5/10/13 Flashcards
A pulsatile groin mass below the inguinal ligament.
femoral artery aneurysm
Which segment of the bladder wall is most susceptible to rupture caused by a sudden increase in intravesical pressure? Why?
anterior dome; attenuated and connected to urachus here
What is the only part of the bladder that is intraperitoneal?
dome
What is done for meniscal tears of the knee that are symptoatic weeks after the inciting incident?
surgery
What should be done for pts w/ Sx of peripheral arterial disease (i.e. claudication) but normal ankle-brachial index (ABI)?
post-exercise ABI
Describe the typical presentation of diabetic neuropathy?
bilateral paresthesias in a stocking-and-glove pattern (ascending)
What is typically the cause of tarsal tunnel syndrome?
fracture of an ankle bone
What nerve is compressed in tarsal tunnel syndrome?
tibial
What typically causes tenosynovitis?
puncture or bite wounds
What is the conservative, and preferred, tx for uncomplicated diverticulitis in a relatively healthy pt?
oral Abx, bowel rest, and observation
What are 4 common complications of diverticulitis?
abscess, fistula, peritonitis, obstruction
What is the tx for diverticulitis w/ abscess greater than 3 cm?
CT guided drainage
Weakness of what 2 muscles causes a Trendelenberg gait?
gluteus medius and minimus
What innervates both the gluteus medius and gluteus minimus mm?
superior gluteal nerve
What is the dreaded final complication of compartment syndrome in the arm?
Volkmann’s (ischemic) contracture
What occurs to the tissue in Volkmann’s contracture?
dead muscle is replaced by fibrous tissue
What form does the hand take in Volkmann’s contracture?
claw hand w/ permanent flexion of the fingers
What neurovascular structure is most commonly injured in supracondylar fracture of the humerus?
brachial artery
What nerve is commonly injured in supracondylar fracture of the humerus?
medial n.
What spinal tracts run through this area? What information do they carry?
Dorsal column medial leminiscus; proprioception and vibratory sense
What spinal tracts run through this area? What information do they carry?
anterolateral system; pain and temp, crude touch
