091514 clinical correlations

Question 1

anterior apprehension test

Answer 1

pt lying supine
arm abducted with elbow bent at 90 degrees
examiner rotates elbow externally

Question 2

sulcus sign test

Answer 2

pull on pt’s arm

if large distance btwn humeral head and acromion, is positive test result

Question 3

if ruptured the Achille’s tendon, what would you see?

Answer 3

limping pretty badly

woulnd’t be able to walk well

Question 4

piriformis syndrome

Answer 4

sciatic nerve is compressed by piriformis

Question 5

symptoms of stress fracture

Answer 5

gradual pain that is exacerbated w/ weight bearing activity but better with rest

Question 6

plantar fasciitis

Answer 6

don’t really see in young

Question 7

sever’s condition

Answer 7

relative wekaness of growth plate compared to tendon strength

inflam of heel at achille’s tendon attachment

Question 8

sever’s condition recommendation w/ regards to activity level

Answer 8

can do activity as tolerated

Question 9

acute compartment syndrome treatment

Answer 9

surgery

Question 10

jersey finger

Answer 10

stretching of flexor muscle of hand when grabbing something and then having it escape–get an avulsion of the muscle

Question 11

treatment for jersey finger

Answer 11

surgery

Question 12

transient synovitis of hip hx

Answer 12

usually ages 3-10

usually viral, post vaccine or drug induced

Question 13

exam findings for transient synovitis of hip

Answer 13

holds hip slightly flexed. restricted abduction and internal rotation

any motion causes pain. child refuses to bear weight

Question 14

treatment for transient synovitis of hip

Answer 14

NSAIDs for 1-3 wks

Question 15

lab findings for transient synovitis of hip

Answer 15

sed rate 35-60 mm/hr

CBC has mild leukocytosis

Question 16

positive log roll means

Answer 16

intraarticular