EMG, Paget's and Ewing's Sarcoma Flashcards

1
Q

What occurs with EMG

A

Low electrical currents pass through flat electrodes placed along nerve

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2
Q

When is EMG used? (3)

A
  • Neuromuscular disorders (weakness–ALS)
  • lower motor neuron
  • peripheral nerve disorders
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3
Q

What do we need to assess if a needle was used in EMG?

A

for hematoma formation

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4
Q

Does an EMG hurt?q

A

may cause temporary discomfort

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5
Q

Is sedation needed for EMG?

A

Mild sedation may be ordered

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6
Q

What about meds before EMG?

A

MD may want the pt to discontinue skeletal muscle relaxants a few days before the test so results are not affected.

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7
Q

What occurs with Paget’s Disease?

A

New deformed bone replaces old bone

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8
Q

What do we need to assess in a pt with Paget’s Disease?

A
  • ask about hx of fracture/bone pain

- observe posture, stance, gait to identify deformities

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9
Q

What musculoskeletal symptoms accompany Paget’s Disease?

Pain:

A
  • bone and joint pain

- low back/sciatic nerve pain

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10
Q

What musculoskeletal symptoms accompany Paget’s Disease?

Bone appearance

A
  • Bowing of long bones
  • Loss of normal spinal curvature
  • Enlarged, thick skull
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11
Q

Symptoms of Paget’s:

Skin

A

flushed, warm skin

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12
Q

Symptoms of Paget’s:

Behavior

A

apathy, lethargy, fatigue

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13
Q

Symptoms of Paget’s:

Other

A
  • hyperparathryoidism
  • gout
  • urinary/renal stones
  • heart failure
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14
Q

Why are xrays, CT, MRI needed?

A

To show structural changes

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15
Q

What is the biggest complication of having Paget’s?

A

Pathological bone fractures often occur

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16
Q

What is another complication of Paget’s?

A

increased risk of developing bone cancer

17
Q

What are we looking for in a 24-hour urine test?

A

Collagen

18
Q

What is Ewing’s Sarcoma?

A

cancer of the bone!!

19
Q

What labwork is needed to diagnose Ewing’s Sarcoma?

A
  • CBC
  • Lactate dehydrogenase (LDH)
  • RBC sedimentation rate
20
Q

CBC results with Ewings Sarcoma?

A

abnormal= spread of cancer to bone

21
Q

What is the LDH lab level with Ewing’s Sarcoma?

A

elevated

22
Q

What will the RBC sedimentation rate be?

A

elevated

23
Q

What is the only true way to diagnose Ewing’s Sarcoma?

A

biopsy