Midterm: Musculoskeletal Complaint Flashcards

1
Q

Radicular pain with weakness and sensory loss over an area innervated by a nerve root (dermatomal distribution) most likely is…

A

Radiculopathy

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2
Q

What type of pattern do radiculopathies follow?

A

Dermatomal

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3
Q

What condition involves spinal cord damage or dysfunction?

What does it involve?

A

Myelopathy

Basically anything involving the spinal cord, meninges and perimeningeal space surrounding spinal cord

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4
Q

Do myelopathies result in loss of function?

A

Yes, significant

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5
Q

What are some important palpatory landmarks involving the neck?

A

Spinous Process
Facet Joints
Paracervical muscles

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6
Q

What does a spurling test/maneuver try to elicit?

A

Radiculopathy

-nerve root compression

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7
Q

What is Spondylosis?

A

Synonymous for Osteoarthritis of Vertebrae

Defect in Pars interarticulars with subsequent spinal nerve root compression

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8
Q

In advanced spondylosis, what four conditions arise?

A

Radicular pain
Neuropathy
Compression fractures
Spondylolisthesis (step off)

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9
Q

What specific population is scoliosis most common in?

A

Adolescent girls

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10
Q

What is the most common way to test for scoliosis?

A

Forward bending test

-clinical evident for curvatures 30 degrees or more

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11
Q

What positions make lumbar stenosis worse?

A

Back extension

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12
Q

What back position alleviates lumbar stenosis pain?

A

Back flexion

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13
Q

This is pain in the lower extremities that is caused by lumbar stenosis. It is relieved almost immediately and is NOT due to vascular compromise?

A

Pseudoclaudication

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14
Q

How do you differentiate pseudoclaudication (lumbar stenosis) from true claudication?

A

Pseudoclaudication is relieved immediately and is not associated with vascular compromise

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15
Q

What occurs with Disk herniation?

A

Pain with flexion/prolonged sitting
Radicular Pain
LE weakness
Straight Leg test with pain at less than 70 degrees

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16
Q

In a disk herniation, will a straight leg raise test of the contralateral leg reproduce symptoms in the affected leg?

A

Yes

17
Q

What is sciatica?

A

Basically disk herniation or piriformis compression that follows the radicular pattern of the sciatic nerve going from butt pain that travels down into knee

18
Q

If a patient has disk herniation with urinary retention, saddle anesthesia, progressing weakness, and neuro deficits how would you treat?

A

Surgical emergency

-immediate MRI

19
Q

Is imaging recommended for back pain within the first six weeks?

A

Nope, not unless there are red flags

-90% will resolve within 6 weeks

20
Q

Aggravating symptoms with flexion and prolonged sitting suggest that the lesion is where?

A

Anterior spine disk problems

21
Q

Aggravating symptoms with extension suggest that the lesion is where?

A

Facet joints, stenosis, or SI joint

22
Q

What are some red flag symptoms for malignancy?

A

Unexplained weight loss, failure to improve w treatment, pain >6 weeks, pain at night/rest
-pt older than 50 w other risk factors as well

23
Q

What are some red flag symptoms for infection?

A

Fever
Rest pain
Recent infection
History of immunocompromised or IVDU

24
Q

Is nerve root impingement back pain dominant or leg dominant?

A

Leg

Back is probably more functional impairment