Musculoskeletal Probs
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| What % of gout is due to "uric acid overproduction"... | ~10%
🗑
|
||||
| What % of gout is due to "urate under excretion"... | ~90% with gout, made worse by renal insufficiency, ETOH abuse, use of diuretics, ASA, other meds
🗑
|
||||
| Allopurinol is used to... | avoid gout...used as a gout prophylaxis
🗑
|
||||
| McMurray (+)... | palpable popping/click on the joint line
🗑
|
||||
| Talar tilt... | increase degree inversion
🗑
|
||||
| Spurling (+)... | radiating pain when pressing on head
🗑
|
||||
| Tinel's (+)... | pain and paresthesia w/ tapping on compressed nerve
🗑
|
||||
| Lachman (+)... | like anterior drawer, but knee @20' excessive movement
🗑
|
||||
| Straight leg raising (Lasegue') (+)... | lower back, sciatic pain
🗑
|
||||
| Drop arm test... | passively abducting patients shoulder
🗑
|
||||
| McMurray shows what condtion... | meniscal tear
🗑
|
||||
| Talar tilt shows what condition... | ankle instability
🗑
|
||||
| Spurling shows what condition... | cervical nerve root compression
🗑
|
||||
| Tinel's sign shows what condition... | carpal tunnel
🗑
|
||||
| Lachman test shows what condition... | anterior cruciate ligament tear (ACL)
🗑
|
||||
| Straight leg raising test shows what condition... | lumbar nerve root condition
🗑
|
||||
| Drop arm test shows what condition... | rotator cuff evaluation
🗑
|
||||
| Osgood~Schlatter disease... | Growing pains below the knee and up the front of the thigh in adolescent children caused by the femur growing in length faster than the muscles that run along it
🗑
|
||||
| Prepatellar bursitis... | Prepatellar bursitis, also known as Housemaid's knee, is a common cause of swelling and pain above the patella (kneecap), and is due to inflammation of the prepatellar bursa; no effusion
🗑
|
||||
| Patellar tendonitis... | Patellar tendinitis (patellar tendinopathy, also known as jumper's knee and Sinding-Larsen-Johansson disease), is a relatively common cause of pain in the inferior patellar region in athletes.
🗑
|
||||
| Reactive arthritis (Reiter syndrome)... | an autoimmune condition that develops in response to an infection in another part of the body; polyarthritis, with rash
🗑
|
||||
| Most common condition of causing lower back pain... | lumbar-sacral strain
🗑
|
||||
| Lumbar-sacral strain is... | spasm, irritation of LS spine supporting muscles
🗑
|
||||
| Lumbar-radiculopathy is... | irritaion or damage of neural structures i.e. L4-L5, L5-S1, most common sites of disc buldge
🗑
|
||||
| Dicomfort characteristics of "LS strain"... | spasm, ache, stiffnes. Position, activity, rest typically impacts pain
🗑
|
||||
| Discomfort characteristics of "lumbar rediculopathy"... | sharp, burn, electricshock sensation; worse with spinal fluid pressure...sneeze, cough, straining
🗑
|
||||
| PE for "LS strain" shows... | spinal muscle tenderness and spasm; neuro exam WNL
🗑
|
||||
| PE for "lumbar radiculopathy" shows... | altered neuro exam: abnormal straight leg raising, sensory loss, altered DTR's
🗑
|
||||
| Spinal x-ray (***not routinely indicated for back pain) is helpful if suspecting... | supspected: fx if major trauma <50yo or minor trauma >50yo, imflammatory bone dz, malignancy, Paget's dz, scoliosis or other anatomical probs, infection or other bony destructive dz
🗑
|
||||
| MRI or CT is done in LS strain or Radiculopathy if... | done for persistent low back pain, potential candidate for surgery
🗑
|
||||
| MRI is good for what type of injury... | soft tissue
🗑
|
||||
| Key features of "cauda equina syndrome".... | urinary retention, motor deficits at multiple levels, fecal incontinence, saddle anesthesia
🗑
|
||||
| Testing indicated for "cauda equina syndrome"... | MRI
🗑
|
||||
| Key features of "vertebral compression fx"... | hx of osteoporosis, use of systemic corticosteroids, older age
🗑
|
||||
| Testing indicated for "vertebral compression fx"... | LS x-ray
🗑
|
||||
| Key features of "ankylosing spondylitis" (chronic inflammatory dz of axial skeleton)... | morning stiffness, improvement with exercise, alternating butock pain, awakening due to back pain during the second part of the night, younger age (20-30yo)
🗑
|
||||
| Testing indicated for "ankylosing spondylitis"... | AP pelvis x-ray, consider ESR and/or CRP, HLA-B27
🗑
|
||||
| Key features of "spinal stenosis"... | radiating leg pain, older age
🗑
|
||||
| Testing indicated for "spinal stenosis"... | initially none, if sx's persist >1 mo consider EMG/NCV
🗑
|
||||
| Normal BMD... | within 1 SD of a "young normal" adult
🗑
|
||||
| Low bone mass BMD ("osteopenia")... | between 1.0-2.5 SD below that of a "young normal" adult
🗑
|
||||
| Osteoporosis BMD... | 2.5 SD or more below that of a "young normal" adult
🗑
|
||||
| Location of "Heberden" nodes | DIP
🗑
|
||||
| Location of "Bouchard" nodes | PIP
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
KimmiNP
Popular Nursing sets