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Year 2 PCM IV midterm > MSK Procedure 8? > Flashcards

MSK Procedure 8? Flashcards

1
Q

clinical signs of fractre

A 
pain
 swelling
deformity 
eccymosis
loss of function
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2
Q

importance of evaluation fracture

A

neurovascular status

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3
Q

most reliable sign of fracture

A

pain

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4
Q

compound fracture

A

skin involvement

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5
Q

comminuted fracture

A

compression, many pieces

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6
Q

spiral fracture

A

from twisting

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7
Q

greenstick

A

young kids because bones are softer

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8
Q

worry about open fractures

A

bacteria

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9
Q

salter fractures

A

through growth plates

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10
Q

I salter harris

A

growth plate slips

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11
Q

II salter harris

A

fracture through metaphysis

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12
Q

III salter harris

A

though epiphysis

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13
Q

salter harris IV

A

through epiphysis and metaphysis

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14
Q

salter harris V

A

compression growth plate

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15
Q

worse salter harris fracture

A

V

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16
Q

rammed and ruined fracture

A

salter type V

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17
Q

worry about what with scaphoid fracture

A

avascular necrosis

18
Q

colles fracture

A

distal radius with dorsal displacement

19
Q

dinner fork deformity

A

colles

20
Q

falling on outstretched hand

A

colles

21
Q

tri malleolar fracture

A

lateral malleolus
medial malleolus
posterior tibia

22
Q

causes of trimalleolar fracture

A

landing flat on heel from height

23
Q

Tx tri malleolar fracture

A

surgery

ORIF

24
Q

systemic complications of fractures

A 
fat embolism
shock
thromboembolism
exacerbation of underlying disease
pneumonia
25
Q

risk factor pneumonia

A

immobilization

26
Q

local late complications fractures

A 
delayed union
nonunion
malunion
joint stiffness
contractures
myositis ossificans
avascular necrosis
algodystrophy
osteomyelitis
27
Q

systemic late complications o fractures

A

gangrene, tetanus, septicemia
fear of mobilizing
osteoarthritis

28
Q

compartment syndrome

A

P in facial compartment exceeds the BP

causes compromise of circulation

29
Q

conditions assoc with compartment

A 
soft tissue injury
exercise induced
crush injury
electrical injury
burns
animal bites
prolonged tourniquet application
30
Q

Tx compartment syndrome

A

fasciotomy

31
Q

fracture blisters

A

blisters that form over fractures

1-2 days post injury

32
Q

types of fracture blisters

A

clear filled

blood filled

33
Q

Tx fracture blisters

A

benign neglect
debridement
aspiration

34
Q

grade I sprain

A

mild pain, little swelling

minimum or no loss function

35
Q

grade II sprain

A

moderate to severe pain

moderate loss of function

36
Q

grade III sprain

A

little or no pain from total disruption nerve fibers

require immobilizaiton for months

37
Q

conditions that benefit from immobilization

A 
fractures, sprains, severe soft tissue injuries
reduced joint dislocations
inflammatory conditions
deep laceration across joint
tendon lacerations
38
Q

benefits of cast

A

better immobilization in fixed position
less movement
lasts wks-mo
can’t be removed by patient

39
Q

soft tissue indications for joint injection

A 
bursitis, tendonitis, trigger points
ganglion cysts
neuroma
entrapment syndrome
fascitis
40
Q

joint conditions to inject for

A

effusion, crystalloid arthropathies
synovitis
inflammatory arthritis
advanced OA

41
Q

absolute CI for joint injection

A 
local cellulitis
acute fracture
tendinous sites at high risk for rupture
drug allergy
septic arthritis
42
Q

relative CI for joint injections

A 
minimal relief after 2 prev injections
underlying coagulopathy
on anticoagulation therapy
uncontrolled DM
osteoporosis
inaccessible joint

Year 2 PCM IV midterm (6 decks)

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