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ALL MDTs for TAV > Psche--MSK > Flashcards

Psche--MSK Flashcards

1
Q

Pain over AC, pain with lifting arm
Patient supports arm in ADDUCTION
TTP over AC joint
I to VI degrees

Special test: Cross body Adduction
II-VI obvious deformity

A

Acromioclavicular Injury

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2
Q

Result from falling on shoulder or being struck over clavicle
Pain with shoulder motion, erythema, edema, TTP
bony deformity
SHOULDER DROOP
Grinding noted on ROM

Special test: Cross body POSITIVE

A

Clavicle fracture

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3
Q

Gradual onset of anterior/lateral shoulder pain exacerbated by overhead activity
night pain and difficult sleeping on affected side
Palpation: tenderness over greater or lesser tuberosity, tenderness over bicipital groove
pain worse 90-120degree of abduction and when lowering arm

Special test: NEERS/ Hawkins

A

Impingement syndrome

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4
Q

Chronic shoulder pain for several months
specific injury that triggered pain
night pain and difficulty sleeping on affected side
complaints of weakness catching/grating with OVERHEAD activities
Shoulder may appear sunken

Special Test: POS Drop arm/empty can

A

Rotator cuff Tear

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5
Q

From mild to rupture
rock climbers, weight lifters
aggravated by lifting/pulling overhead activity
anterior shoulder pain that radiates distally down the arm over the bicep muscle
occurs along the long head of bicep tendon

Special Test: POS Speeds/Yergason

A

Bicep tendinopathy

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6
Q

Trauma or overuse
Anterior: sensation slipping out supports arm in neutral position
Posterior: sensation of force posteriorly directed, ADDUCTED and INTERNAL ROTATION

Special Test: Sulcus
Apprehension
JERK

A

Shoulder dislocation/instability

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7
Q 
Falling back on outstretch arm
grab object while falling
lift/forceful throw
lift heavy object fas
clicling/clunking, swelling paresthesia

Special Test: Speeds

A

Labrum/SLAP Tear

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8
Q

Gradual onset with global limitation both active/passive
diffuse/sever/disabling/ increasing in stiffness and loss of ROM
FROZEN SHOULDER

A

Adhesive Capsulitis

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9
Q

pain with resisted extension of wrist
turning a screw driver- excessive typing TTP over extensor
Tennis Elbow

A

lateral epicondylitis

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10
Q

Over use of flexor and pronator muscles
pain with resisted flexion of wrist
gradual onset, bowling, wt. lifting, manual labor
golfers/bowlers elbow

A

Medial epicondylitis

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11
Q

Gradual/sudden onset of welling in elbow possible infection

limited flexion and extension

A

Olecranon bursitis

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12
Q

cubital/numbness digits 4+5 may radiate to shoulder and nec
vibration sensations in 4-5 will be diminished

Special Test: Tinels

A

Nerve compression syndrome

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13
Q

Ulnar excessive overhead throwing motion
Acute onset patient will describe a “pop” while throwing
gradual onset with progressive medial elbow pain with valgus stress

Special Test: POS Valgus stress test

A

Ligamentous Injury

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14
Q 
most common in children
Resulting from FOOSH: falling on outstretched hand
extreme, pain, swelling, inability
to bend elbow
visual deformity
all motions will be limited
A

Elbow Dislocation

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15
Q

Middle aged or pregnant women
Condition caused by reduce zie/space of carpal tunnel resulting in median nerve entrapment
numbness and tingling 1-2-3 digits.
pain and paresthesia or numbness of the media distribution
worse at night.
PATIENT RUBS HANDS TO GET SIRCULATION BACK
Frequently drop objects

Special test: phalen/Tinel

A

Carpal Tunnel Syndrome

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16
Q

precipitated by repetitive use of thumb
Pain at the radial aspect of the wrist exacerbated by movement of the thumb or wrist
occasional edema

A

de Quervain Tenosynovitis

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17
Q 
Rupture of the flexor digitorum profundus tendon from its distal attachment
common in caontact sports
overlooked as a "jammed" finger
FLEXED DIP is FORCEFULLY HYPEREXTENDED
INABILITY TO ACTIVELY FLEX DIP JOINT
ACUTE PAIN WITH SWELLING
A

Jersey finger

18
Q

finger- Injury to extensor
rupture, laceration or avulsion of insertion of the extensor tendon and base of distal phalanx
direct blow to finger causing sudden forced flexion of dip
pain at dip with erythema, edema, ecchymosis, deformity

