musculoskeletal Flashcards
navicular fracture
wrist pain at snuffbox (loading of thumb)
splint write (thumb spica spling) and refer to hand surgeon usually from a fall
colles fracture
most common WRIST fracture
distal radius
hip fracture
“sudden” one sided hip pain.
elderly have 1 year mortality rate increased after
leg shortening with displacement
pelvic fracture
ecchymosis and swelling of lower abdomen, hips, groin, scrotum.
bladder/fecal incontinence
check ABC for internal hemorrhage
cauda equina syndrome
sudden bladder incontinence LEG NUMBNESS (due to pressure o a sacral nerve root)
Surgical emergency, needs spinal decompression
low back pain from dissecting abdominal aneurysm
“tearing” of low back pain/abdominal pain.
ABDOMINAL BRUIT
s/s of shock
most common in elder, white male, smoker
tendon
connects muscle to bone
ligament
bone to bone
finklestein test
test for de quervain’s tenosynovitis (base of thumb)
test is thumb in wrist and flex downwards
mc murray’s
medial meniscus
knee pain and “click”
medial mensicus= valgus pressure (knee in), foot out
lateral meniscus= varUS stress (knee out, feet in)
gold standard is MRI
lachman’s
ACL tear
knee joint laxity, more sensitive than drawer test
The examiner should place one hand behind the tibia and the other on the patient’s thigh. It is important that the examiner’s thumb be on the tibial tuberosity. On pulling anteriorly on the tibia, an intact ACL should prevent forward translational movement of the tibia on the femur (“firm endpoint”).
soft endpoint= tear
test for “MEDIAL collateral ligament. which stress test.
valgus
test for “LATERAL collateral ligament. which stress test.
varus
morton’s neuroma
inflammation of the digital nerve of the foot between the 3rd and 4th metatarsal, > risk with high heels, tight shoes, dancers
“pebble sensation”
mulder test
test for morton’s neuroma.
positive is click and pain when squeezing the forefoot
