Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

SD- ER pt 1 > Back Lecture > Flashcards

Back Lecture Flashcards

You may prefer our related Brainscape-certified flashcards:
Royal College: Emergency Medicine flashcards
1
Q

MC MSK complaint in ER

MC cause of work related disability in persons under 45 yo

A

Back pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Which level is…

toe walking

A

S1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Which level is..

plantarflexion

A

S1, S2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What level is..

Heel walking

A

L5

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What level is..

Dorsiflexion

A

L4

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What level is…

Squat and rise

A

L4

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What level is..

Achilles reflex

A

S1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What level is..

Patellar reflex

A

L3-L4

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

1-3% of back pain
may complain about radicular pain (leg pain)

*pos straight leg raise ~80% sensitive
*pos crossed straight leg raise highly specific, but not very sensitive

A

Sciatica

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

For sciatica, 95% of herniations occur at…

A

L4-L5 or L5-S1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Tx of sciatica if no other risk factors/neuro compromise

A

tx conservatively

**80% will improve without surgery, 50% within 6 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Symptoms present during 6th decade of life
pain is worse with standing and extension, relieved with rest and flexion

A

Spinal stenosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

T or F…

Spinal stenosis can cause leg pain (pseudoclaudication)

A

True!

*refer these pts to a spinal surgeon

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Spinal cord compression, cauda equina, conus medullaris syndrome

..these are all example of?

A

compression syndromes

(you treat all of them the same)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Compression syndromes may be caused by….

A

Tumors
Infection
Massive disc herniation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Tx= 10mg dexamethasone IV before diagnostic testing

A

Compression syndrome

17
Q

If you are suspecting a tumor as the cause of compression syndrome, what image should you get?

A

MRI of entire spine

18
Q

Spinal infections can be seen in…

A

Immunocompromised
DM
IVD
Cancer
Organ transplant
Recent LP

19
Q

Fever seen in 50%

Vertebral body tenderness to percussion

A

Spinal infection

20
Q

Plain films are helpful in..

A

Vertebral osteomyelitis

21
Q

Gold standard image for spinal infections?

A

MRI

22
Q

Tx for spinal infections?

A

Long term IV then PO abx

SD- ER pt 1 (8 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions