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Clin med 55 - some other persons > export_musculoskeletal i > Flashcards

export_musculoskeletal i Flashcards

1
Q

Order of MSK exam

A

Inspection
ROM

Muscle strength
Reflexes/neuro

Special tests

Palpation

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2
Q

Joint locking or crepitus suggests

A

Meniscal injury

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3
Q

Give-way injury suggests

A

Ligamentous or meniscal injury

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4
Q

Weakness suggests

A

Neurological, myopathy, tendinopathy, muscle injury

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5
Q

Clicking, popping, tearing sensation suggests

A

Soft tissue injury or tear

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6
Q

Tremor, spasm, weakness suggests

A

Neurological or muscle injury

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7
Q

MSK ROS

A

Numbness, tingling, weakness
Incontinence or changes in bowel or bladder function

Weight loss

Night time pain

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8
Q

Tendonitis

A

Inflammation of the tendon

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9
Q

Tendinosis

A

Degeneration of a tendon

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10
Q

Tenosynovitis

A

Inflammation of the sheath of a tendon

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11
Q

Tendinopathy

A

Disease of a tendon, often painful overuse tendon condition

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12
Q

Tremor

A

Involuntary, somewhat rhythmic, muscle movement involving oscillations of one or more body parts

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13
Q

Spasticity

A

Velocity dependent resistance to muscle stretch

Neurological impairment

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14
Q

Strain

A

Trauma to a muscle

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15
Q

Sprain

A

Trauma to a ligament

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16
Q

Arthritis

A

Joint inflammation

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17
Q

Arthrosis

A

Joint degeneration

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18
Q

Arthralgia

A

Joint pain

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19
Q

Arthropathy

A

Disease of a joint

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20
Q

Bursitis

A

Inflammation of the bursa

21
Q

Crepitus

A

Crunching or grating sound
Degenerative bony changes “bone on bone”

Inflammation of tendon sheaths

22
Q

When testing ROM, which is first?

A 
Assess active (patient-controlled) first
Assess passive (physician-controlled) second
23
Q

What are the two red flags in resistance testing?

A

Pain

Weakness

24
Q

What kinds of weakness are there and what do they suggest?

A

Smooth weakness - neurological

Break-away weakness - MSK problem

25
Q

MSK exam for C5

A

Elbow flexion and shoulder abductors

26
Q

MSK exam for C6

A

Wrist extensors

27
Q

MSK exam for C7

A

Elbow extensors

28
Q

MSK exam for C8

A

Long finger flexor

29
Q

MSK exam for T1

A

Finger abductors

30
Q

MSK exam for L2

A

Hip flexors

31
Q

MSK exam for L3

A

Knee extensors

32
Q

MSK exam for L4

A

Ankle dorsiflexors

33
Q

MSK exam for L5

A

Long toe extensors

34
Q

MSK exam for S1

A

Ankle plantar flexors

35
Q

Muscle strength grade 0

A

No evidence of movement

36
Q

Muscle strength grade 1

A

Trace movement

37
Q

Muscle strength grade 2

A

Full ROM with gravity eliminated

38
Q

Muscle strength grade 3

A

Full ROM against gravity, but not against resistance

39
Q

Muscle strength grade 4

A

Full ROM against gravity and against resistance, but weak

40
Q

Muscle strength grade 5

A

Full ROM against gravity and against resistance, full strength

41
Q

Special tests for MSK evaluation

A

Ligaments - elongate and push/pull bones
Joint surfaces - rub them against each other to assess for pain

Cartilages - gently squeeze them between bones, look at ROM

42
Q

Trendelenburg sign

A

Unaffected hip drops down with gait

Other hip held up as a result of weakness in hip abductors

43
Q

Signs indicating osteoarthritis

A

Heberden’s node

Bouchard’s node

44
Q

Signs indicating rheumatoid arthritis

A

Swan-neck deformity

Boutonniera deformity

45
Q

Straight leg raise

A

Flex pt’s hip to see if there is any impinging on a nerve

46
Q

Bragard’s test

A

If straight leg raise is positive, lower the leg until pain goes away, then dorsiflex foot
If this causes pain, then it’s a nerve impinging problem

47
Q

Gibbus

A

Sharp, angular deformity associated with collapsed vertebra due to atherosclerosis

48
Q

Goniometer

A

Apparatus to measure joint movements and angles

Clin med 55 - some other persons (8 decks)

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