7 Flashcards

1
Q

prevention of diabetic ulcers

A

modify healing detriments

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2
Q

causes of lumbar disc prolapse

A
lifting heavy stuff
age 
decrease H2O contents of disk
disk spaces narrowing 
aggravated by smoking
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3
Q

presentation of nerve root pain

A

limb pain worse than back pain

pain in nerve root distribution

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4
Q

drugs for osteoporosis

A

bisphosphonates
HRT
Selective Estrogen Receptor Modulators (SERMs)

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5
Q

what T score is bad for DEXA scan osteoporosis

A

< -2.5

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6
Q

management foraminal stenosis

A
  • nerve root injection
  • epidural injection
  • surgery
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7
Q

causes of cervical and lumbar spondylosis

A

discs degnerate casuing misalignment of facet joint

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8
Q

management closed nerve injury

A
  • spontaneous recovery is possible

surgery is indicated after 3 months

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9
Q

paraesthetic

A

pins and needles

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10
Q

common causes of axillary nerve palsy

A

shoulder dislocation

fracture @ NOhumerus

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11
Q

management cauda equina syndrome

A

MEDICAL EMERGENCY

emergency operation asap but within 48 hours of onset

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12
Q

management neurotmesis

A

no recovery unless repaired (by direct suturing or grafting)
endoneural tubes disrupted so high chance of “miswiring” during regeneration
prognosis poor

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13
Q

common sources of infection for osteomyelitis

A
  • UTI
  • arterial line
  • open#
  • bone surgery
  • joint replacement
  • haematogenous
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14
Q

presentation tarsal tunnel syndrome

A

numbness in foot radiating to big toe in first 3
pain, burning, electrical sensations
tingling over base of foot or heel

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15
Q

define tarsal tunnel syndrome

A

compression, or squeezing, on the posterior tibial nerve that produces symptoms anywhere along the path of the nerve running from the inside of the ankle into the foot

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16
Q

describe footballers ankle

A

chronic ankle pain caused by bone spurs on anterior aspect of ankle bone, developed by long term kicking

17
Q

potential complications tetraplegia

A
  • resp failure

- hypoxia

18
Q

tetraplegia/ quadriplegia

A

partial or total loss of use of all 4 limbs and the trunk

19
Q

define subluxation

A

partial dislocation - not fully out of joint

20
Q

management open fracture

A
  • photograph
  • tetanus and antibiotic prophylaxis
  • repeated examination
  • no provisional irrigation/ exploration
  • radiographs
  • fixation
  • grafts
  • do not clean unless gross contamination
21
Q

define type III C open #

A
  • high energy
  • extensive soft tissue damage
  • severe fracture
  • > 10cm wound
  • any gunshot/ farm/ segmental# / bone loss/ severe crush injury/ marine

associated neuromuscular complications

22
Q

essential examination for pelvic fractures

A

rectal exam