HPI/PE Flashcards
Fat pad or sail sign is indicative of what?
Occult blood - can be anterior or posterior
- seen on XR
What is your do not miss injury involving the snuff box?
Scaphoid Fracture - always refer to ortho
Why do you not want to miss a scaphoid fracture?
AVN
Where is the AVN located MC’ly in a scaphoid fracture?
Distal pole
What split is used in scaphoid fx?
Thumb spica splint
What MSK problems are associated with intraarticular?
- Acute Arthritis
- Infectious arthritis
- Gout
- Pseudogout
- Reactive arthritis
What MSK problems are associated with extraarticular?
- Trauma/Fx
- Fibromyalgia
- Polymyalgia rheumatica
- Bursitis
- Tendonitis
What is the classic triad of Reactive arthritis?
Conjunctivitis, Dysuria, Joint pain
can’t see, can’t pee, can’t climb a tree
What are the 2 durations to consider for MSK HPI?
- Circumstance surrounding the TOTAL illness
2. If symptoms are episodic = TYPICAL episode
What are the 4 basic spheres of activity that impact a pts life?
- ADLs
- Household tasks
- Employment
- Recreational/hobbies
What is a common MSK complaint in the elderly in regards to timing?
Morning stiffness (morning > evening)
If morning pain/stiffness lasts >30 minutes what should you consider?
Inflammatory arthritis (RA)
What ROS should you always ask about?
- Fatigue
- Fever
- Joint Pain
- MSK Injury
When inspecting and palpaing during the MSK exam what do you say you’re checking for?
Checking for symmetry, swelling, deformity, atrophy, erythema, pain, or warmth
Biceps tendonitis is commonly seen in what profession?
Painters
Apley scratch test is used to test for what?
Rotator cuff disorder/adhesive capsulitis
Neers impingement sign is used to test for what?
Rotator cuff disorder
Hawkin’s impingement sign is used to test for what?
Rotator cuff disorder
Empty can test is used to test for what?
Supraspinatus strength
Is ulnar deviation turning hands in, towards the body or out, away from the body?
In towards the body
Is radial deviation turning hands in, towards the body or out, away from the body?
Out, away from the body
How long do you keep a pt in the Phalen’s maneuver?
30-60 seconds (at 90 degrees)
What knee injury do you not want to miss?
Tibial plateau fracture
The valgus and varus laxity/stress test is assessing what ligaments?
MCL (valgus) and LCL (varus)
Patella balloting is assessing for what?
Effusion w/bulge and balloon sign
The anterior and posterior drawer test is assessing what ligaments?
ACL and PCL
McMurry test is assessing for what injury?
Meniscus injury
Lachman’s test is assessing for what?
ACL and PCL
What do you do for a Mortons neuroma assessment?
Squeeze the foot or compress in between 3rd and 4th toe
