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MJ- Emergency Medicine EOR > MSK tx > Flashcards

MSK tx Flashcards

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Royal College: Emergency Medicine flashcards
1
Q

tx for gout (acute and chronic)

A

acute- NSAIDs, prednisone, colchicine

Chronic- Allopurinol, colchicine

(loop and thiazide diuretics can trigger)

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2
Q

what tx is contraindicated in patellar tendonitis

A

cortisone injections

(due to risk of patellar tendon rupture)

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3
Q

at what level is cauda equina at

A

L4-L5

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4
Q

MC site of radial nerve injury

A

humerus fx

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5
Q

posterior fat pad/sail sign

A

humerus fx

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6
Q

MC pediatric elbow fx

(anterior fat pad)

A

supracondylar

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7
Q

what nerve and artery are injured in supracondylar fx

A

median nerve/ brachial artery injury

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8
Q

tx for humerus fx

A

sugar tong splint

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9
Q

tx for supracondylar fx

A

long arm posterior splint followed by long arm casting

(ORIF for displaced)

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10
Q

tx of radial head fx/dislocation

A

sling, long arm splint at 90 degrees, ORIF

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11
Q

tx for Monteggia vs galeazzia fx

A

Monteggia- ORIF

Galeazzia- ORIF, long arm splint

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12
Q

Tx for Colles fx

A

sugar tong splint/cast

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13
Q

tx for smith fracture

A

reduction/surgery or casting, PT for ROM and strengthening

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14
Q

tx for scaphoid fracture

A

thumb spica splint x10-12wks

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15
Q

tx for boxers fracture (5th/4th metacarpal)

A

ulnar gutter splint with joints at 60-degree flexions

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16
Q

Tx for clavicle fx

A

Simple arm sling or figure-of-eight sling: 4-6 weeks in adults, ortho consult if proximal 1/3

Begin PT after 4 weeks with light strengthening after 6 weeks

17
Q

tx for hip fx

A

ORIF; hip arthroplasty, DVT prophylaxis until ambulatory

18
Q

tx for talus fx

A

non-displaced: non-weight bearing cast

Displaced: surgery

19
Q

what food should people increase if they have gout

A

increase protein

20
Q

what 2 meds should be avoided in gout

A

thiazides and aspirin

21
Q
A
22
Q

what is the drug of choice for acute gout

A

Indomethacin

(can also do colchicine)

23
Q

tx for pseudogout

A

acute- NSAIDs

prophylaxis- colchicine

24
Q

Tx for septic arthritis

A

Staph aureus = Vanco/nafcillin (Vanco or Clindamycin if PCN allergic)

Gonorrhea = ceftriaxone

IVDU = Cipro/Levaquin

25
Q

Tx for DeQuervain’s Synovitis

A

thumb spica splint x 3 weeks

NSAIDs 10-14 days

steroid injections

PT

26
Q

Tx for Skiers injury

A

thumb spica splint 4-6 weeks

MJ- Emergency Medicine EOR (17 decks)

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