BOC Review Flashcards
Pes Planus
Flat Footed
Pes Cavus
High Arched
Genu Valgus
Knees in
Genu Varus
Knees out (Bowlegged)
Coxa Valga
Deformity of the hip where the angle formed between the head and neck of the femur and its shafts is increased, usually above 135 degrees. It is caused by a slipped epiphysis of the femoral head.
Coxa Vara
A deformity of the hip, where the angle between the head and the shaft of the femur is reduced to less than 120 degrees. Commonly caused by injury, such as a fracture.
McBurney’s Point
A name given to the point over the right side of the abdomen. This point roughly corresponds to the most common location of the base of the appendix. Appedicitis.
Kerr’s Point
Referred pain in the left shoulder. Ruptured spleen.
Erb’s Point
TOS above the clavicle.
Mallet Finger
Injury to the extensor tendon of the DIP. Pt is unable to extend DIP. The distal phalanx stays in flexion.
Boutonniere Deformity
Injury to the extensor hood of the finger. Pt is unable to extend the IP joint of the finger.
DIP - Extension
PIP- Flexion
MCP - Extension
Swan Neck Deformity
Stretching of the volar plate causing hyperextenion.
Flexion of the DIP, Hyperextension of the PIP
Dupuytren’s Contracture
AKA palmar fibromatosis or morbus Dupuytren.
A flexion contracture of the hand due to a palmar fibromatosis, and pt cannot fully extend. Usually in 4th and 5th digits.
Trigger Finger
A common disorder characterized by catching, snapping or locking of the involved finger flexor tendon associated with dysfuncition and pain.
AKA stenosing tenosynovitis.
Normal Leukocyte Count per cu mm
4000 to 10000/cu mm
Spondylolisthesis
When the vertebrae slips forward (anteriorly) over the bone below it.
Spondylolysis
Fx in the pars interarticularis.
Spondylosis
Degenerative osteoarthritis of the vertebrae or neural foramina.
Osetoarthritis
A type of arthritis, aka degenerative joint disease. Results from the breakdown of joint cartilage and underlying bone.
Rhuematoid Arthritis
An type of arthritis that is actually an auto-immune disease.
Cyanosis
Blue of purple coloration of the skin, having low oxygen saturation.
Levator Palpebrae superioris
Superioris - elevates the eyelid
Inferioris - Depresses the eyelid
Orbicularis Oculi
Closes the eye
Bankhart lesion
A lesion to the anterior capsule of the shoulder with an associated tear of the glenoid labrum.
Usually the result of a dislocation, and is accompanied by an Hill-Sachs Lesion.
Hill-Sachs Lesion
A cortical depression in the posteriolateral head of the humerus.
Resulting from a forceful impaction of the humeral head against the anterioinferior glenoid rim, when the shoulder dislocates anteriorly.
Aura
A sensation felt just before a seizure. AKA Pre-ictal.
Vaginitis
Inflammation of the vagina that can result in discharge, itching and pain. The cause is usually a change in the normal balance of vaginal bacteria or an infection.
Bacterial vaginitis - overgrowth of bacteria
Yeast infections - fungus called Candida albicans
Trichomoniasis - parasite transmitted by sex.
Vaginal Atrophy - results from reduced estrogen levels after menopause.
Osteoporosis
Bones become weak and brittle.
Risk factors include: Early menopause, high consumption of alcohol, cigs, and caffeine, sedentary lifestyle, and lack of folic acid in the diet.
Pinna
Also called the auricle, the visible part of the ear the resides outside of the head.
Bone Scan
Involves an injection of radioactive substance into a vein , which is absorbed by bone. Bone scans can then detect abnormal levels of uptake or hot spots in the bone. Useful for indicating stress fractures.
Crohn’s Disease
Inflammatory bowel disease. Causes inflammation of the lining of your digestive tract. Can involve different areas of the digestive tract.
MRI
Magnetic Resonance Imaging - Allows clinician to view structurs without the pt. injecting or taking dye. No METAL!
CT Scan
Cross sectional view.
PET Scan
Positron Emission Tomography scan - PET scans use a radioactive drug that can be injected, swallowed, or inhaled. Scans metabolic activity in the body.
Fluoroscopy
Real time imaging, mostly used for the vascular structures.
Does expose the pt. to radiation.
Diagnostic US
Used for musculoskeletal reasons.
Histamine
Dilates blood vessels, and makes them more permeable.
Antihistamine
They don't vasoconstrict but they just block histamine receptors. Dimetapp Benadryl Clartin Allegra
Ultram
(tramadol) a narcotic-like pain reliever.
Tinactin Spray
Treats certain fungal infections such as athletes foot and ringworm.
