3.1 Flashcards
Which is more infectious, chickenpox or shingles?
chickenpox
what cells do we see in shingles?
multinucleated giant cells
when shingles is reactivated, which way does it travel (anterogradely or retrogradely)
anterogradely
Does shingles rash cross the midline
no
Which roots are most commonly affected in shingles
thoracic
lumbar
when is a patient with shingles no longer infectious
7-10 days; after rash has healed over
What ganglion are activated in Ramsay Hunt
geniculate ganglion or dorsal root ganglion
What nerves are affected in Ramsay Hunt
CN7
Possible CN8
Will facial paralysis be contralateral or ipsilateral for shingles
Ipsilateral
what nerve roots are involved in herpes zoster ophthalmicus
trigeminal ganglion or dorsal root ganglion
what nerve is affected in herpes zoster ophthalmicus
ophthalmic division of trigeminal nerve
What sign is commonly seen in herpes zoster ophthalmicus
hutchinson’s sign
eye involvement in shingles indicates what other nerve could be involved
nasociliary nerve
sciatic nerve controls what dermatomes?
L4-S2
what is the most common cause of lower back pain
lumbar strain
what is lumbar strain
acute tear or stretch of paraspinal muscles
muscle spasms in lumbar strain are related to
activity; pain worsens with activity
do most herniations occur posteriorly or anteriorly? why?
posteriorly; posterior longitudinal ligament is much narrower
At what level is herniated disc most common
L5-S1
what is the most common organism is osteomyelitis
staph aureus
what bacteria is associated with osteomyelitis in someone after prosthetic joint placement
staph epidermis
what bacteria is associated with osteomyelitis in someone with SCD
salmonella
what bacteria is associated with osteomyelitis in neonates
Group B strep
what bacteria is associated with osteomyelitis in someone with puncture wounds through tennis shoes
pseudomonas
very common symptom of osteomyelitis
refusal to bear weight