Ortho
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| pain over styloid w/o truama | DeQuervain's
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| Pain at base of thumb | CMC arthritis
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| Pain w/ well defined mass | ganglion
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| pain, loss of motion. on xray lunate appears really white | Kienbochc's, osteonecrosis of the lunate
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| widening of space between the scaphoid and lunate consistant w/dislocation | Terry-Thomas Sign
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| numbness in the hand is .... | carpal tunnel until proven otherwise
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| what is ulanr sided numbness consistant w/ | cubital tunnel
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| what organism is most common in dog/cat bites? | pasteurella multocida
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| Tx for carpal tunnel | wrist splint, NSAID, injections, decrease activity, surgery
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| Adverse outcomes of carpal tunnel | permanent loss of sensation, thenar atrophy, weakness of opposition
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| indicated by a positive Findlestein Test | deQuervain Synovitis
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| Tx for deQuervain Synovitis | thumb spica splint, NSAID, injection, surgery
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| nodular thickening and contracture of the palmar fascia; seen in northern european decent and men >50 | Dupuytren Dz
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| Presents w/ one or more painless nodules at distal palmar crease; finger may not flex at MCP; ring finger most common, extension limitied. Pt has trouble griping/holding obj/putting hand in pockets | Dupuytren Dz
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| Tx Dupuytren Dz | splints, surgery
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| In what infxn of the fingertip is I&D contra-indicated | Herpetic Whitlow
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| presents as severe pain and swelling at the finger pad, swollen red and tense w/ possible puncture wouldn | Felons: tx I&D
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| Swelling of tissues around the finger nail, usually one side at the base; not as painful | paronychia
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| What should you never inject into digits? | EPINEPHERINE
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| Lacerated FDP - unable to flex... | DIP
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| Lacerated FDS - uanble to flex... | PIP
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| "Jersey Finger" is an avulsion of... | FDP at the insertion
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| Most common raius fracture: fragment is upward and dorsal | Colles fracture
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| Radius fracture: fragment is downward and volar | Smith fracture
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| Where do most scaphoid fractures occur? | 60% in waist
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| How long may it take for a schaphoid fracture to show on xray? | 1 month
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| What is the most common hand fracture? | 5th metacarpal
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| Fracture of distal metaphysiseal injuries from striking a closed fist against a hard surface | Boxer's Fracture - 5th metacarpal
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| Oblique fracture at the base of the thumb that enters the CMC joint | Bennett fracture
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| Y-Shaped intra-articular fracture at the base of the thumb | Rolando
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| Osteonecrosis of the lunate aka... | Kienboch Disease
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| What age range does Kienboch Dz affect | men 20-40 y/o
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| presents w/ pain stiffness, diffuse swelling over the dorsum of the wrist. possible weaness. inability to grasp heavy obj. lunate tenderness. | Keinboch dz
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| WHITE LUNATE on xray | Keinboch dz
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| Rupture or avulsion of the insertion of extensor tndon into the dorasl aspect of the distal phalanx; may be bony or soft tissue | Boney or soft tissue mallet
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| Pain and inability to straighten fingertip. DIP is flexed. dorsal areal over DIP is tender and swollen | Boney or soft tissue mallet
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| ulnar collateral ligament injury of thumb | Gamekeeper's Thumb
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| flexor tendon can not bowstring | trigger finger
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| 2 causes of trigger finger | idiopathic or RA
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