Joint complaint Flashcards

1
Q

Mono-articular

A

one joint

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2
Q

Poly-articular

A

multiple joints

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3
Q

Migratory

A

Moves from one joint to another

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4
Q

Extra-articular

A

bones, muscle, tendons, bursa, skin

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5
Q

Myalgia

A

muscle pain

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6
Q

Arthralgia

A

joint pain

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7
Q

Tendonitis

A

inflammation of the tendon

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8
Q

Sprain

A

Ligament injury

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9
Q

Strain

A

muscle injury

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10
Q

Effusion

A

fluid in the joint

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11
Q

Dislocation

A

complete lack of contact between 2 articular surfaces

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12
Q

Subluxation

A

residual contact between 2 articular surfaces

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13
Q

Valgus deformity

A

distal part of limb directed away from midline

ex: knock knees

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14
Q

Vargus deformity

A

distal part of limb directed toward midline

ex: bowlegs

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15
Q

Causes of inflammation

A

traumatic, infectious, systemic

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16
Q

Subjective signs of inflammation

A

what the patient reports: pain, stiffness

17
Q

Objective signs of inflammation

A

what the physician can see: warmth, redness, swelling, pain to touch

18
Q

Steps of joint exam

A

inspection, palpation, ROM (active and passive), specialty testing

19
Q

Muscle Strength test

A

0-5

0/5= no contraction detected
1/5= barely any contraction
2/5: active movement with gravity eliminated
3/5= active movement against gravity
4/5= active movement against gravity and some resistance
5/5= active movement against full resistance with out evidence of fatigue (this is normal)

20
Q

Where is C4 dermatome

A

top of shoulder

21
Q

Where is C6 dermatome

A

radial aspect of forearm

22
Q

where is C8 dermatome

23
Q

Where is T4 dermatome

A

nipple line

24
Q

Where is T10 dermatome

25
Where is L5 dermatome
Great toe
26
Where is S1 dermatome
posterolateral calf/little toe
27
What is a normal time for capillary refills?
2 seconds or less
28
What does a capillary test check for?
perfusion (arterial occlusion, hypovolemic shock, hypothermia)
29
Pulse documentation
0-4 ``` 4= bounding 3= strong, full, increased 2= average, expected, normal 1= barely palpable 0= absent ```
30
Where do you check for edema
Dorsum of foot, anterior tibia, behind medial malleolus
31
Documentation of edema
0-4 ``` 0= absent 1= barely detectable (2mm), disappears rapidly 2= slight indentation (4mm), lasts 10-15 sec 3= deeper indentation (6mm), lasts longer than 1 min 4= very marked indention (8mm), lasts 2-5 min ```