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health assessment 3c
musculoskeletal
Question | Answer |
---|---|
rheumatoid arthritsis (RA) | chronic, systemic inflammatory disease of join + surrounding CT -symmetrical, bilateral + characterized by heat, redness, swelling, + painful motion of affected joint -associated w/fatigue, weakness, anorexia, weight loss, low grade fever, lymphadenopat |
osteoarthritis (degenerative joint disease) | noninflammatory, localized, progressive disorder involving deterioration of articular catilages + subchondral bone + formation of new bone -affects hands, knees, hips, + lumbar +cervical ligaments of spine -become stiff, swell, bony protuberances, pain |
ankylosing spondylitis | chronci progressive inflammation of spine, sacroliliac, + larger joints of extremities, leading to bony akyosis + deformity common in men by 10:1 |
osteoporosis | decrease in skeletal bone mass occuring wen rate of ben resorption is > then bone formation -postmenopausal white women |
atrophy | loss of muslce mass is exhibited as lack of fullness surrounding deltoid muscle |
dislocated shoulder | exhibited wen hunching shoulder forward + the tip of clavicle dislocates -occur w/trauma involving abduction, extension, + rotation |
joint effusion | swelling from excess fluid in joint capsule, from rheumatoid arthritis |
tear of rotator cuff | haunched position + limited abduction of arm -(+) drop arm test: if arm is pasively abducted @ shoulder cant hold arm and drop @ side |
frozen shoulder-adhesive capsulitis | fibrous tissues form from joint capsule, causing siffness, progressive limitated of mothion + pain -associated with prolonged bed rest |
subacromial bursitis | inflammation + swelling of subacromial bursa over shoulder cause limited ROM +pain with motion |
olecranon bursitis | large soft knob or goose egg, + redness from inflammation of olecranon bursa -localized + easy to c bc burse lies just under skin |
gouty arthritis | joint effussion or synovial thickening, seen first as bulge or fullness in grove -redness + heat can extend beyoned are -soft, boggy, or fluctuant fullness to palpation |
subcutaneous nodules | raised, firm, nontender nodule that occur w/RA -common site in olecron burse -skin sliddes freely over nodule |
epicondylitis-tennis elbow | chronic disabling pain @ lateral elbow humerus, radiatesdown to forearm |
ganglion cyst | round, cystic, nontender noduel overlying a tendon sheath or joint capsule |
carpal tunnel syndrome w/atrophy of thenar eminence | caused by chronic repetive motion (30-60 women) -symptoms of CTS include pain, buring + numbness, + Phalens + Tinels test |
ankylosis | wrist in extreme flexion due to sever RA |
Colles' fracture | nonarticular fracture of distal radius w or w/o fracute of ulna -wrist looks puffy, with silver fork deformity |
dupuytren's contracture | chronic hyperplasia of palmar fascia causes flexion contractures of digits, 1st in 4th digit then in 5th , then3rd -men past 40, bilateral |
swan-neck | flexion contracture resemvles curve of swan neck -occurs with chronic RA + is often |
boutonniere deformity | knuckle looks as if it is being pushed through a buttonhole |
ulnar deviation or drift | fingers drift to ulnar side bc of stretching of articular capsule + muscle imbalance -caused by chronic RA |
degenerative joint disease or osteoarthritsis | characterized by hard, nontender nodules, 2 to 3 mm or more -osteophytes of distal interphalangel joins are called Heberdens nodes, proximal interphalangela joins are bouchards nodes |
acute RA | painful swelling of joins, with fusiform or spindle-shaped swelling of soft tissue of proximal interphalangeal joins -symmetric swelling, warmhands, veins engorged |
syndactyly | webbed fingers are congenital deformity, requires surgical seperation -metacarpasls + phalanges of webed fingers r different lengtsh + joints do not line up |
polydactyly | extra digit r congential deformiy, occur at 5th or thymb |
mild synovitis | loss of normal hollows on either side of patella, which r replaced by mild distention -occur w/synovial thickening or effussion |
prepatellar bursitis | localized swelling on anterior knne between patell + skin |
swelling of menisci | localized soft swelling from cyst in lateral meniscus hsows at midpoint of anterolateral joint line |
osgood-schlatter disease | painful swelling of tibial tubercle just below the knee, probably from repeated stres on patellar tendon -occur in puberty |
chondromalacia patellae | degeneration of articular surface of patellae -occur in female |
achilles tenosynovitis | itis of tendon sheath near ankle, produces a superficial linear swelling + localized tenderness |
tophi with chronic gout | hard, painless nodule over metatarsophalangel joint of first toe -tophi are collections of Na urate crystales due to chronic gout in + around joingt that casue extreme swelling + joint deformity |
acute gout | involves 1st metatarsophalegel joint -redness, swelling, heat + extreme tnederness |
callus | hypertrophy of epithelium develops bc of prolonged presure, commonly on plantar surface of the 1st metarsal head |
plantar wart | vascular papillomatous growth probably due to a virus + occurs on sole of foot, common at ball |
hallux valgus with buninon + hammertoes | 1. coomon deformity of RA, lateral or outward deviation of great toe w/medial prominence of head of 1st metarsal 2. buinon: inflammed bursa that forms at pressure point 3. hammertoe: deformity of 2,3,4,5 toes 4. corns: thickening of soft tissue |
ingrown toenail | misnomer; nail does not grow in but the soft tissue grows over the nail + obliterates the groove |
scoliosis | lateral curvature of thoracic + lumbar segements of spine -functional: apparent wen standing, flexible, -structual: fixed, stand + bend, |
herniated nucleus pulposus | nucleus ruptrues into spinal canal + puts presure on local spinal nerve root -sciatic pain, numbness, + paresthesia of involved dermatome; decreased mobilitiy, low tenderness |
talipes equinovarus (clubfoot) | congenital, rigid, + fixed malposition of foot: inversion, forefoot adduction, foot pointing downward |
spina bifida | incomplete closure of posterior part of vertebrae results in nerual tube defect |
phalens test | reproduce numbnees + burning in person with CTS (-) no symptoms |
tinel's sign | in CTS percussion of median nerve produce burning + tingling along its distribution |