Musculoskeletal Diseases Flashcards

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1
Q

Lameness clinical sign

A

Can be nerve or muscukoskeletal
Look at which leg there is more weight on
Watch if there is trouble with stairs, jumping, getting up and down
Sore to touch? Swollen?

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2
Q

Muscle atrophy

A

More slow compared to nerve damage
Using muscle less
Cat leg in splinter/cast
Dog post acl surgery

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3
Q

Causes of swelling

A
Hematoma 
Cellulitis 
Bursitis 
Inflammation 
Edema 
Tumors 
Abscess
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4
Q

Hematoma

A

Collection of blood under skin

After blood collection, trauma, bleeding

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5
Q

Cellulitis

A

Diffuse infection under skin

Overall swelling, may crackle/have air

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6
Q

Bursitis

A
Inflammation of Bursa 
Small fluid containing sacs near joint 
Pain, limits movement 
Trauma/bone injury/infection/swollen joints 
Rest, steroids, NSAIDs, antibiotics
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7
Q

Inflammation

A

Muscle, joint, bone and soft tissue
Infection, trauma, immune mediated
Swelling over inflamed region

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8
Q

Edema

A

Fluid in tissues
Heart failure, lymphatic drainage
Tumor, inflammation, trauma

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9
Q

Tumors

A

Soft tissue, bone
X-ray to confirm
Benign or cancerous
Metastatic in lymph nodes

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10
Q

Abscess

A

Localized infection under skin
Cat bites, FB, trauma
Burst, puss

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11
Q

Deformities

A
Fractures and dislocation 
Congenital malformation 
Improper old injury healing? 
Some breeds have curved legs (bow legged) 
Basset hounds, beagles
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12
Q

Fractures

A
Leg twisted at odd angle 
Leg feels loose and limp past fracture 
Pain, not using leg 
Small (green stick) 
Comminuted (shattered) 
Multiple fracture 
Trauma, bone deformity, weak bones
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13
Q

Dislocations

A
Knee, hip, elbow, shoulder 
Vertebrae, tail 
Unable to use when joint unstable 
Trauma 
Hip/elbow dysplasia increases risk of dislocation 
Medically pop back in with GA 
Surgery
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14
Q

Patella dislocation

A

Dogs may kick out and pop back in
Congenital/hereditary
Deepen groove to reduce ability to pop out

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15
Q

Collapse/weakness

A

Pain, difficulty getting up, stiff/sore legs
Non specific
Muscle and neurological problem

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16
Q

Inflammation

A

Heat, redness, swelling, pain, loss of function,

Discharge if infected

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17
Q

Does carrying leg or weight bearing create worse problems

A

Carrying leg
Needs to be seen asap
Want to avoid incorrect healing

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18
Q

Weight barring treatment

A

Rest and anti inflammatory

Pet should still be seen

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19
Q

Bruising and hematoma

A

Check skin for wounds and scabs

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20
Q

Does limping always mean pain

A

No

Can mean joint fusion, previous injury, short leg congenital defects

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21
Q

Lameness exam

A

Watch dog running outside
Palpation
Flexion tests
Walk/jog

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22
Q

Flexion test

A

Extend and flex limbs and watch for pain

Do in lateral recumbency

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23
Q

Palpation

A

Feel each limb
Look for swelling and pain
Watch for biting (use muzzle)

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24
Q

Cranial drawer

A

Best to do under sedation and anesthetic

Feel forward motion of tibia in relation to femur

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25
Q

Radiography

A

Painful, hips require sedation
Bones, joints (arthritis)
Do not see tendons or ligaments or soft tissue

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26
Q

Problems with radiography

A

Don’t over extend

Could fracture weak bone tumor

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27
Q

What to do if you suspect cancer

A

Do chest X-ray

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28
Q

Ultrasound

A

Tendons and soft tissue

29
Q

MRI and CT

A

Joints and spine
Expensive
MRI best for soft tissue
Need GA

30
Q

Bone scans

A

Bone Tumor
Bone scintigraphy
Tracer given IV
Pictures taken at various points
Distribution of tracers dependent on rate of bone turnover and blood flow
Normal values take up tracer - determines metabolism, pinpoints, abnormal bones

