Exam 2 Musculoskeletal - Patho 2 Flashcards
PTH
maintains serum levels of ionized calcium and stimulates osteoclasts
Synarthosis (Joint Classification)
immoveable - skull
Amphiarthosis
Slightly moveable
Diarthosis
Freely moveable - knees, elbows
Bursitis
inflammation of one or more of the bursae
Bursitis -RF
recurring trauma, RA, gout
Tendonitis
inflammation of tendons and tendon muscles attached to bone
Tendonitis RF
overuse (sports), pain is worse at night, rotator cuff, Achilles tendon or hamstring
Tendonitis CM
restricted movement, pain worse at night, crepitus
Sprains
complete or incomplete tear of supporting ligaments around a joint
Sprains RF
falls, MVA, sports
Sprains CM
localized pain, swelling and warmth, loss of movement, bruising
Sprains Grading
I - stable, minimal swelling
II - Moderate instability and swelling
III Gross instability, excessive swelling and ecchymosis
Strains
injury to muscle-tendon unit (hamstring, rectus femoris, gastrocnemius and biceps)
Strains RF
falling, springing, forceful activity, degenerative changes
Fractures
break in the bone - secondary to trauma or bone disease
Pathologic Fracture
bone break occurring to a disease
Fractures CM
pain and muscle spasms: pain is immediate, continuous and severe during movement.
Paresthesia
numbness/tingling secondary to nerve compression
crepitus
peculiar cracking or grating feeling under the skin
Extravasation
edema secondary to TISSUE trauma (vasodilation)
Fractures classifications
Open/compound - bone protrudes through
Fractures classification
Closed/simple - no penetration through the skin
Fractures - type of break
complete - broke all the way through
Incomplete - partially broken or splintered (greenstick in young kids)
Oblique fracture
complete break diagonally across the bone (45 degrees)
Comminuted
bone shatters into pieces
Compression
bone is crushed
Impacted
ends of pieces are jammed together
Spiral
bone twists and causes jagged break (worry about abuse)
Greenstick
Incomplete break
Transverse
complete break at right angle to long axis of bone
Bony callus formation
osteoblasts form soft tissue around the site
Bony remodeling
osteoclasts resorb excess callus
Acute Compartmental Syndrome
5 P’s - pain, pulse, pallor, paresthesia, paralysis
Acute Compartmental Syndrome CM
pain, edema, deformity, bad capillary refill, discoloration (jaundice)
Osteoporosis
loss of bone mass
Osteoporosis RF
alcohol use, corticosteroid use, calcium low, estrogen low, smoking, sedentary lifestyle, soda, junk food(excessive phosphorus intake)
Osteoporosis CM
loss of height, kyphosis, low back pain, fractures in the forearm, spine, and hips
Secondary Osteoporosis
from some type of trauma
Osteoarthritis
degeneration of joint cartilage and the underlying bone
Osteoarthritis CM
morning stiffness (15-30 min) joint pain, swelling that worsen late in the day, numbness-tingling at night, crepitus
Herberden’s nodes
hard nodules in the distal finger joints
Bouchard’s nodes
formation of hard nodules in the proximal finger joints
Rheumatoid Arthritis
systemic autoimmune disease - inflammation to the synovial membrane and cartilage
RA risk factors
women 2-3x more likely to get, is more intense in men
RA clinical manifestations
systemic symptoms, inflammation, swelling, decreased movement, morning stiffness lasting more than 1 hour, low grade fever, fatigue, anorexia
RA clinical manifestations
swan neck, ulnar drift, boutonniere deformities
Gout
inflammatory disease that affect the big toe (cause by uric acid crystals)