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Basecamp: MSK > Pathology 13 - MSK > Flashcards

Pathology 13 - MSK Flashcards

1
Q

total shoulder arthroplasty - who is a candidate

A

severe pain and impaired shoulder motion 2/2 deterioration of the GH joint

conservative treatment has failed

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2
Q

total shoulder arthroplasty - what disease can lead to this procedure

A

OA

RA

AVN

trauma - Fx

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3
Q

what is a comminuted fracture

A

a broken bone that has separated into three or more pieces

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4
Q

total shoulder arthroplasty - can freq dislocation be a cause of this

A

yes

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5
Q

what is paget’s disease

A

interferes with your body’s normal recycling process, in which new bone tissue gradually replaces old bone tissue.

Over time, bones can become fragile and misshapen.

The pelvis, skull, spine and legs are most commonly affected.

osteoclast function is hieghted

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6
Q

total shoulder arthroplasty - imging

A

xray - show the amount of degeneration within the shoulder complex

MRI/CT: looks at the integrity of the RC and deltiod muscle shurronding the joint

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7
Q

total shoulder arthroplasty - surgical complication

A

mechanical loosening of the prosthesis

instability

RC -tear

implant failure

heterotrophic ossification

intraoperative fx

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8
Q

total shoulder arthroplasty - hospital stay time

A

2-5 days

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9
Q

heterotrophic ossification

A

a condition where bone abnormally forms in soft tissues where it shouldn’t, like muscles or tendons, typically occurring after an injury, surgery, or neurological damage, resulting in painful joint stiffness and limited range of mo

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10
Q

total shoulder arthroplasty - when does PT start after procedure

A

day after procedure

shoulder normally in a sling during this period

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11
Q

total shoulder arthroplasty - when do we start AROM

A

not in the first stage of rehab

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12
Q

total shoulder arthroplasty - precautions movement

A

not IR or ER beyond 35-40-deg during the first 2-3 post op

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13
Q

shoulder hemi-arthoplasty - what is it

A

the replacedment of the head and neck of the humerus leaving the gleniod intact

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14
Q

shoulder hemi-arthoplasty - when is it indicated

A

humeral head deteriotation

fx without healing

pt does not have enough bone density to support the glenoid component

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15
Q

what is osteosarcoma

A

the 2nd most common type of cancer that starts in the bones

highligh maligant

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16
Q

transfemoral amp 2/2 osteosarcoma - what bone are normally effect by this cancer

A

bones with a growth phase, long bones

tibia, femur, humerous, pelvis

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17
Q

transfemoral amp 2/2 osteosarcoma - why do we perform amp

A

to prevent the spread of this disease

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18
Q

transfemoral amp 2/2 osteosarcoma - what POP

A

male children, teens, and young adults

<30 years old

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19
Q

transfemoral amp 2/2 osteosarcoma - risk factors

A

paget’s disease

osteoblastoma

giat cell tumor

osteomyelitis

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20
Q

transfemoral amp 2/2 osteosarcoma - what joint is most often effected

A

knee

21
Q

transfemoral amp 2/2 osteosarcoma - what can used for imaging

A

X-ray

MRI

scintigraphy

22
Q

what is a scintigraphy

A

procedure that produces pictures (scans) of structures inside the body, including areas where there are cancer cells.

23
Q

transfemoral amp 2/2 osteosarcoma - cofirmation od disease presents

A

biopsy

24
Q

transfemoral amp 2/2 osteosarcoma - sym associated with chemo

A

anemia

fatigue

abnormal bleeding

infection

kidney impairment

25
Q

transfemoral amp 2/2 osteosarcoma - why do we have the pt like in prone

A

the prevent
hip flexion contracture
kne flexion contracture

26
Q

transfemoral amp 2/2 osteosarcoma - what is serial casting used for

A

when a patient has a contracture

27
Q

what is E wing sarcoma

A

malignant non-osteogenic primary none tumeur thay infilrates the bone marrow

28
Q

what pop for ewing sarcoma

A

children and teen < 20 yo

29
Q

transtib 2/2 arteriosclerosis obliterans - what is AO also known as

A

Peripheral arterial disease

30
Q

transtib 2/2 arteriosclerosis obliterans - what is PAD

A

thickening, hardening of the art - leads to eventual occulsion of the art

31
Q

transtib 2/2 arteriosclerosis obliterans - what does PAD result in

A

ischemia and ulceration of effected tissue

effected area can become necrotic, gangernous > therefore requiring amp

32
Q

transtib 2/2 arteriosclerosis obliterans - risk factors

A

age

DM

high serum cholesterol

high low density lipid levels

smoking

sendartary lifestyle

33
Q

what are the risk factors for stroke

A

previous stroke

birth control

high blood pressure

smoking

heart disease

34
Q

transtib 2/2 arteriosclerosis obliterans - does PAD go away

A

nope it is a chronic disease

35
Q

gangrenous vs necrotic

A

necrosis refers to the entire process of irreversible cell death, while gangrene is a term used to refer to tissue death due to some form of interrupted blood supply

36
Q

what is an exmaple of a cluadication test

A

Ankle-brachial index (ABI)

37
Q

how do we perform the ABI

A

systolic is measure in both brachial art and both tibial art

38
Q

how do we calculate ABI

A

higher of 2 ankles / higher of 2 brahcial

ankle/arm

39
Q

ABI: >1.4

A

rigid art

US needed to check for PAD

40
Q

ABI 1.0 - 1.4

A

normal

no blockage

41
Q

ABI: 0.8 - 0.99

A

mild block

start of PAD

42
Q

ABI: 0.4 - 0.79

A

moderate block

may be associated with intermittent claudication during exercise

43
Q

ABI: <0.4

A

severe blockage

sever PAD
claudication at rest

44
Q

what is segmental limb pressure test used for

A

a non-invasive test that measures blood pressure in the arms and legs to assess blood flow and identify blockages

45
Q

what is barthel index

A

for Activities of Daily Living (ADL) assesses functional independence,

46
Q

what is wagners test for

A

used for diabetic foot unlcers

47
Q

what is braden scale for

A

a tool used to assess a patient’s risk of developing pressure ulcers

48
Q
A

Basecamp: MSK (30 decks)

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