Knee 4 - triage

Question 1

do you palpate if there is an open injury

Answer 1

No

Question 2

what are the ottowa knee rules

Answer 2

55+

isloated tenderness of the patella
or
tenderness over the fibular head

unable to flex the knee past 90

unable to weight bear immediatly or four steps in the ED

Question 3

how do the ottowa knee rule work

Answer 3

if any of these are present after an acute injury then send the patient to the ED

Question 4

what are the pittsburgh knee rules

Answer 4

blunt trauma or fall is the MOI

+ (one)

age under 12
age over 50
unable to wieght bear in the ED

Question 5

if a patient has dimished or absent distal pulses or absent sensation what are you as a PTs next steps

Answer 5

send the pt to the ED - do not finish your exam

Question 6

what to do if someone has low index of suspicion ottwa knee rule

Answer 6

finish examination and the refer out

Question 7

what to do if someone has a high index of suspicion and has a high index for ottawa knee rule

Answer 7

stop and refer to the ED

Question 8

if someone has a gross misalignment of the limb what do we do

Answer 8

stop and refer to the ED

includes:
dislocation without reduction

Question 9

if someone presents with dislocation without reduction can we fix this ourselves

Answer 9

no, unless this is a long time to get to the ED

Question 10

what are the two pulse that we find in out feet

Answer 10

dorsalis pedis

post tib art

Question 11

is the post tib art on the medial or later part of our ankle

Answer 11

medial ankle

Question 12

how do we find the dorsalis pedis pulse

Answer 12

he first intermetatarsal space just lateral to the extensor tendon of the great toe.

distal to the navicular

Question 13

what is the most common knee fracture

Answer 13

patella (40%)

tib plateau (32%)

Question 14

are knee fracture common injuries

Answer 14

no only 6% of knee injuries

Question 15

when rehabing a knee fracture is strengthing allowed

Answer 15

yes - just no pain reproduction

Question 16

what is the most common knee dislocation

Answer 16

tib ant on the femur

Question 17

why is knee dislocation serious

Answer 17

becasue of the neruvscular structure in the popliteal fossa

peroneal and tibial nerve

popliteal art and vien

Question 18

what is the treatment for dislocation

Answer 18

immobilization

surgerical reconstruction

Question 19

what distal pulse do you check if there is a post dislocation

Answer 19

post tib art

Question 20

if there is a posteriolat dislocation which pulse will we evaluate

Answer 20

that dorsalis pedis

• because of the impact on the anterior tibial art

Question 21

when are DVT common

Answer 21

after surgery

Question 22

what age does the risk of DVT increase

Answer 22

after the age of 60

Question 23

lifestyle factors that contribute to DVT

Answer 23

sitting or inactivity for a long time - car, plane (without the muscles the blood sits stagnant)

obesity

birth control

smoking

Question 24

what are the signs and symptoms of a DVT

Answer 24

swelling in one or both legs

pain or tenderness …

warmth of skin in the affected leg

red/pruple discoloration of the skin

leg fatgue

visible pain

Question 25

what causes caudication

Answer 25

little blood flow to the limbs

Question 26

what is caudication often caused by

Answer 26

PAD

Question 27

what is PAD

Answer 27

narrowing of the peri art that causes reduced blood flow to the limbs

Question 28

do all DVT cause signs and symptoms

Answer 28

no

Question 29

what criteria do we use for DVT

Answer 29

wells criteria

Question 30

what indicates high risk on the wells

Answer 30

3 or higher

Question 31

what is the motor function of the freat peroneal nerve

Answer 31

great toe ext

toe ext

ankle DF

Question 32

what is the sensory function of the common peroneal nerve

Answer 32

web space of the 2nd and 1st toe

dorsal surface of the toes