Musculoskeletal Flashcards

1
Q

What is the most significant complication of a fracture?

A

compartment syndrome, bleeding, fat embolism

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2
Q

Acute Compartment Syndrome

A

Serious condition in which increased pressure within one or more compartments causes massive compromise of circulation to the area

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3
Q

treatment of compartment syndrome

A

prevent the pressure build up of blood or fluid accumulation

elevate arm, check circulation in casts

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4
Q

If no blood flow in compartment syndrome pathophysiologic changes are referred to as

A

ischemia-edema cycle

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5
Q

How long do you have after the onset of acute compartment syndrome before damage is irreversible?

A

4 to 6 hours

Limb can become useless within 24 to 48 hr

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6
Q

What may be preformed to relieve pressure in compartment syndrome?

A

Fasciotomy

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7
Q

What do we assess for with fractures?

A

distal pulses, tingling, feeling, cap refill, skin-warm or cold?

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8
Q

Avascular necrosis

A

Your bone doesn’t heal because you don’t have blood flow into that area

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9
Q

Risk factors associated with osteoporosis?

A

diet, alcohol use, smoking, lack of exercise

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10
Q

Silent theif/Silent disease

A

Osteoporosis
don’t know you have it until its too late

progressed so far that nothing you can do about it

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11
Q

Number one thing to do to prevent osteoporosis***

A

exercise

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12
Q

Osteoporosis prevention

A

teach about diet
ensure adequate calcium intake
exercise 30 minutes daily

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13
Q

Paget’s disease

A

chronic metabolic disorder in which bone is excessively broken down and reformed

structurally disorganized bone

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14
Q

treatment of paget’s disease

A

analgesics

primarily given to treat pain and decrease reabsorption of bone

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15
Q

How to avoid avascular necrosis

A

ensure adequate blood flow

check pulses

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16
Q

The only way to diagnose muscular dystrophy is through

A

Bone and Muscle biopsy

CK-MM for muscle

17
Q

Osteomalacia

A

loss of bone related to vit D deficiency

young child: rickets

18
Q

treatment of Osteomalacia

A

ergocalaferol

vit d supplement

19
Q

Ewings sarcoma

A

shoulder, sternum, legs. Usually metastasis

mostly chemo tx
boys 13-17

20
Q

Scoliosis

A

lateral curvature of the spine (thoracic lumbar)

21
Q

What does avascular necrosis cause?

A

delayed bone healing

22
Q

For shoulder/upper arm fractures, assess

A

pt sitting or standing

support affected arm to promote comfort

23
Q

Distal area of arm

A

assess in supine position

24
Q

Lower extremities/ pelvis fractures

A

assess in supine position
s/s: internal injury, blood in urine, etc.
Internal damage is the chief concern in fracture

25
Q

Casts we need to beware of

A

circulation, skin breakdown, compartment syndrome

26
Q

RICE

A

Rest, Ice, Compress, Elevate

27
Q

Gout

A

increased uric acid

28
Q

Diagnostic test fro gout

A

serum hyperurecemia and urinary uric acid

29
Q

Amputation complication

A

hemorrhage, infection, neuroma, flexion contracture

30
Q

Amputation meds

A

IV calcitonin bc analgesics will NOT work

31
Q

Progressive muscular dystrophies

A

Slow progression
Okay in mind but body stops working
oAsk hard questions like “when diaphragm stops working what should we do?”

32
Q

Progressive muscular dystrophies genetic considerations

A

Protein, dystrophan

ONLY WAY TO DIAGNOSE IS MUSCLE BIOPSY