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MSKL
(DD & HA)
| Question | Answer |
|---|---|
| Sprain | ligament |
| strain | muscle |
| What takes longer to heal? sprain or strain | sprain due to < blood supply |
| Growing pains | 3-5, 8-12 bilateral, not in joints occurs at night, resolved by am, not awaken pt |
| How long does it take for stress fx to heal | 4-12 wks |
| Osgood-Schlatter dx | late child/adolescence male knee pain & swelling w/activity limp tibial tubercle pain & swelling worse w/knee extension |
| Patellofemerol pain syndrome (PFPS) | overuse; runners F> M due to Q angle anterior knee pain w/ activity esp. downhill |
| Chondromalacia patella | cartilage degeneration articular surface of patella overuse cause by PFPS |
| Iliotibial Band syndrome | overuse friction btw iliotibial band and femoral condyle lateral knee pain |
| Rotator cuff | +drop sign difficulty abducting > pain at night |
| Lateral epicondyle | tennis elbow supination against resistance worsens pain |
| medial epicondyle | golfer's elbow |
| common wrist fx | from breaking fall Colles fx of distal radius Scaphoid fx-carpal bones |
| Boxer's fx | 5th metatarsal dorsum of hand |
| Ulnar collateral ligament injury | Gamekeeper's/Skier's from hyperabduction of thumb |
| + McMurrays test | mensiscus injuries rotate foot while holding knee |
| MCL | pain, laxity w/valgus stress (apply medial pressure while pulling ankle outward) |
| LCL | pain, laxity w/varus stress |
| Drawer test | + anterior (ACL) + posterior (PCL) |
| Ottawa Knee Rule for x-ray | 55 or older isolated tenderness of patella tenderness at head of fibula inability to flex 90 degrees can't bear wt immediately or walk more than 4 steps |
| Ottawa Ankle rule | pain in malleolar zone & bone tenderness along distal 6cm of the posterior edge of fibula (tibia) or tip of lateral (medial) malleolus, inability to walk more than 4 steps & in ER |
| Grade of Anke Sprains | 1-mild 2-moderate 3-severe (rupture of both anterior talofibular & calcaneofibular ligaments) |
| Jones injury | 5th metatarsal; painful swollen lateral foot pain |
| Podega | pain & swelling of great toe w/Gout |
| Diagnostic test for gout | uric acid-serum >7mg/dl at time of attack, but 20-30% nml uric acid-24 hr urine, >900 mg suggest overproduction Joint aspiration-gold standard |
| What type of arthritis has morning stiffness and pain after rest? | Osteoarthritis |
| What are the guidelines for diagnosing osteoarthritis? | joint pain osteophytes on xray one of following:over 50, stiffness for 30 min, or crepitus |
| What is the difference in cartilage loss between osteoarthritis and RA? | OA has unequal cartilage loss and RA has symmetrical loss |
| What are the stages of RA | 1-asymptomatic disease 2-disease interfers w/ADLs 3-major compromise-affects life/work 4-incapacitated, bedridden or WC |
| What are constitutional sx of RA? | fatigue, fever, malaise, weakness, wt loss/anorexia |
| Dx criteria for RA | am stiffness for several hrs 3 or more joints w/symmetrical arthritis. arthritis of hands, rheumatoid nodules, +RF, radiologic changes |
| What nodules of the hand are associated with Osteoarthritis? | Herberdens (DIP) Bouchards (PIP) |
| What nodules are assoc with RA? | Swann neck Boutonniere mallet finger |
Created by:
Tabble
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