Nonarticular rheumatism (Postlethwatie, pathophys) Flashcards
Common location of calcific deposits in shoulder
supraspinatus tendon insertion
key finding: pain 60-120 deg
increasing with active abduction vs resistance
impingement +
less pain on passive
rotator cuff tendinitis
yergason’s sign
supination of forearm vs resistance
speed’s test
shoulder flxn vs resistance
popeye’s sign
ruptured long head of biceps
associations of adhesive capsulitis
DM, prolonged immobilization
golf ball on the helbow
olecranon bursitis
bursitis - when in doubt?
aspirate
tennis elbow
lateral epicondylitis. inflammation or small tendon tear,
golfer’s elbow
medial epicondylitis
numbness and parasthesia of little finger and adjacent side of 4th digit
ulnar nerve entrapment
Finklestein test tests
de Quervain’s tenosynovitis: sheath inflammation of of extensor pollicis brevis and abd pollicis brevis
ganglion
cyst arising around joint or tendon - lined with synovium w/fluid
tinel phalen’s tests
for carpal tunnel
hip pain - lateral thigh pain ending at knee.
trochanteric bursitis
lateral femoral cutaneous nerve L2-L3 entrapment
Meralgia paresthetica
popliteal cyst
baker’s cysts
pes planus
flat feet
heredetary component
look for posterior tibialis rupture
Morton’s neuroma
entrapment of interdigital plantar nerves (3rd & 4th most common)
most common cause of LBP
degenerative changes in lumbar spine
fate of 90% of LBP pts
pain free in 8 weeks
% for which no precise etiological agent is found
85%
big toe dermatome
L4
middle toes dermatome
L5
little toe dermatome
S1
criteria for fibromyalgia
widespread pain >3 mos bilateral upper & lower nonrestorative sleep pattern tender points
who’s more likely to be dx w/FM
women
Why aren’t males dx with FM
pain threshold
location of dysfunction possible in FM
hippocampus
fibromyalgia management
aerobic exercise improve sleep behavioral/psych therapy analgesics when necessary tricyclic/tetracyclic antidepressants
use of analgesics in FM
usually not effective
