Hip Medical Screening (2) Flashcards

1
Q

What are possible conditions with an anterior hip problem?

A

Stress fracture

Osteoarthritis

Transient synovitis

Osteonecrosis

Femoroacetabular impingement

Labral tear

Iliopsoas bursitis

Groin injuries

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2
Q

What are possible conditions if there is a posterior hip problem?

A

Piriformis syndrome

Ischiofemoral impingement

SIJ

Lumbar source (radicular)

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3
Q

What are some possible conditions if there is a lateral hip problem?

A

Bursitis

Gluteal muscle tendonitis

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4
Q

Where would injuries occur if someone was more likely to have sinister hip problems?

A

Anterior and posterior

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5
Q

Look at slide 3 and learn visceral areas

A
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6
Q

What is the difference in systemic and msk for description?

A

Systemic- knife like

Msk- stiff

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7
Q

What is the difference in systemic and msk for location?

A

Systemic- unilateral or bilateral

Msk- unilateral

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8
Q

What is the difference in systemic and msk for duration?

A

Systemic- doesn’t change with position

Msk- changes with position

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9
Q

What is the difference in systemic and msk for night pain?

A

Systemic- difficulty returning to sleep

Msk- easy to return to soeep

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10
Q

What is the difference in systemic and msk for aggravating factors?

A

Systemic- can’t make worse organ dependent

Msk- altered with movement

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11
Q

What is the difference in systemic and msk for easing factors?

A

Systemic- can’t make better

Msk- rest or change position

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12
Q

What is osteonecrosis of the femoral head?

A

Bone and bone marrow cell death due to poor arterial supply

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13
Q

Who is most likely for osteonecrosis of the femoral head?

A

Males age 20-50

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14
Q

What are some signs of osteonecrosis of the femoral head?

A

Unknown hip pain

Night pain

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15
Q

What is the gold standard for diagnosis in osteonecrosis of the femoral head?

A

MRI

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16
Q

What are symptoms of hip joint infection?

A

Unknown joint pain

Current or recent skin rash

17
Q

What are clinical signs of hip joint infection?

A

Temp >100° F

BP > 160/95 mmHg

Resting pulse >100 bpm

Respiration rate > 25 breaths/min

Fatigue and signs of inflammation

Elevated lab values

18
Q

What can lead to psoas abscess?

A

Any inflammation/infectious process in abdomen/pelvis

19
Q

What is psoas abscess?

A

Psoas muscle not separate from the abdominal or pelvic cavities (muscular strain with hip held in flexion)

20
Q

What is appendicitis?

A

Acute onset severe pain

Pain before vomiting

21
Q

What are aggravating factors of appendicitis?

A

Hip extension

Resisted hip flexion

Jarring effect from driving over railroad tracks

Rebound tenderness

22
Q

What are signs and symptoms for cancer?

A

Age >50

Bone pain in adolescents

Prior hx of cancer

Unexplained weight loss

> 1 month of pain

Failure to improve with conservative care

23
Q

What are the 7 signs of the buttock?

A

SLR- limited and painful

Hip flexion limited

Empty end feel of hip flexion

Trunk flexion limited

Painful and weak hip extensors

Noncapsular pattern of restriction at the hip

Swollen butt

24
Q

What are signs of a hip fracture?

A

Antalgic gait

Acute butt, groin, hip, or thigh pain

ROM limitations

Pain with palpation

25
Q

What are hip fractures usually present with?

A

Shortened leg

ER position

26
Q

What is a fatigue hip stress fracture?

A

Normal bone with abnormal stress

27
Q

What is an insufficiency hip stress fracture?

A

Abnormal bone with normal stress

28
Q

What are some signs of a hip
Stress fracture?

A

Localized bone pain

Worse with weight bearing

Reproduced with heel strike or hopping

29
Q

What does the patella pubic percussion test?

A

Indication of nondisplaced femoral fracture

30
Q

How do you test for patella pubic percussion?

A

Stethoscope on pubic symphysis

Percussion patella

Affected side duller

31
Q

What are some risk factors of hip and pelvic region stress fracture?

A

Female athlete triad

Overuse

Steroid use

Smoker