disease
Definition
Lyme's disease
Term
A sore throat that leads to arthritis like Sx in your joints can be from what two etiologies
Definition
1. Rheumatic Fever
or
2. Gonococcal Arthritis
Term
what three diseases can contribute to joint problems and Abdominal sx
Definition
1. Ulcerative colitis
2. regional enteritis
3. Scleroderma
Term
Does septic arthritis affect both sides or confined to one side for joint
Definition
Asymmetric
Term
is RA symmetrical in its presentation on patients
Definition
YES. Both sides affected
Term
If a patient has SQ Nodules and joint issues they most likely are suffering from what
Definition
RA
Term
If you note crepitus at the joints it can be from what two diseases
Definition
1. osteoarthritis
2. tenosynovitis
Term
a limitation in range of motion of your joint is called
Definition
anyloses
Term
instability and looseness in your joint is called?
Definition
laxity
Term
what area of the body is involved in sciatica
Definition
The dermatones that are associated with the sciatic nerve which starts on the lower back runs down over the gluteal muslces, back of the upper thigh, then to the calf and foot.
Term
patient states pain in their lower body increases with cough or straining..what is it
Definition
sciatica
Term
patient notes that their back and lower body pain resolves when they put their legs up on pillows.. whats the cause
Definition
spinal stenosis
Term
is cauda equina an emergency
Definition
YES
Term
A patient looses their bowels and is incontinent what can this be..happened all of sudden
Definition
Cauda equina syndrome
Term
List some serious risks factors that make you more concern if a patient is having lower back pain
Definition
1. Age >50
2. Hx of cancer
3. Pain >1 month unresp to trt
4. pain at night
5. pain at rest
6. IV drug user
7 Presence of an infection
Term
what nerves are involved with the sciatic nerve
Definition
S3, S4, S5
Term
A patient with neurological changes to their lower extremiteis around the perineum, external genitalia, annus and inner thighs may have what
Definition
cauda equina syndrome. (SADDLE AREA)
Term
chronic inflmmation of the synovial membranes is related to what disease
Definition
Rheumatoid arthritis
Term
what gender is RA most common with?
Definition
Women age 30-50 years of age
Term
This patient has weakness, fatigue
Definition
Term
What percentage of women with a breast lump have breast CA
Definition
11%
Term
IF a patient has their menses when should you exam their breasts? Why
Definition
5-7 days AFTER. High estrogen levels enlarge everything. You want to wait until they wear off.
Term
List four things you may find in a breast exam that indicate a higher liklihood of breast CA
Definition
1. thickening and prominence of pores of breast
2. Flattening of the normally convex breast
3. asymmetric directions of the two nipples in different positions
4. retracted nipples that are broadened and thickened.
Term
what are the chances for women getting breast CA
Definition
1 in 8 women
Term
Name the four positions the female patient needs to be in for a breast exam
Definition
ALL SITTING:
1. arms at side
2. arms over head
3. Hands pressed against hips
4. leaning forward
Term
a firm disc of glandular enlargement in men is called
Definition
gynecomastia
Term
why would adolescents get gynecomastia
Definition
from estrogen and androgen derrangement
Term
whats the different in obese male breast and males with gynecomastia
Definition
Obese breasts are soft and fatty while gynecomastia are firm
Term
If patient has infection of his armpits its called
Definition
hidradenitis suppurativa
Term
Deeply pigmentedk, velvety axillary skin is caused by
Definition
acanthosis nigricans
Term
What is hidradenitis suppurativa, what age group gets it the most often
Definition
sweat gland infection with clusters of abcesses or SUB Q boil like infection. Most common in late teens and early 20's
Term
Acanthosis nigricans: is it inherited?
Definition

YES. Autosomal dominant

 

Acanthosis nigricans is a brown to black, poorly defined, velvety hyperpigmentation of the skin. It is usually found in body folds,[1]such as the posterior and lateral folds of the neck, the armpitsgroinnavelforehead, and other areas.

Term
Milky discharge unrelated to pregnancy is called
Definition

nonpuerperal galactorrhea

 

Remember mother's milk is lactose which is made up of the simple sugars glucose and GALACtose

Term
malignant drainage from nipple is what color. What three things should you think as culprits
Definition

RED DISCHARGE = malignant 1. papiloma 2. Ductal carcinoma 3. Paget's disease

 

paget's disease is a more rare form of breast cancer that originates in the nipple and milk ducts. 

Term
Benign drainage is what colors? Caused by what three thigns
Definition
Benign = clear, green ,serous, black 1. hypothyroidism 2. pituitary prolactinoma 3. dopamine agonist
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