Pathology 4 - MSK Flashcards

1
Q

SAPS - cause

A

microtrauma from the UE performance above the horizontal plane

humeral head and the associated RC attachments mirgration proximally and becoming impinged on the under surface of the acromion and the corcacohumeral ligamant

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2
Q

SAPS - pop

A

throwing athletes

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3
Q

SAPS - signs and sym

A

pain with over head activites

pain in ant lateral shoulder

painful arc motion

pain over the greater tub and biccipetal groove

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4
Q

what are the tests for SAPS

A

hawkins kennedy

neers

apprehension test

painful arc

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5
Q

Juvenile RA - causes

A

unknown

thought that an infetion, virus, or trauma introduces autoimmune repsonse triggering JRA

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6
Q

Juvenile RA - signs and sym systemic RA

A

least common

acute onset

highfever

rash

enlargement of the spleen and the liver

inflammation of the lungs and heart

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7
Q

Juvenile RA - signs and sym of polyarticular JRA

A

more commmon

female

> 4 joints

sym joint involved

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8
Q

Juvenile RA - what is the most common

A

oligoarticular (pacuarticular)

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9
Q

what is RA

A

chronic autoimmune disease that causes inflammation in the joints and surrounding tissues

stiffness

period greater the six weeks

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10
Q

Juvenile RA - meds

A

immunosuppresents

NSAIDS

corticosteriods

antiheumatics

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11
Q

Juvenile RA - what age group

A

16 and younger

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12
Q

Juvenile RA - cause

A

when the immune system being to attack the joint and organs causing local and systemic effects throughout the body

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13
Q

Juvenile RA - oligoarticular (pacuarticular)

A

asymmetrical

<4 joints

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14
Q

Juvenile RA - lab tests

A

no single test

blood test

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15
Q

lateral epi - what is it

A

irration or inflammation of the common extensor tendon at there common orgin of the lateral epicondyle

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16
Q

lateral epi - pop

A

racquet sport individuals

throwing

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17
Q

lateral epi - cause

A

eccentrics loading of the wrist ext muscles - ECRB, resulting in mirco trauma

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18
Q

lateral epi - signs and sym

A

pain of the lateral epicondlye - with activtiy and at night

worsen with wrist flex and elb ext

worsen with resisted wrist ext

hard time holding and grasping objects

ROM remains normal

may have localized swelling

19
Q

lateral epi - is also known as

A

tennis elbow

20
Q

lateral epi - population

A

men

30-40

21
Q

what is the test for lateral epi

A

cozens

mill’s test

lateral epi test

22
Q

what is another name for medial epicondylatis

A

golfer’s elb

23
Q

medial epi - cause

A

micro trauma of the ECR or the humeral head of the pronator teres

24
Q

what is legge-calve-perthes disease

A

degeneration of the femoral head 2/2 a distrubance of the blood supply (AVN)

25
Q

legge-calve-perthes disease - four stages

A

condensation

fragmnetation

re-ossification

remodeling

26
Q

legge-calve-perthes disease - cause

A

trauma

genetics

synovitis

vascular abnormalities

postive trandelenburg sign

27
Q

legge-calve-perthes disease - sign and sym

A

pain

decreased ROM

antalgic gait

positive trandelenburg gait

28
Q

legge-calve-perthes disease - treatment

A

primary focus relieve pain

maintain femoral head in place

improve ROM

29
Q

MCL sprain knee - lig run from where to where

A

medial epicondyle
to
medial aspect of the tibia

30
Q

MCL sprain knee - cause

A

NC or C

valgus force to the knee

ER of the tibia

31
Q

MCL sprain knee - signs and sym

A

knee pain and swelling - tender to palpation

antaglic gait

decreased ROM - unable to fully extend and flex knee

instability

32
Q

MCL sprain knee - treatment

A

RICE

strengthening exercises

33
Q

function of the MCL knee

A

resists

ER of the tibia

Valgus forces on the knee

34
Q

what is the test for MCL sprain II

A

valgus stress test

tested at 0 and 30-deg of flexion

35
Q

MCL sprain knee - imaging

A

MRI - used fro soft tissues structures
- expensive not used without other extenuating circumstances

36
Q

what is the healing time for MCL injuries

A

4-8 weeks

37
Q

what is more common MCL or lCL knee injuries

A

MCL

38
Q

medial epi - causes

A

ligament s are fatigued and overwork - they become inflammed

can also be traumatic

39
Q

medial epi - movement cuase

A

rep wrist or elb motions

gripping

40
Q

medial epi - what tendon are most often affected

A

FCR

pronator teres

41
Q

medial epi - patient has pain with what movements

A

resisted pronation and wrist flexion and gripping

there may also be weakness with these movements

42
Q

medial epi - lab tests

A

imaging is not often used

43
Q

what is cock up splint wrist

A

a splint designed to immobilize the hand in the position of function (dorsal extension) during healing (as of a fracture)

44
Q
A