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H&P Flashcards

1
Q

30M found laying on arm.

What is your initial step?

A
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2
Q

20F with leg pain running?

What is your initial step.

A
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3
Q

Replant Hx

A
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4
Q

Flexor Hx

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5
Q

Leddy Classification

A
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6
Q

Hand fracture, Hx and PE

A
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7
Q

Hand Infection Hx PE

A
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8
Q

Hand infection

What is the differential of a wound?

OR principles

A
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9
Q

Injection Injury

A
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10
Q

Hand Tumors

A
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11
Q

OA Hx

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12
Q

RA hx

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13
Q

Hypothenar hammer hx

A
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14
Q

Wrist Hx

A
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15
Q

Wrist Exam

A

Both wrists

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16
Q

Wrist Xray

A

BOTH: AP, lat, Oblique, Scapoid.

PA:

  1. G’s lines - 2mm,
  2. Ulnar Var - 2mm,
  3. Rad Inc - 23o,
  4. Other: Sig Rig (S tubercle),

Lat:

  1. Quality: Colinear 3mc, Cap, R, & Pisi volar b/t S&C
  2. SL(47, 30-60 >60SL DISI, <30 VISI),
  3. CL & RL (15),
  4. Radius Volar INC 12.

45o: TM/Td, Tq.

Other: Clenched: TT, CT View, Stress - dynamic

MRI: Arthrogram: communication b/t DRUJ and MC.

Angio for Vascularity of S

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17
Q

You suspect a SL tear what do you look for on exam and XR?

A
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18
Q

You have a chronic SL tear how do you manage, what do you look for?

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19
Q

What are the stages of SLAC and tx?

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20
Q

What is the diagnosis and treatment of Ltq ligment injury?

A
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21
Q

Brachial Plexus PE

A
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22
Q

Do a gross exam of the nerve roots.

A
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23
Q

Differential for BP injury.

A
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24
Q

Brachial Plex Hx/ PE

A
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25
Q

Brachial plex Inv

A
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26
Q

What are the postures of a Erb, Erb+, Klumpe palsy & what is lost.

A
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27
Q

Obstetrical BPI Hx

A
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28
Q

Compression neuropathy Hx

A
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29
Q

Chest reconstruction Hx, Pe

A
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30
Q

What are the options for chest wall Soft tissue recon?

A
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31
Q

What are the options for rigid chest wall recon?

A
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32
Q

Abdo Recon Hx

A
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33
Q

How would you assess an eye lid?

A
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34
Q

How do you examine for ptosis?

What is Hering’s test - what does it test?

What is the ptosis algorthim?

A

LPS is equally intervated, severe ptosis on one side creates strong retraction force on both sides. Alleviate ptosisi with q-tip while immob brow.

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35
Q

Lower extremity trauma

A

TETANUS/ ABX/ SMOKING/ RADS

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36
Q

Nasal reconstruction hx pe

A
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37
Q

Local nasal flaps. What is the maximum size?

What is the blood supply of the Dorsal nasal miter flap?

A
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38
Q

What are the options for nasal lining?

A
  • Ipsilateral caudal septal muco-pericondrial hinge flap - Septal br of sup lab art - Ips ala and tip
  • Contralateral dorsal septal mucopericondrial hinge - Ant/Post ethmoid art - CL wall/nasal roof
  • Biped Mucosa advancement + sg donor
  • Inferior turbinate Mucoperiosteal hinge flap - alar lining
    • Composite septial chondromucosal pivot

Other

Infolded NL, forehead

Tunnelled turnover NL, Buccal

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39
Q

Label the arteries

40
Q

What are the options and donors for nasal support?

A

Bone: osteal condral rib

IC cort cancel

Split calvarial

41
Q

What are the options for columella reconstruction?

42
Q

Pressure Sore Hx

43
Q

Hair loss hx pe

44
Q

Cleft Lip Hx

45
Q

What are the features of unilater cleft lip?

46
Q

What are the features of bilateral celft lip?

47
Q

What are the cleft nose deformities?

48
Q

Cleft palate hx

A

Important Issues:

AIRWAY - prone, cpap, intubation, Distraction, trach

FEEDING - haberman/ 45o/ extra time/ monitor weight.

EAR -myringotomy tubes

Goals: Seperation, Vp spincter, Eust tube, Min growth disturbance

49
Q

VPI Hx

50
Q

Congenital Ear Hx

51
Q

Congenital hand Hx

52
Q

Craniofacial Clefts Hx

53
Q

Omens

54
Q

Craniosynostosis Hx

A
  • Hx- present at birth
  • Head Cirm,
  • Ridging
  • Hands. - all but crouzons.

Functional = Early operative intervention

  • Tx: MultiD
  • Airway: Sleep stidy, Resp, Trach
  • ICP: MRI, Neuro Sx
  • Eyes: Lube, Optho, sx
55
Q

Facial Trauma Hx

56
Q

Facial trauma part 2

57
Q

Head and Neck Reconstruction Hx

58
Q

Facial paralysis Hx

59
Q

Differential for Facial Paralysis

60
Q

What is the House-Brackman Classification

A

4 - can not close eye completely. 1-6 1 being normal, 6 none

61
Q

Mandible hx

62
Q

Goals

Mandible

63
Q

Orthognathic Surgery Hx

64
Q

Genioplasty Assessment

65
Q

Mandible fracture Hx

66
Q

Neck Mass Hx

67
Q

Head and Neck malignant lesion Hx.

68
Q

What is the differential for a Parotid mass?

69
Q

TMJ Hx

70
Q

Mandibular Cyst Hx

71
Q

Blepharoplasty Hx

72
Q

Brow Lift Hx

73
Q

Neck Lift Hx

74
Q

Ritidectomy Hx

75
Q

Laser Hx

76
Q

Massive Weight Loss Hx

77
Q

Rhinoplasty Hx

78
Q

Rhinoplasty PE

79
Q

Breast Cancer Hx

80
Q

Breast Augmentation Hx

81
Q

Secondary Breast Augment Hx

82
Q

Breast reduction Hx

83
Q

Mastopexy Hx

84
Q

Gynecomastia Hx

85
Q

Congenital Breast Hx

86
Q

Breast Reconstruction Hx

87
Q

Adv/dis of immediate recon?

88
Q

Adv/ Dis of Alloplastic vs Autologus:

89
Q

Scar Hx

90
Q

Lymphedema Hx

91
Q

Melanoma Hx

92
Q

Burn Hx

93
Q

Hypothernia Hx

94
Q

Electrical Hx

95
Q

Chemical Injury Hx

96
Q

Osteoradionecrosis Hx

97
Q

Vascular Disease Hx

Old Notes (13 decks)

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