Ortho/Rad Flashcards

1
Q

Anterior Shoulder Dislocation

A

Abd + Ext Rot

Axillary nerve affected

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2
Q

Posterior Shoulder Dislocation

A

Add + Int Rot

From seizure or electrical/lightning injury

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3
Q

Rotator Cuff Tear

A

Empty can test

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4
Q

Mid-Shaft Humerus Fx

A

Wrist drop d/t radial nerve

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5
Q

Clavicle Fx

A

Middle third most commonly affected

Tx - sling

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6
Q

Supracondylar Fx

A
PEDS
Median nerve + brachial artery affected
Ant sail and post fat-pad sign
Gun-stock deformity
Volkmann's contracture
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7
Q

Elbow Dislocation

A

Usually post

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8
Q

Scaphoid Fx

A

d/t FOOSH
Snuffbox tenderness
Tx - thumb spica splint

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9
Q

Carpal Tunnel

A

Median nerve affected
Phalen & Tinel signs
Compression test
Thenar eminence atrophy

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10
Q

Boxer Fx

A

5th metacarpal Fx

Tx - ulnar gutter splint

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11
Q

Dequervain Tenosynovitis

A

Preg!

Finklestein test

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12
Q

Ankylosing Spondylitis

A

Young male, HLA B27

Bamboo sign

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13
Q

Cauda Equina Injury

A

Bowel/bladder incontinence

Saddle paresthesia

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14
Q

Spinal Stenosis

A

Shopping cart sign (pain relieved c forward bend)

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15
Q

Avascular Necrosis

A

Femoral neck Fx - get frog/lat XR

Limp

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16
Q

Legg-Calve-Perthes

A

Avascular necrosis of HIP.

Sx of knee pain though

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17
Q

SCFE

A

Often in obese peds

XR - Post displacement of femoral epiphysis “Ice cream off cone”

18
Q

Developmental Hip Dysplasia

A

Palpable ‘clunk’
+ Ortalani and Barlow test
Tx: Pavlick harness

19
Q

Hip Fx

A

Ext Rot + Shortening

20
Q

ACL Tear

A

Deceleration, hyperext injury
Pop/swelling
+ Lachman or Ant Drawer test

21
Q

Meniscus Tear

A

Mechanical Sx
Baker cyst
+ McMurry & Apley test

22
Q

Osgood-Schaltter Disease

A

PEDS
Knee pain that worsens c exercise
Tenderness over tibial tuberosity

23
Q

Achilles Tear

A

+ Thompson test

24
Q

Osteomyelitis

A

S. aureus

25
Q

Ewing Sarcoma

A

Moth-eaten and onion-peel

26
Q

OA

A

Often of knee or hand
PIP - Bouchard nodes
DIP - Heberdens nodes

27
Q

Osteoporosis

A

Risk - smoking, corticosteroids, amenorrhea

28
Q

Osteosarcoma

A

Sunburst pattern

29
Q

Compartment Syndrome

A
P!
Pain out of Proportion
Pressure
Paresthesia
Pulselessness
Pallor
Paralysis
30
Q

RA

A

Bilat, symmetric, progressive
Boutonniere/Swan-neck deformities
Felty Syndrome = RA + Splenomegaly + Neutropenia

31
Q

Fibromyalgia

A

Usually women c depression and pain

32
Q

Pseudogout

A

Ca2+PPi

+ Birefringent rhomboid-shaped crystals

33
Q

Juvenile RA

A

Polyarthritis
Spiking fevers
Salmon-colored rash
Risk of uveitis!

34
Q

Polyarteritis Nodosa

A

Cause - HepB
Livedo reticularis
Mononeuritis multiplex

35
Q

Polymyositis

A

Progressive proximal muscle weakness

Dysphagia

36
Q

Dermatomyositis

A
Heliotrope rash
Guttron papules
Shawl sign
Anti-jo1 & mi-2 AB
Risk of CA
37
Q

Polymyalgia Rheumatica

A

> 50yo

Giant Cell Arteritis

38
Q

Reactive Arthritis

A

GI/GU infec
Urethritis
Conjunctivitis

39
Q

SLE

A

+ANA
dsDNA & anti-Smith ABs
Malar rash
Discoid rash

40
Q

Scleroderma

A
Fibrosis
Calcinosis
Telangiectasis
Reynaud's
GERD
Sclerodactyly
Anticentromere & SCL-70 ABs
41
Q

Sjogren

A

Dry eyes
+ Shirmer test
+ Anti-ro(SSA) & anti-1a (SSB) ABs
Associations c oral thrush & non-Hodgkin lymphoma

42
Q

Gout

A

Monoarticular
Podagra
Needle-shaped, negatively birefringent crystals under polarized light