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pauls quiz
traumatology quiz
| Question | Answer |
|---|---|
| Symptoms of fracture | indirect and direct pain, swelling/bruising, deformity, loss of movement, unnatural mobility/crepitus, positive radiography |
| Complications of fracture | Compartment syndrome, infection, bed sores, sudeck's atrophy(complex regional pain syndrone),osteoarthritis, nonunion, malunion |
| Open/compound fracture | bone pokes out through the skin |
| Closed fracture | bone does not poke out through the skin |
| pathological fracture | complicated severe fracture such as a spiral fracture |
| stress fracture | hairline fracture from overuse |
| 5 Ps of ischemia | Pain, Pallor, Parasthesia, Paralysis, Pulselessness |
| Steps in Fracture healing | Tissue destruction, hematoma formation, inflammation and cellular proliferation, calls formation, consolidation, Remodeling |
| Types of tissue injury: | |
| Types of soft tissue injury: | Burns, Open wounds, Sprains, Strains, Contusions, Tendonitis, Bursitis |
| 3 Types of burns | 1st degree-sunburn, swelling, burns superficial layer of skin. 2nd degree-red, blisters, no blanching, 3rd degree- burns through layers of skin. Red or Black and white skin. Loss of fluids, easily infected. |
| 5 types of open wounds | laceration, abrasion, puncture, avulsion(tissue torn off), bullet wound |
| Difference between Strain and Sprain? | Sprain - tears in fibers of a ligament. Strain - tears in fiber of a muscle. |
| Degree of injury of sprains and strains | Grade 1 - mild. Grade 2 - moderate,partial rupture. Grade 3 - severe, complete rupture(hard to distinguish from fracture) |
| Acupuncture for Strains, Sprains, fractures? | Needle above and below injury to help Qi and blood flow through. |
| What is a trigger point? | hyperirritable spot in a muscle associated with a nodule in a taut band. |
| latent vs. active trigger point | active - causes pain. latent - causes pain only on palpation. |
| Formula for Cold Bi | Fang Feng Tang |
| Formula for Wind Bi associated with a W-C invasion(Ying /Wei disharmony | Gui Zhi Tang + Yu Ping Feng San |
| Formula for Cold Bi | Wu Tou Tang or Xiao Huo Lou Dan |
| Formula for Damp Bi | Yi Yi Ren Tang or Juan Bi Tang for Cold-Damp Bi |
| Formula for Heat Bi | Xuan Bi Tang or Bai Hu Jia Gui Zhi Tang |
| Types of soft tissue injury: | Burns, Open wounds, Sprains, Strains, Contusions, Tendonitis, Bursitis |
| 3 Types of burns | 1st degree-sunburn, swelling, burns superficial layer of skin. 2nd degree-red, blisters, no blanching, 3rd degree- burns through layers of skin. Red or Black and white skin. Loss of fluids, easily infected. |
| 5 types of open wounds | laceration, abrasion, puncture, avulsion(tissue torn off), bullet wound |
| Difference between Strain and Sprain? | Sprain - tears in fibers of a ligament. Strain - tears in fiber of a muscle. |
| Degree of injury of sprains and strains | Grade 1 - mild. Grade 2 - moderate,partial rupture. Grade 3 - severe, complete rupture(hard to distinguish from fracture) |
| Acupuncture for Strains, Sprains, fractures? | Needle above and below injury to help Qi and blood flow through. |
| What is a trigger point? | hyperirritable spot in a muscle associated with a nodule in a taut band. |
| latent vs. active trigger point | active - causes pain. latent - causes pain only on palpation. |
| Formula for Cold Bi | Fang Feng Tang |
| Formula for Wind Bi associated with a W-C invasion(Ying /Wei disharmony | Gui Zhi Tang + Yu Ping Feng San |
| Formula for Cold Bi | Wu Tou Tang or Xiao Huo Lou Dan |
| Formula for Damp Bi | Yi Yi Ren Tang or Juan Bi Tang for Cold-Damp Bi |
| Formula for Heat Bi | Xuan Bi Tang or Bai Hu Jia Gui Zhi Tang |
| Formula for Stubborn Bi | Shen Tong Zhu Yu Tang + Er Chen Tang |
| 3 Common underlying causes of Bi Syndrome | Qi and Blood Xu, KD Yang Xu, KD Yin Xu |
| Pain Assessment strategies | Ask pain history, pain type, pain pattern, intensity, location, factors which ease or exacerbate pain, pschosocial quality-of-life factors |
| Pain interview | Ask patient to describe pain,is is throbbing?burning?, shooting? Onset? Intensity?Location?better or worse with? How does pain affect functioning, life and family? |
| ABCDE for pain management | ASK about pain regularly, BELIEVE the patient, CHOOSE appropriate pain control, DELIVER intervention in timely/cordinated way, EMPOWER and ENABLE patients to control treatment amap. |