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Musc 2 Ortho 2

Orthopedics part 2

QuestionAnswer
What infection is classically a/w cold agglutinins? Mycloplasma pneumonia
What is the most likely cause of secondary HTN given the following findings?: HTN measured in the arms but low BP in the LE coarctation of the aorta
What is the most likely cause of secondary HTN given the following findings?: proteinuria renal dz
What is the most likely cause of secondary HTN given the following findings?: hypokalemia hyperaldosteronism
What is the most likely cause of secondary HTN given the following findings?: tachycardia, diarrhea, heat intolerance hyperthyroidism
What is the most likely cause of secondary HTN given the following findings?: hyperkalemia renal failure
What is the most likely cause of secondary HTN given the following findings?: episodic sweating, tachycardia pheochromocytoma
What is the cause of erythroblastosis fetalis? mom's Rh - Ab attack the fetus' Rh + RBCs
A sprain is an injury to what? What f'n does this structure serve? Ligaments (connect bones to bones)
Tx for sprains? RICE: rest, ice, compression, and elevation
What is a long-term complication of meniscal debridement? Osteoarthritis in treated knee
6 P's of compartment syndrome? Pain, pallor, poikilothermia, pulseness, parasthesias, and paralysis
A pt comes in with a painful, swollen leg but his pulses are still present. Can you rule out compartment syndrome? No way!
Which type of fracture is highly a/w compartment syndrome? Tibial fracture
Cauda equina syndrome is a d/o of which part of the spinal cord? Spinal n roots
What type of knee injury matches the following statement?: MCly injured knee ligament MCL
What type of knee injury matches the following statement?: positive Lachman test ACL tear
What type of knee injury matches the following statement?: positive McMurray test aids in dx Meniscus tear
What type of knee injury matches the following statement?: common dashboard knee injury in MVA PCL tear
What measured pressures are a/w compartment syndrome? >30mmHg or within 20 of DBP
For what grade sprains should a lace-up ankle support be used rather than a semi-rigid ankle supports? Grade 1 or grade 2
What imaging study is preferred for imaging of soft tissue in joint injuries such as ligamentous tears? What about bone? Soft tissue: MRI. Bone: CT.
How is compartment syndrome diagnosed? Needle manometry
What is the tx for compartment syndrome? Emergent fasciotomy
What imaging study is best for detecting spinal cord compression? Which is best for detecting spinal cord lesions as in MS? Spinal cord compression: CT. Spinal cord lesions (MS): MRI.
What is the best imaging study for visualizing the brachial plexus? MRI
WHat is the cause of low back pain given the following hints at presentation?: pain increases with passive straight leg raise Disc herniation
WHat is the cause of low back pain given the following hints at presentation?: pain lessens with flexion at the hips (e.g., bending over a shopping cart) spinal stenosis
WHat is the cause of low back pain given the following hints at presentation?: elderly, weight loss, pain constant but worse when supine Spinal tumor
WHat is the cause of low back pain given the following hints at presentation?: acute urinary retention cauda equina syndrome
WHat is the cause of low back pain given the following hints at presentation?: pain made worse by walking and standing (AKA pseudoclaudication) lumbar spinal stenosis
WHat is the cause of low back pain given the following hints at presentation?: loss of foot dorsiflexion and pain on crossed straight leg raise disc herniation
WHat is the cause of low back pain given the following hints at presentation?: pain limited to the paraspinal region m strain
A pt comes to the ER s/p MVA with a suspected tib/fib fracture. The pt's lower leg is pale, dorsalis pedis pulse is absent, and the pt has pain with passive motion of the leg. What is the tx? emergent fasciotomy
A young woman thrown from a horse presents with low back pain, urinary retention, saddle anesthesia, and decreased rectal tone. What is the tx for her condition? Emergency decompression of the spinal cord and IV steroids to decrease spinal cord inflammation
Assuming brachial plexus injury of sacral plexus as the cause of these deficits, what n root level is injured in the following scenario?: parasthesia to the lateral foot S1
Assuming brachial plexus injury of sacral plexus as the cause of these deficits, what n root level is injured in the following scenario?: loss of foot dorsiflexion L4
Assuming brachial plexus injury of sacral plexus as the cause of these deficits, what n root level is injured in the following scenario?: anterior shoulder numbness C5
Assuming brachial plexus injury of sacral plexus as the cause of these deficits, what n root level is injured in the following scenario?: loss of the ability to spread the fingers T1
Assuming brachial plexus injury of sacral plexus as the cause of these deficits, what n root level is injured in the following scenario?: parasthesia to the posterior forearm C7
What test confirms the dx of spinal stenosis? CT or X-ray
Tx for neuropathic pain in degenerative disc dz? Gabapentin or pregabalin
Tx for neuropathic pain with comorbid depression in degenerative disc dz? Duloxetine. TCAs (amitriptyline and nortriptyline) are a cheaper option. Avoid amitriptyline in elderly due to anticholinergic SE.
Back pain radiating to epigastrium with high amylase and lipase? Pancreatitis
Back pain radiating to epigastrium with pulsatile abd mass? Triple A
Back pain worse at rest, better with activity? Ankylosing spondylitis, esp in male in 20s-30s
Back pain along spine with spinal asymmetry? Scoliosis
Back pain along spine with systemic symptoms? Meningitis, discitis, or osteomyelitis
Back pain along spine with abnormal gait? Spondylolithesis
Created by: sarah3148