musculoskeletal overview Flashcards

1
Q

name some bones

A
  • long (femur, humerus)
  • short (tarsals)
  • irregular (vertebrae, jaw)
  • flat (sternum)
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2
Q

does each bone have a purpose

A

yes

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3
Q

describe composition of bones

A
  • made of cells, proteins, and minerals
  • has periossium which nourishes the bone and the tendons and ligaments attach to it
  • also has endossium which is the vascular membrane that covers the bone marrow cavity
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4
Q

what does the bone marrow make

A
  • RBCs
  • WBCs
  • platelets
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5
Q

describe bone maintenance and healing

A
  • constant state of turnover (remodeling)
  • resorption (removal/destruction)
  • calcium and vitamin D are important
  • hormones are important
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6
Q

what factors may influence bone resorption

A
  • physical activity (weight bearing)
  • diet (Ca+)
  • hormones
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7
Q

what hormones have roles in bone maintenacne and healing

A
  • PTH
  • calcitonin
  • calcitriol
  • thyroid hormone
  • cortisol
  • growth hormone
  • test and estrogen
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8
Q

what does PTH do

A
  • increases serum calcium
  • moves calcium from bone to the blood
  • promotes demineralization of bone
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9
Q

what does calcitonin do

A
  • decreases serum calcium
  • inhibits bone resorption
  • takes it from the blood and puts it in the bone
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10
Q

what does calcitriol do

A
  • this shit is just vitamin D but theyre not calling it that and its confusing
  • it increases Ca+ in the blood by promoting absorption of it in GI
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11
Q

what does thyroid hormone do

A

too much increases bone resoprtion

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12
Q

what does cortisol do

A

too much fucks the bones

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13
Q

what does growth hormone do

A

helps accelerate bone growth

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14
Q

what do test and estrogen do

A

needed to enhance bone strength

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15
Q

whats included in the articular system

A
  • articulation aka the joints (fibrous, catilaginous, and synovial)
  • joint capsules (covers end of bones - synovial fluid)
  • ligaments and tendons (bind articular bones together)
  • bursa (cushions tendons, ligaments, bones)
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16
Q

ligaments bind what together

A

bone to bone

17
Q

tendons bind what together

A

muscle to bone

18
Q

important terms

flaccid

A

without tone

19
Q

important terms

spastic

A

greater then normal tone

20
Q

important terms

atonic

A

soft and flabby

21
Q

important terms

hypertrophy

A
  • increase in size of muscle fibers
  • exercise and weightlifting
22
Q

important terms

atrophy

A
  • decrease in size of muscle
  • immobility and bed rest
23
Q

describe musculoskeletal system of the older adult

A
  • pain and joint limitations
  • loss of height
  • thinned vertebral discs
  • compressed intervertebral bodies
  • metabolic changes
  • collagen support fails
  • loss of muscular strength
  • mobility disorders
  • grief over loss of independence
24
Q

whats kyphosis

A

forward curvature of the spine

25
Q

whats lordosis

A

exaggerated curvature of the lumbar spine

26
Q

whats scoliosis

A

lateral curvature of the spine

27
Q

whats arthography used for

A

To identify cause of pain

Determine progression of joint disease

Contrast agent into joint cavity

Joint ROM while x-ray series obtained

28
Q

whats arthroscopy used for

A
  • Visualize joint w/ fiber optic endoscope
  • To dx joint disorders
  • Can biopsy
  • Can treat tears, defects & disease processes
  • Sterile procedure until local or general anesthesia
29
Q

whats arthocentesis

A
  • Obtain sample of synovial fluid from joint
  • Can dx inflammatory arthropathies
  • Exam fluid
  • Relieve pain from effusion
  • Look for hemarthrosis
  • Synovial fluid (Clear, pale, straw colored)
  • Aseptic technique
30
Q

what are X-ray, CT, and MRI used for

A
  • Bone density, texture, erosion, bone changes
  • Reveal fluid, irregularity, spur formation, narrowing / changes of join
31
Q

whats CT used for

A

With or without contrast

Visualize tumors, soft tissue injury, ligaments & Tendons, trauma

32
Q

whats MRI used for

A

Visualize & assess torn muscles, ligaments & Cartilage

Assess & dx herniated disc, hip & pelvic conditions

33
Q

whats an EMG used for

A

Assess electrical potential of muscles / nerves

Evaluate weakness, pain & disability

Needle electrodes into muscles

Warm compresses post procedure

34
Q

whats bone densitometry used for

A

to test BMD through xrays and US

35
Q

whats a bone scan used for

A

Used to detect tumors (metastatic & primary)

Osteomyelitis & DDD

Radioisotope through IV, scan 2-3 hours after

Areas of abnormal bone will appear brighter

36
Q

what are some nursing considerations for MSK diagnostics

A
  • Patient must lie still (MRI)
  • Discuss MRI
  • contraindications?
  • Allergies / Contraindications to contrast agents?
  • Discomfort
  • Post diagnostic care
37
Q

what lab studies might be used for MSK system

A
  • calcium: altered in osteomalacia, parathyroid dysfunction, prolonged immobilization
  • ALP: found throughot the body, concentrated in liver, bones, and GI
  • parathyroid studies (PTH, calcitonin, vit D): evaluate bone metabolism
  • CK and AST: elevated with muscle damage
  • urine calcium: increased with bone destruction