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ECOS Midterm Exam > Approach to Joint Complaint > Flashcards

Approach to Joint Complaint Flashcards

1
Q

Process of “Thinking like a Doctor”

A

(1) develop broad based differential diagnosis
(2) narrow the differential with H & P
(3) develop working differential diagnosis
(4) pursue the working differential diagnosis
(5) assessment and plan

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2
Q

Dislocation

A

complete lack of contact between joints

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3
Q

Subluxation

A

residual contact between 2 articular surfaces

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4
Q

Mono-articular

A

one joint

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5
Q

Poly-articular

A

multiple joints

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6
Q

Migratory

A

moves from one joint to another

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7
Q

Extra-articular

A

outside the joint

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8
Q

Intra-articular

A

inside the joint

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9
Q

Myalgia

A

muscle pain

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10
Q

Arthralgia

A

joint pain

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11
Q

Tendonitis

A

inflammation of the tendon

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12
Q

Bursitis

A

inflammation of the bursa

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13
Q

Tenosynovitis

A

inflammation of the tendon sheath

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14
Q

Effusion

A

fluid in the joint

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15
Q

Always check neurovascular status ___ to the injury

A

distal

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16
Q

Deep Tendon Reflexes: Bicep

A

Associated Myotomes:
C5, C6

16
Q

Deep Tendon Reflexes: Bicep

A

Associated Myotomes:
C5, C6

17
Q

Deep Tendon Reflexes: Brachioradialis

A

Associated Myotomes:
C5, C6

18
Q

Deep Tendon Reflexes: Triceps

A

Associated Myotomes:
C6, C7

19
Q

Deep Tendon Reflexes: Knee

A

Associated Myotomes:
L2, L3, L4

20
Q

Deep Tendon Reflexes: Achilles

A

Associated Myotomes:
S1

21
Q

C3 Dermatome

A
  • Front of neck
  • Back of neck
22
Q

C2 Dermatome

A

Ears

23
Q

T4 Dermatome

A

Nipples

24
Q

C6 Dermatome

A
  • Anterior lateral forearm
  • Thumb
  • Lateral half of 2nd digit
25
Q

C8 Dermatome

A
  • Posterior medial forearm
  • 5th digit and most of 4th digit
26
Q

T10 Dermatome

A

Umbilicus

27
Q

L1 Dermatome

A

Inguinal

28
Q

S5 Dermatome

A

Perianal

29
Q

Top Causes of Life-Threatening Joint Pain

A
  • Septic Arthritis
  • Referred Pain (MI, Intraperitoneal Hemorrhage, Lung Pathology)
30
Q

Traumatic Joint Pain

A
  • Extra-articular Bone: fractures, dislocations
  • Extra-articular Soft Tissue: myofascial, ligaments, tendons, bursae
  • Intra-Articular: cartilage, joint capsule, bone
31
Q

Atraumatic Joint Pain

A
  • Intrinsic (Intra- and Extra-Articular): overuse injuries, joint instability, tendinitis, tendinopathy, impingement syndrome, bursitis, synovitis, capsulitis, OA, septic arthritis, gout, pseudogout
32
Q

Septic Arthritis

A
  • More frequent in: DM patients, intravenous drug abuse patients
  • knee involved in more than 50% of cases
  • joint is erythematous, swollen, warm, and painful to touch
  • limited AROM and PROM
  • Diagnostic: x-rays, labs, aspiration of synovial fluid
  • Treatment: antibiotics, I&D surgery

ECOS Midterm Exam (19 decks)

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