31
Q

Nerve block

A

Place local anesthetic in area
See if lameness foes away
Horses

32
Q

Arthroscopy

A

Larger joints - knee
Visulazes, diagnoses , treats intra articular (inside a joint problem)
Diagnose and perform surgery to fix at some time
Hip, shoulder, knee, acl repair

33
Q

Joint tap

A

Do cytology or C&S of synovial fluid (arthrocentesis)
Blood test - CBC
Chem panel - autoimmune disease, hypoglycemia, hypocalcemia,

34
Q

Hypoglycemia and joint taps

A

Reason for weakness (lack of nutrients/energy)

35
Q

Hypocalcemia and joint taps

A

Calcium deficiency can cause tremor, seize, disorientation

36
Q

Urinalysis

A

Kidney function
Infection
Inflammation
Crystals and toxins

37
Q

Genetic testing for inherited diseases

A

Muscular dystrophy - nerves to muscles damaged
Neuropathies- lose sensation of motor function
Degenerative myelpathy - progressive weakness and paralysis of legs

38
Q

NSAIDS

A
Anti inflammatory (non steroidal) 
Most common pain med for muscukoskeletal
39
Q

Steroids

A

Anti inflammatory
Prednisone
PU/PD don’t restrict water

40
Q

Tylenol

A

Acetaminophen
Toxic to cats
Just pain but may combine with NSAID

41
Q

Narcotics

A

Severe pain

Buprenorphine

42
Q

Acupuncture

A

Skeletal and nerve problems
Needle stimulates nerves and muscles
Release natural opioid
Stimulates electrical signaling

43
Q

Surgery

A

Fracture and location repairs
Tendon and ligament repairs
Tumors benign or cancerous

44
Q

Ways to fix fracture

A

Bone plates
Pins
External fixators
Wires

45
Q

Luxation surgery

A
Knee, hip, elbow, shoulder 
Closed reduction (pop back in) 
If long period, open surgery
46
Q

Ligament surgery

A

CCL and ACL

Partial and incomplete amputation - any leg

47
Q

Physiotherapy

A

Builds strength and improves mobility

48
Q

Chiropractic

A

Increases range of motion

49
Q

Massage

A

Relaxes muscle
Stimulates blood flow
Reduces pain

50
Q

Splints/casts/bandages

A
Vet or vet tech 
Non surgical repair of fractures 
Soft tissue injuries 
Restrict mobility to allow healing 
Need to build up muscle after
51
Q

Splint/bandage/cast homecare

A

Not too tight, keep dry
Watch for pain/swelling/lack of use
No licking of chewing

52
Q

Rest and time after surgery

A

Being too active can cause relapse
Strict rest, low activity
Eventually physiotherapy and slow exercise r ecco mended
Use kennels and exercise pens

53
Q

Stains/sprains

A

Stretching and minor tears of ligaments /tendons / muscles

54
Q

Rupture of Achilles tendon

A

Causes dropped hock

55
Q

Dislocations(locations)

A

Joint out of place
Anesthetic
Radiographs
Potential surgery

56
Q

Fracture

A

Emergency

External or internal fixation

57
Q

Stifle injuries

A

Cruciate or collateral ligament repair

Dogs

58
Q

Infections

A

Osteomyelitis
Caused by trauma
Exposed bone, hard to treat
Cut out infected bone, antibiotics

59
Q

Hip dysplasia

A
Hereditary 
Causes hind leg lameness in large dogs 
Severe osteoarthritis 
Radiography 
Head of femur deformed, acetabellum shallow
60
Q

Polydactyl

A

Predisposed to arthritis

61
Q

Luxating patellas

A

Hereditary
Causes sporadic lameness
Patella slips out of groove of femur

62
Q

Legg perthes

A

Destruction of hip joint

Necrosis of femoral head

63
Q

Elbow dysplasia

A

Hereditary
Forelimb lameness
Elbow turns out

64
Q

Osteochondrosis

A

Defect in cartilage of joint

Shoulder and elbow joints

65
Q

Panosteitis

A

Inflammation of bone

Leg lameness

66
Q

Myopathies

A

Muscle disease cats

67
Q

Osteoarthritis

A

Wear and tear arthritis
Weight loss
NSAIDs

68
Q

Immune mediated arthritis

A

Body attacks own joints

Steroids

69
Q

Infectious arthritis

A

Infectious agent in joint
Joint flushes
Antibiotics