MSK chest, ribs, T-spine Flashcards
What is the pain pattern for cardiac involvement?
- radiating to one or both UEs
- precipitated by exertion
- no TTP
Ease: supine
What is the pain pattern for pulmonary involvement?
- exacerbation by deep breathing
- no TTP
Ease: upright
What is the pain pattern for food?
pain after food
Ease: upright
30 mins: esophagus
30-90 mins: stomach
90-4 hours: Lower GI system
What are red flags for possible SC joint arthritis?
- TTP at SC joint
- limited shoulder movement
- swelling
- fever
- insidious onset of chest pain localized to the SC joint
Patient interview: HX of IV drug use, DM, trauma, and infection
What is mastitis?
Inflammation/obstruction of the mammary duct
What is mastitis associated with in females?
lactation
What are s/s of mastitis?
- red and warm
- swollen
- painful
- fever and chills
- flu-like s/s
What are risk factors for mastitis?
- female
- PMH of mastitis
- stress
- fatigue
- trauma
(true/false) Males can get mastitis
true
What are cyclical breast cysts?
Cysts that are hormonally induced cysts that resolve within 2-3 menstrual cycles
Less common after menopause
What is a rare form of ductal carcinoma?
paget’s disease
What are the sxs of paget’s disease?
- itching
- redness
- flaking skin
- occasional bleeding
(true/false) Paget’s disease in the breast is the same as paget’s disease in the bone
FALSE
it is not
What is the 2nd most common site of cancer and cause of death in women?
breast cancer
What are risk factors for breast cancer?
- PMH
- white, 45-70 y/o
- genetics
- estrogen exposure
Where does breast cancer commonly occur?
upper outer segment of the breast
What are signs of breast cancer?
- Nipple discharge
- nipple erosion
- breast enlargement
- breast shrinkage
- orange peel appearance
~~~~~~~ “BREAST”
Breast mass
Retraction
Edema
Axillary mass
Scaly Nipple
Tender breast and breast pain
What is mastodynia?
Irritation of the upper dorsal intercostal nerve causing chest pain
What are s/s of mastodynia?
- unilateral chest pain
- becomes more persistent during menstrual cycle
When does mastodynia occur initially?
definition: upper dorsal intercostal nerve irritation
Premenstrual period (ovulatory cycles)
What is Tietze’s Syndrome?
Inflammation of a rib and its cartilage in those < 40 y/o WITH swelling
What are the sxs of Tietze’s syndrome?
- < 40 y/o
- swelling
- single site of involvement
- pain worsened with sneezing, coughing, deep inspiration, trunk twisting, and horiz. ABD/ADD
Where is Tietze’s syndrome commonly found in the rib cage?
2nd and 3rd costal cartilage
What is costochondritis?
Inflammation of one or more costal cartilages…refers to pain the costochondral articulations without swelling in those > 40 y/o
