Ortho Flashcards

1
Q

fracture

A

a break or crack in a bone

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2
Q

fracture causes

A
  • trauma
  • twisting
  • disease process
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3
Q

general fracture healing time

A

3-12 weeks

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4
Q

closed fracture

A
  • simple fracture

- no break in skin

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5
Q

open fracture

A
  • break in skin

- worried about infection - can be limb threatening

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6
Q

complete fracture

A

all the way through the bone

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7
Q

incomplete fracture

A
  • crack

- not all the way through

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8
Q

ORIF

A
  • open reduction internal fixation
  • surgical repair
  • internal screws or external hardware
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9
Q

closed reduction

A
  • manually reduction of bone

- cast

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10
Q

compartment syndrome

A
  • muscles/nerves/blood vessels enclosed in fibrous membrane
  • increased pressure within confined space
  • can = permanent tissue damage
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11
Q

fat emboli

A
  • fat globules live bone marrow and enter bloodstream
  • most common in long bone fractures
  • MVA, hip replacement, fracture pelvis
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12
Q

DVT

A
  • blood clot in a deep vein
  • most common in legs
  • 45-70% hip/knee surgery
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13
Q

Osteoporosis

A
  • porous bone

- progressive metabolic bone disease

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14
Q

most common organism causing orthodox infections

A
  • staphylococcus epidermis or aureus
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15
Q

skin traction

A
  • to stabilize and stop spams

- nerve and vascular assessment

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16
Q

what to monitor with pulley and weight

A
  • string intact, no knots
  • bag can move
  • bag is off floor
17
Q

cast care

A
  • handle wet cast with palms
  • elevate limb above heart to reduce swelling
  • CMST assessment
  • skin integrity around edges
  • keep clean and dry
  • don’t put anything in cast
18
Q

CMST assessment

A
  • colour
  • mobility
  • sensation
  • temperature
19
Q

BKA

A

below the knee amputation

20
Q

AKA

A

above the knee amputation

21
Q

cause of most amputations

A
  • peripheral vascular disease

- 50% from DM

22
Q

rheumatoid arthritis (RA) - 8

A
  • autoimmune disease
  • chronic inflammatory disorder
  • morning stiffness lasts 1 hour-all day
  • 20s-50s
  • exacerbations and remissions
  • systemic
  • small joints first
  • symmetrical joint involvement
23
Q

osteoarthritis (OA) - 9

A
  • Non-inflammatory type of arthritis
  • slow progression and irreversible
  • morning stiffness lasts 10-30 mins
  • crepitations
  • 40s-50s
  • variable, progressive
  • local
  • weight bearing joints
  • asymmetrical joint involvement (old fracture/injury)
24
Q

2 most common arthritis types

A
  • rheumatoid arthritis

- osteoarthritis

25
osteoarthritis treatment option
- joint replacement - replace with artificial joint - resolves pain after surgery recovery
26
inflamed knuckles
osteoarthritis
27
fingers bending off to side
rheumatoid arthritis
28
fasciotomy
- cut open compartment and leave open w retention sutures | - done preventative if high risk
29
petechial rash
- little red dots
30
homans sign
- person bends toes up to body | - pain in calf
31
phantom limb pain treatment
- OT - narcotics - mirrors
32
increased risk of phantom limb pain
- high pain pre amputation | - traumatic amputation