Adult Orthopedics 2 Flashcards

0
Q

Management of tibial or fibular fracture?

A
#Casting if easily reduced; 
#intramedullary nailing if cannot be aligned
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1
Q

Most common locations for developing compartment syndrome?

A

Leg and forearm

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2
Q

Patient playing tennis hears loud popping noise and falls. Suspected diagnosis? Sign and symptoms? Management?

A

Ruptured Achilles tendon

Limited plantar flexion with pain, swelling, limping

Casting in equinas position Or surgery

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3
Q

Mortise x-Ray looks at what?

A

Fracture the ankle

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4
Q

Most common causes of compartment syndrome?

A
#Fracture with closed reduction
#Ischemia with reperfusion
#Crushing injuries
#trauma
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5
Q

Pt presents with pain under a cast - next step?

A

Remove cast and look at limb

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6
Q

Management of open fracture?

A

Cleaning in the OR and reduction six hours of injury

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7
Q

Patient gets into car crash and knees hit dashboard. Likely injury? Signs? Management?

A

Posterior dislocation of the hip

A pain with shortened, adducted, internally rotated legs

Emergency reduction to avoid avascular necrosis

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8
Q

Patient steps on rusty nail in mud. Worried about? Treatment?

A

Gas gangrene

IV penicillin, hyperbaric oxygen, surgical debridement

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9
Q

Specific fracture with radial nerve injury? Management?

A

Distal/middle humorous

#Reduction and casting
#Surgery if nerve paralysis develops or remains after reduction
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10
Q

Posterior dislocation of the knee – injured artery?

A

Popliteal artery

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11
Q

Patient falls from height – look for fractures where?

A

Foot/leg AND lumbar/thoracic spine

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12
Q

Patient with facial fracture or head injury – always evaluate?

A

Cervical spine

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13
Q

Point of imaging patients with carpal tunnel? Surgery when?

A

Not to diagnose (diagnosis is clinical) but to rule out other things

  1. Splints and anti-inflammatory agents
  2. Electromyography
  3. Surgery
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14
Q

Trigger finger – Surgery when?

A
  1. Steroid injection

2 it fails, surgery

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15
Q

DeQuervain tenosynovitis? Surgery when??

A

Pain along radial side of wrist from holding babies head (seen in young mothers)

First try Splints, anti-inflammatory agents, steroid injection. Surgery rarely needed

16
Q

Dupuytren contracture? Population?

A

Contracture of the palm of the hand with palpable nodules

Older Norwegian men

Surgery when hand can no longer be placed flat