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STEP 2 dermal/MSK > Mehlman Brachial plexus + upper limb 11-04 (1) > Flashcards

Mehlman Brachial plexus + upper limb 11-04 (1) Flashcards

1
Q

What 2 can be caused in neonates by breech/traumatic labor.

Can also be caused by injuries such as grabbing onto tree branch while falling.

A

Erb-Duchenne and Klumpke

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2
Q

Erb-Duchenne. what nerves injury?

A

Upper brachial plexus injury (C5-C6)

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3
Q

Upper brachial plexus injury (C5-C6)?

A

Erb-Duchenne.

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4
Q

Erb-Duchenne. CP of arm?

A

Arm is adducted, pronated, and wrist flexed

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5
Q

Arm is adducted, pronated, and wrist flexed?

A

Erb-Duchenne.

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6
Q

Erb-Duchenne. How is called deformity?

A

Waiter’s tip

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7
Q

Waiter’s tip deformity in what injury?

A

Erb-Duchenne.

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8
Q

Klumpke. what nerves injury?

A

Lower brachial plexus injury (C8-T1).

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9
Q

Lower brachial plexus injury (C8-T1)?

A

Klumpke.

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10
Q

Klumpke. CP of hand?

A

,,Claw-hand”

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11
Q

,,Claw-hand”?

A

Klumpke.

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12
Q

DeQuervain tenosynovitis.

what is tenosynovitis?

A

inflammation of tendon sheats.

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13
Q

DeQuervain tenosynovitis. classic in what population?

A

breastfeeding women

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14
Q

DeQuervain tenosynovitis. worsened by what test?

A

Finkelstein
test (HY)

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15
Q

DeQuervain tenosynovitis.
Finkelstein test:
1) thumb is placed in palm;
2) 2nd-5th fingers are wrapped over the palm.
3) Patient ulnar deviates the wrist –> this causes pain = positive test

A
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16
Q

DeQuervain tenosynovitis.
Finkelstein test how performed?

A

Finkelstein test:
1) thumb is placed in palm;
2) 2nd-5th fingers are wrapped over the palm.
3) Patient ulnar deviates the wrist –> this causes pain = positive test

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17
Q

Finkelstein test in what pathology?

A

DeQuervain tenosynovitis.

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18
Q

DeQuervain tenosynovitis. Tx?

A

Patient should avoid offending activity, but since this is often breastfeeding,
steroid injection can provide immediate relief.

splinting, NSAIDs, and steroid injection are all acceptable as first-line treatments.

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19
Q

Pain along the radial aspect of the wrist caused by thickening of the tendon sheaths of extensor pollicis brevis and abductor pollicis longus –> classically seen in breastfeeding women due to long periods of keeping the wrist in a cocked position?

A

DeQuervain tenosynovitis.

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20
Q

Ganglion cyst. definition?

A

Gelatinous collection of joint fluid;

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21
Q

Ganglion cyst. can occur in what parts?

A

on ankles and flexor areas as well, but classic location is dorsum of hand/wrist.

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22
Q

Can occur on ankles and flexor areas as well, but classic location is dorsum of hand/wrist?

A

Ganglion cyst.

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23
Q

Ganglion cyst.
Q: most likely trajectory if untreated?

A

spontaneous regression

24
Q

Ganglion cyst.
Tx?

A

Tx is needle drainage if disturbing to the patient

25
Q

Ganglion cyst.
why recurrence is common?

A

recurrence common because the root opening to the tendon sheath is not removed.

26
Q

Lateral epicondylitis. in what sport?

A

Tennis elbow

27
Q

Tennis elbow? what pathology

A

Lateral epicondylitis.

28
Q

Lateral epicondylitis. CP?

A

Lateral elbow pain worsened when patient extends wrist against resistance.

29
Q

Lateral elbow pain worsened when patient extends wrist against resistance.?

A

Lateral epicondylitis.

30
Q

Lateral epicondylitis.
NBME: extensor carpi radialis brevis = answer for site of inflammation

A

.

31
Q

Lateral epicondylitis.
Tx?

A

,,forearm strap”

32
Q

inflammation of extensor carpi radialis brevis?

A

Lateral epicondylitis.

33
Q

Medial epicondylitis.
what sport?

A

Golfer elbow

34
Q

Golfer elbow?

A

Medial epicondylitis.

35
Q

Medial epicondylitis.
Inflammation at flexor carpi radialis and pronator teres.

A

.

36
Q

Inflammation at flexor carpi radialis and pronator teres.?

A

Medial epicondylitis.

37
Q

Medial epicondylitis. CP?

A

Medial elbow pain worsened when patient flexes wrist against resistance.

38
Q

Medial elbow pain worsened when patient flexes wrist against resistance.?

A

Medial epicondylitis.

39
Q

Medial epicondylitis. Tx?

A

forearm strap

40
Q

Radial head subluxation. in children. how is called?

A

aka ,,Nursemaid elbow”

41
Q

,,Nursemaid elbow”?

A

Radial head subluxation.

42
Q

Radial head subluxation.
CP in children?

A

Child stops using arm + arm pronated and partially flexed

43
Q

Child stops using arm + arm pronated and partially flexed?

A

Radial head subluxation.

44
Q

Radial head subluxation.
Hx of child having arm pulled/yanked, or child holding hands and running with older sibling + the child falls, resulting in elbow pull.

A

.

45
Q

Radial head subluxation. Tx?

A

Tx = hyper-pronation, OR supination when arm partially flexed. Either is correct.

Both will not be listed at the same time as answers.

46
Q

Olecranon bursitis. CP?

A

Elbow pain, usually following contact injury.

47
Q

Elbow pain, usually following contact injury?

A

Olecranon bursitis.

48
Q

Olecranon bursitis. Tx? 2

A

Tx = compression bandage + NSAIDs. Steroid injection is wrong answer on USMLE

49
Q

Olecranon bursitis. what is wrong answer for Tx?

A

Steroid injection is wrong answer on USMLE

50
Q

UW. Lateral epicondylitis. what two muscles?

A

as in M - extensor carpi radialis brevis
+ in UW: Extensor digitorum communis

51
Q

as in M - extensor carpi radialis brevis
+ in UW: Extensor digitorum communis?

A

UW. Lateral epicondylitis

52
Q

UW. Lateral epicondylitis. CP?

A

Pain:
passive wrist flexion
pain with wrist extension against resistance.

53
Q

UW. Lateral epicondylitis. cause?

A

repetitive or forceful wrist extension

54
Q

UW. Olecranon bursitis. Cause?

A

repetitive pressure or friction

55
Q

UW. Olecranon bursitis. Dx?

A

xray - if suspect fracture

apiration (+gram and culture) in selected cases

56
Q

UW. Olecranon bursitis. Tx

A

rest, ice, compression bandage, NSAIDS

If septic = antistaphylococal abs and drainage
if inflammatory - treat gout, RA

57
Q

UW. Lateral epicondylitis. Tx?

A

brace (M buvo forearm strap), modified activity, nsaids

STEP 2 dermal/MSK (24 decks)

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