Intro to orthopedics
Help!
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show | a branch of medicine that deals w/ the prevention & Rx of bone diseases and surrounding tissue
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what are the common complaints patients come with? | show 🗑
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show | a way to remember what to ask the patient about his pain. S: site, O: onset, C: character, R: radiography, A: associated symptoms, T: time, E: exacerbation and relief, S: severity
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show | a pain that comes with movement. it is the most important type of pain
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show | a pain that is associated w/ inflammation
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show | a pain that appears suddenly, indicates trauma or infection
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what is gradual onset pain and what are its causes? | show 🗑
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show | a pain that starts in one joint then migrates to another and disappears from the first (ex: as in rhematic fever)
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show | a pain that starts in one place and spreads into a broader area within the same dermatome
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match the site of pathology and its associated radiating pain a. cervical spine b. thoracic spine c. lumbar spine | show 🗑
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what is referred pain? | show 🗑
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show | a. lateral aspect of the arm
b. forearm
c. ant thigh and knee
d. calf and thigh
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what is stiffness? | show 🗑
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what does localized stiffness indicate? | show 🗑
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show | systemic disease (ex: RA)
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show | inflammation, seen in: infection, crystal deposition arthritis (GOUT/ pseudogout), trauma
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what does diffuse swelling indicate? | show 🗑
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what does localized swelling indicate? | show 🗑
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show | hemarthrosis (ie. injury of vascularized structure, ex: bone or ACL)
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what does reactive effusion swelling indicate? | show 🗑
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what are the causes of weakness? | show 🗑
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what does bilateral muscle weakness indicate? | show 🗑
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show | weakness of quadriceps and gluteus muscles
characteristic for bilateral muscle weakness
seen in DMD patients
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show | nerve injury, ex: wrist drop indicates radial nerve injury, foot drop indicates peroneal nerve injury
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show | inability to complete full range of motion due to mechanical block in the joint
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show | deviation from normal
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show | medial deviation
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show | lateral deviation
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show | ant deviation
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what is genu procurvatum? | show 🗑
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show | external and internal
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what are equipment used by orthopedics? | show 🗑
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show | look, feel, move
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what does a bruising indicate? | show 🗑
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what are the indications of muscle wasting? | show 🗑
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what does a deformity indicate? | show 🗑
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show | 0.01-10nm
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show | 1. patient profile
2. x-ray details: part, side, view
3. describe pathology: site, shape, displacement
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how to describe fracture site? | show 🗑
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how to describe the shape of a fracture? | show 🗑
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show | a. anglulations
b. translation
c. rotation
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show | a. patient history
b. tumor location
c. margins/ zone of translation
d. periosteal reaction
e. matrix
f. presence of soft tissue component
g. size and no of lesions
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show | margins/ zone of translation and periosteal reaction
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