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IM 5.5 Test 4 > Musculoskeletal Dysfunction > Flashcards

Musculoskeletal Dysfunction Flashcards

1
Q

what age groups are fractures rare in

A

infancy - warrant CPS investigation

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2
Q

which fractures indicate abuse or sports participation

A

spiral fractures

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3
Q

plaster advantages

A

molded close to body, easy to write on, cheap

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4
Q

plaster disadvantages

A

long time to dry, not water resistant, heavy

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5
Q

synthetic advantages

A

light weight, fast drying, water resistant, many colors

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6
Q

synthetic disadvantages

A

cant be molded close to body, hard to write on, expensive

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7
Q

buck extension is

A

skin extension

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8
Q

buck extension is short/long term

A

short term

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9
Q

byrant traction is

A

skin extension

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10
Q

osteomyelitis

A

infection within the bone - usually s/ aureus

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11
Q

ostemyelitis RF

A

<10 year old boys

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12
Q

osteomyelitis s/s

A

pain, fever, erythema, edema, warmth

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13
Q

osteymyelitis

A

labs/cultures, XR, bone scan, CT/MRI, bone biopsy

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14
Q

Legg calve perthes patho

A

avascular necrosis of the femoral head

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15
Q

LCP RF

A

kids 2-12, specifically boys 4-8

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16
Q

LCP assessment

A

limp after activity, pain, joint stiffness

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17
Q

LCP Dx

A

XR/MRI

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18
Q

treatment of LCP

A

limited or NWB with braces to surgery in severe cases. usually self-limiting

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19
Q

complicaitons of LCp

A

osteoarthritis

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20
Q

scoliosis patho

A

abnormal lateral curvature of the spine 10+ degrees

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21
Q

scoliosis RF

A

adolescent girls

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22
Q

what score on the scoliometer requires parental notification

A

7 degrees

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23
Q

mild scoliosis curve

A

10-24

24
Q

mild scoliosis treatment

A

observation and HCP eval every 3-6 months

25
Q

moderate scoliosis curve

A

25-45

26
Q

moderate scoliosis treatment

A

bracing 16-23 hours a day

27
Q

boston brace

A

curves in the lumbar or thoracic area that is low profile and has plastic components

28
Q

milwaukee brace

A

older and bulkier version for high thoracic or cervical spine fractures

29
Q

severe scoliosis curve

A

over 45

30
Q

severe scoliosis treatment

A

surgery

31
Q

scoliosis surgery

A

growing rods

32
Q

DDH patho

A

head of femur is seated improperly in the acetabulum

33
Q

DDH RF

A

first borns, females, famil hx, breech, Large BW and oligohydraminos

34
Q

DDH s/s newborn to 8-12 weeks

A

positive barlow and ortolani test

35
Q

DDH s/s infants

A

limited abduciton of hips, asymmetry of gluteal and thigh folds, positive allis sign

36
Q

DDh s/s older infants and kids

A

positive tredelenburg sign, leg length issues, telescoping mobility

37
Q

DDH dx

A

PE, XR, ultrasound

38
Q

DDH interventions birth to 6 months

A

pavlik harness

39
Q

how long is the pavlik harness work

A

6-12 weeks

40
Q

DDH interventions intants 6-24 months

A

bryant traction, surgery, spica cast or flexion abduction brace

41
Q

DDH interventions for 24+

A

open reduction, spica cast or flexion/abduction brace

42
Q

Clubfoot patho

A

complex deformity of the ankle and foot that might be unilateral or bilateral

43
Q

positional club foot

A

due to position in utero

44
Q

treatment of positional clubfoot

A

simple or casting or may correct spontaneously

45
Q

syndromic club foot

A

associated with other deformities

46
Q

which club foot is most resistant to tx

A

syndromic

47
Q

congenital club foot

A

idiopathic aka true club foot

48
Q

club foot s/s

A

pointed downard and inward, smaller and shorter foot, thinner calf, empty heel pad with a deep crease on bottom of foot

49
Q

club foot intervention stages

A

correction, maintenance, follow-up

50
Q

nonsurgical correction for club foot

A

ponsetti method

51
Q

ponsetti method

A

serial casting for 6-10 weeks with weekly gentle manipulation. achilles tenotomy at conclusion

final cast is on for 3 weeks followed by removable boots and bar

52
Q

arthritis patho

A

autoimmune inflammatory disease affecting the joints and other tissues such as articular cartilage

53
Q

arthritis RF

A

girls

54
Q

arthritis s/s

A

swelling, stuffness, pain, ltd ROM and **uveitis*

55
Q

uveitis

A

eye inflammation potentially leading to blindness

56
Q

arthritis dx

A

onset before 16 with continuous arthritic pain in 1+ joints for 6+ months

repetitive high fevers, rash on extremities and trunk, elevated ESR

XR shows soft tissue edema and joint space widening

IM 5.5 Test 4 (3 decks)

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