A

Mallet Finger

19
Q

lateral hip pain with tenderness
pain may radiate distally to knee or ankle or proximally to buttocks
pain worse when going from sit to stand
Pain made better by warming up may return after 30-1hr walking

unable to lie on affected side

A

Trochanteric Bursitis

20
Q

Sudden pain and giving way of the knee from a twisting or hyperextension type injury
Possible pop sound
Unable to continue activity to pain or instability
Moderate to severe effusion and possible hemarthrosis (bleeding into joint)

Special Test: Anterior drawer - Lachman’s test

A

ACL Tear

21
Q

Dash board injury
pure hyperflexion of knee
fall onto a flexed knee with the foot in plantar flexion
moderate to severe effusion and possible hemarthrosis. muscle guarding

Special tests: POS posterior drawer
SAG TEST

A

PCL tear

22
Q

knee tear from valgus force
localized ecchymosis and small effusion

Special test: valgus stress

A

MCL

23
Q

knee tear from varus force
localized ecchymosis and small effusion

Special test: varus stress

A

LCL

24
Q

High energy trauma/MVA
Hip
limb is short, hip flexed ADDUCTED AND INTERNALLY ROTATED
severe pain unable to more limb

A

Posterior- Hip dislocation

25
Q

High energy trauma/MVA
hip mild flexion, abducted and external rotation
severe pain unable to more limb

A

Anterior hip dislocation

26
Q

Vigorous muscle contraction while muscle is in stretched
OVERUSE
Tenderness ASIS, Iliopsoas, DEEP Groin

Special test: Positive Thomas test

A

Hip strain

27
Q

pain after sitting to long, LIMP from arising from chair, localized swelling of knee

A

bursitis of knee

28
Q

Lateral knee pain
TTP over lateral femoral condyle,
worse with activity, worse while running
down hill and heel strike

Special Test: Obers
pain when jumping and flexed knee

A

ITB syndrome

29
Q

Mechanical locking, catching, popping pain with twisting or squatting

Special Test: Positive Mcmurray

A

Meniscal tear

30
Q

Median Age 18
Low body wt.- restriction of energy
BMI<175.5, EMACIATED, hypothermia, bradycardia, hypotension, xerosis, brittle hair/nails, possible ABD distension
Distorted perception of body- INTENSE FEAR OF GAINING WT

A

Anorexia

31
Q

Women 3x>men
Self harm often seen
mallory weis, dental erosion
recurrent binging, purging, inappropriate compensatory behavior
INDUCED VOMITTING, EXCESSIVE/LAXATIVE/DIURETIC,ENEMAS,FASTING, EXCESSIVE EXERCISE
Purge 1 wk x 3 months

A

Bulimia

32
Q

Broken down in 3 mood states

A

Bipolar

33
Q

Abnormal/persistent, elevated, expansive/irritable increased activity or energy

A

Mania

34
Q

Acronym for Bipolar

A 
Distracted
Indiscretion
Grandiosity
Flight of ideas
Activity increase
Sleeplessness
Talkativeness
35
Q

Less severe but still show signs of :

Abnormal/persistent, elevated, expansive/irritable increased activity or energy

No Psycotic symptoms
No hallucinations
No delusional grandiosity

A

Hypomania

36
Q

Women 2x > men
Excessive and persistent worry causes significant distress and occur more days than not for at least 6 months
Goes hand in hand with other psychiatrics conditions-phobias, depression, chronic unexplained pain
HA, NECK/SHOULDER/BACK PAIN , SOB

A

General anxiety disorder

37
Q

Palpations, sweating, SOB
Trembling, choking, chest pain, ABD pain, nausea
dizziness, chills, heat sensation, paresthesia, fear of losing control, fear dying
spontaneous discrete episode of intense fear and begin abrupt and last for several minutes to hours

A

Panic disorder

38
Q

Impulsive behavior, sex, food, spending, reckless driving, Tends to misinterpret neutral events as all negative,
suicidal threats/gestures
Poor cognitive function: attention, learning, planning, processing
VIEW OTHERS AS ALL GOOD/BAD
TRUST PEOPLE ONE MINUTE SUDDENLY CHANGE

A

Borderline personality disorder

39
Q

Disregard/violation of other s rights, arrests, lack of remorse, use alias, unstable work, poor military performance, homelessness, financial dependency on others.
PATTERN OF IRRESPONSIBLE, EXPLOITIVE, GUILTLESS BEHAVIOR

A

Antisocial Personality disorder

40
Q

Delusions, hallucinations, thought disorganization agitation and aggression
possibly associated with:
delirium, thyroid, adrenal/hepatic disorders, HIV, Syphilis, Herpes encephalitis, LYME disease

A

Psychotic disorder

41
Q

Psychotic disorder broken down in 2

A

Delusion- bizarre vs non bizarre

BIZZARE- family replaced by aliens

NONBIZZARE- cheating spouse with overwhelming evidence to the contrary

ALL MDTs for TAV (4 decks)

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