Tetracycline
An antibiotic used to treat bacterial infections such as UTI, Clamydia and acne.
Essential Body Fat Percentages for Men and Women.
The least amount of fat you need to survive.
Men 2-5%
Women 10-13%
Body Fat Percentages Norm
Athletes Women 14-20% Men 6-13%
Fitness Women 21-24% Men 14-17%
Average Women 25-31% Men 18-25%
Obese Women 32%+ Men 25%+
Inflammation Cardinal Signs
Pain Heat Redness Swelling Loss of Function
Dolor
Pain
Calor
Heat
Rubor
Redness
Tumor
Swelling
Functio Laesa
Loss of Function
Cortex (brain)
Thinking and voluntary movement.
Brain Stem
Controls life supporting functions like: Alertness Arousal Breathing Blood Pressure Digestion Heart Rate Other Autonomic Functions Relays information between the peripheral nerves and spinal cord to the upper parts of the brain.
Cerebellum
Coordination and Balance.
Frontal Lobe
Judgement and motor function.
Partietal Lobes
Sensation, body position.
Temporal Lobes
Memory and Hearing
Occipital Lobes
Visual processing center.
Meningies
From superficial to deep: Epidural space Dura Mater Arachnoid Mater Subarachnoid Space Pia Mater
Epidural Hematoma
Bleeding in the epidural space, worse than cerebral hematoma because it bleeds quicker adding pressure faster.
Reye’s Syndrome
Casues swelling of the liver and brain. Often affect children and teenagers recovering from a viral infection, most commonly the flu or chickenpox.
Aspirin has been liked to Reye’s Syndrome. Children and teenagers should never take aspirin when experiencing flu-like, or chickenpox sx’s.
Raynaud’s Syndrome
Vasospastic disorder in which cold temperatures narrows blood vessels in areas of the body, most commonly the distal extremities.
Crutches
2 crutches:
Crutches should reach between 1 1/2 and 2 inches belowthe armpit (or 3 finger widths).
Hand grips should be even with the top of the hip line.
Put crutches out 6” to a foot in front of you, swing through landing on the good leg.
Canes
Cane should reach the crease of the hand.
Elbow should be slightly bet when holding your cane.
Cane is held on the opposite side that needs support.
Ex.) right leg hurts, then hold cane in left hand.
The cane moves with the bad leg.
Calcaneal Stress Fractures
Along with Tibial stress fx and of the second metatarsal are among the most common stress fx in the LE.
Sever’s Disease
A calcaneal Apophysitis occurs in young pts.
A traction injury to the apophysis of the cancaneus.
Retocalcaneal Bursitis
Inflammation of the bursa that lies between the Achillies tendon and the calcaneus.
Cuboid Subluxation
Pronation and trauma have been reported to be prominent causes of cuboid subluxation.
Lisfranc Injury
Tarsometatarsal Fracture/Dislocation
More uncommon.
Second Metatarsal Stress Fx
AKA Morton’s Toe
Mortons toes is when the second toe is longer than the first toe. More weight then goes onto this toe and can result in a stress fx.
Jones Fx
Fx to the diaphysis of the fifth metatarsal
Bunions
AKA Hallux Valgus Deformity and tailor’s Bunion.
Commonly the first ray splays outward placing pressure over the first metatarsal head irritating the bursa of the MTP joint. This bursa eventually thickens.
A bunionette or tailor’s Bunsion is a bunion on the 5th MTP joint.
Sesmoiditis
Sesmoiditis is caused by repetitive hyperextension. Inflammation of the sesmoid bones and tendons.
Morton’s Neuroma
A mass that occurs about the nerve shealth of the common plantar nerve. Between the 3rd and 4th metatarsal heads.
Turf Toe
Hyperextension of the great toe that results in a sprain of the MTP joint.
Subungual Hematoma
Blood that accumulates under the toenail
Ankle Osteochondritis Dissecans
OCD of the talar dome (superiormedial articular surface of the talar dome).
Osteomyelitis
Infection in a bone
Compartment Syndrome
Acute - Secondary to trauma , this is a medical emergency. (fasciotomy)
Chronic - symptoms cease when activity stops.
Acute Exertional - Occurs without any precipitating trauma.
Patella Alta
The patella sets in a more superior position than normal when the pt. is standing.
Patella Baja
The patella sets in a more inferior position than normal when the pt. is standing. The ratio of patellar tendon length to the height of the patella is less than the normal 1:1 ratio.
Genu Recuvratum
Hyperextended knees.
Hemarthrosis
Blood in the joint cavity.
Gerdy’s Tubercle
A lateral tubercle of the tibia where the Iliotibial tract inserts and Tibialis Anterior