chapter 32 part 2 Flashcards

1
Q

is shock absorbers of the knee and it lies on top of the tibia between the tibia and femur

A

meniscus

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2
Q

how does a meniscus injury happen

A

from fixed-foot rotation in wt bearing w/ the knee flexed during sports

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3
Q

s/s of meniscus injury

A

mild swelling

popping
slipping
catching
buckling

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4
Q

how are meniscus injury Dx

A

by physical examination

MRI (is mainly used)

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5
Q

how are meniscus injury repaired

A

by surgery arthroscopically

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6
Q

attaches the soles, planters and gastrocnemius muscle to the calcaneus (heel)

A

achilles tendon

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7
Q

people w arthritis and diabetes take antibiotics can predispose

A

the achilles tendon to rupture

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8
Q

how can achilles rupture happen

A

jumping
pivoting
running
tennis or basketball

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9
Q

s/s of achilles rupture

A

sudden pain at the back of the ankle or calf

pop or snap sound

depression can be felt or seen 2inches above the calcaneus (heel)

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10
Q

w/ and achilles rupture where can depression be seen/felt

A

can be felt or seen 2 inches above the heel

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11
Q

Other s/s of achilles rupture

A

inability to point the toes or stand not he tip-toe

pain
swelling
stiffness
bruising
weakness
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12
Q

how are achilles rupture Dx

how should the pt be position

if the pt toes can not point____ then it indicate a ____

A

by examination and squeezing the calf muscle

while the pt is lying prone

the toes should be pointed downward
and if they can not do that it is most likely a achilles tendon injury

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13
Q

treatment for achilles injuries

how long does recovery take

A

splinting
casting
surgery
recovery takes about 6 to 8 weeks

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14
Q

is an inflammation of the bursae

the saclike structure that line freely movable joint

A

Bursitis

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15
Q

how can a bursitis happen

what activity is an example of

A

occurs from injury or overuse and often appears when a person has engaged in an unaccustomed activity,

such as shoulder bursitis after digging up the garden plot in the spring.

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16
Q

occurs from injury or overuse and often appears when a person has engaged in an unaccustomed activity,

A

is how can bursitis happen

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17
Q

may occur in any heavily used joint, but it most commonly occurs in the elbow, shoulder, hip, or knee.

A

bursitis

18
Q

where can bursitis occur

A

in any heavily used joint

 most commonly occurs in the 
elbow,
shoulder, 
 hip,
 knee
19
Q

s/s of bursitis

A

localized tenderness
mild to moderate pain
swelling

20
Q

how are bursitis Dx

A

by history of injury and physical examination

21
Q

treatment for bursitis

A

R.I.C.E

22
Q

if the R.I.C.E treatment does not relive the symptoms what can you give

A

an injection of cortisones into the bursa

23
Q

most common foot problem

A

bunion

24
Q

painful swelling of the bursa that occurs when the great toe deviates laterally at the metatarsophalangeal joint

A

bunion

25
Q

more common in women than in men

what can help reduce pain

A

bunion

wearing open-toed shoes that are wider in the toe area

metatarsal pad can relieve some pressure

26
Q

what type of injection can be given for bunion

what needs to be done relieve discomfort

A

corticosteroids

analgesic is given to relieve discomfort and bone realignment of the big toe

and the removal of any bony overgrowth

27
Q

A nerve problem that occurs when the median nerve is compressed as it passes through the carpal tunnel in the wrist.

A

carpal tunnel

28
Q

carpal tunnel

A

A nerve problem that occurs when the median nerve is compressed as it passes through the carpal tunnel in the wrist.

29
Q

s/s of carpal tunnel

how does it happen

and when does it mainly occur

A

it produces pain, numbness, and tingling of the hand,

repetitive movement of the hand and wrist constantly flexion of the wrist

particularly at night.

30
Q

how do Dx carpal tunnel

A

by physical examination

a compression test

electromyography to rule out other s/s

31
Q

treatment for carpal tunnel

if the s/s are long duration what can happen

A

rest,
splinting,
changing the angle of the wrist during movements.

or steroids injection

muscle atrophy

32
Q

if sensory loss in the finger and hand is progressive what is needed while dealing w/ carpal tunnel

what do you have to asses for after surgery

A

surgery

color &
warmth of the the finger tip
& capillary

33
Q

what should you tell the pt to avoid to do after surgery

and how would you prevent edema

A

avoid heavy gripping and pinching for up to 6 weeks

immobilized the wrist in a splint
elevate the arm on a pillow

34
Q

A break or interruption in the continuity of a bone

A

fracture

35
Q

how do fracture occur

A

occur mostly from trauma but result from a pathologic progress in which bone has degenerated such as osteoporosis

36
Q

metabolic bone disorder that causes a decrease in bone mass

A

osteoporosis

37
Q

the mechanism of injury can help

A

provide clue about the type of fracture

38
Q

s/s of fracture

A

depend on what type of fracture how severe the pain is

swelling 
bleeding into the tissue 
tenderness
deformity of the bone 
ecchymoses
loss of function 
crepitation w/ any movement
39
Q

depend on what type of fracture how severe the pain is

swelling 
bleeding into the tissue 
tenderness
deformity of the bone 
ecchymoses
loss of function 
crepitation w/ any movement
A

s/s of fracture

40
Q

the emergency treatment and nursing care includes for a fracture

A

preventing shock and hemorrhage

and immediately immobilization to prevent unnecessary damage