Random Lists Flashcards
Side Effects of Bisphosphonate Usage in anyone - 4
Fever N/V Diarrhea Muscle/Bone Pain Uveitis Thrombocytopenia Oral/Esophageal Ulcerations Potential Reproductive issues - readily cross placenta Hypocalcemia Suppression of bone remodelling May delay healing of osteotomy Jaw AVN - not reported in kids but maybe.
Absolute Contraindications to Hyperbaric O2 Therapy - 4
Untreated pneumothorax - need chest tube.
Doxorubicin (adriamycin) - precipitate cardiotoxicity.
Cisplatinum - worsens wound healing.
Disulfiriam (antabuse) blocks production of suproxide dismutsase - protects from O2 toxicity
Relative Contraindications to Hyperbaric O2 Therapy - 4
Pregnancy Asthma Cancer Emphysema Blocked Sinus Seizure Hx Optic Neuritis
4 CLINICAL Risk Factors for Malignant Transformation Enchondroma > 2e Chondrosarcoma
Pain Increasing size of a palpable lesion Male predominance (2:1) Location in the pelvis or hip Peak age in mid 30s Histoy of Mafucci's MHE with known EXT mutation
4 IMAGING Risk Factors for Malignant Transformation Enchondroma > 2e Chondrosarcoma
Surface irregularity Blurriness of the border Osteochondroma >5 cm Increase in size of osteochondroma Cartilage cap >2 cm Inhomogeneous mineralization of large cartilage cap
4 RISK FACTORS for Elder Abuse
Increasing Age Disabled Prevalence of child abuse regionally Cognitive impairment NOT GENDER Caregiver financially dependent Substance Abuse of caregiver Caregiver feels burdened
4 CLINICAL SIGNS for Elder Abuse
Long Bones # Rib #'s Bruise >5cm Face/Neck/Back Bruise Unmatching History Delayed Care seeking Repeat fracture/burn/laceration Behaviour change Bad Hygiene
3 RISK FACTORS Spousal Abuse
Female 19-29 Pregnant Low income family Low socioeconomic background
2 INJURY PATTERNS Spousal Abuse
Long delay for treatment
Repeat Injuries
Inconsistent History
2 ABUSER Characteristics
Refusal to leave patient alone
Overly attentive
Aggressive/hostile
Answers for patient
2 ABUSED Characteristics
Change in affect Seeking partner approval Repeat ER visits Decreased work productivity/missed time Wants to stay at hospital without reason
Prevalence of abuse in Plaster Room - 1 in _____ as a direct result of partner violence. 1 in _____ victim in the past year.
1 in 50 - direct result.
1 in 6 - last year.
35% of ER visits with MSK issues. 25% of overall visits. 15% = 15% male victim 8.5% = 8.5% prior abuse history. Child abuse as kids or as abuser = 50% of the time.
Side Effects of Radiation in Kids - 6
Nausea Vomiting Fatigue Hair Loss Skin Change/Burn Delayed Wound Healing Joint Stiffness Scarring/Fibrosis Radiation induced Sarcoma Radiation induced Fracture Endocrine Changes Infertility Family Stress Anxiety
Risk Factors for Radiation Induced Fracture - 4
Female Anterior femoral compartment resection Age Periosteal stripping High Radiation Dose Osteoporosis
Indications for Radiation Therapy - 4
Ewings Lymphoma Hemangioendothelioma Solitary Plasmacytoma of Bone Myeloma Soft Tissue Sarcoma Metastatic Bone Disease
Radiosensitive Tumors - 5
T-U-M-O-R Thyroid Undiff Sarcoma Myeloma Osteosarcoma Renal Cell
PAO Indications - 3
Healthy Well conditioned <40 Symptomatic dysplasisa Congruent joint Good cartilage Good ROM
PAO Contraindications - 5
Intracapsular pathology Cam deformity only (Scope) OA General laxity Lack of anatomic deformity Non-mechanical disease Relative Age 40+ Previous Recon surgery Non-congruent Labral disease Severe/chronic symptoms Poor Hip Function BMI 30+
Risk Factors for Scaphoid Non-Union - 7
- Proximal pole
- Delayed presentation/treatment
- Inadequate period of immobilization
- Non anatomic reduction
- Smoker
- Perilunate # dislocation
- Iatrogenic injury to blood supply
- Greater than 1 mm displacement
- Greater than 35 degree intrascaphoid angle
- Oblique fracture line
- Open #
- Greater than 15 degree radiolunate angle
- Wire fixation (vs compression screw)
- Comminution
4 ways to Judge Femoral Nail Malrotation in OR
Skin Tension & Lines
Cortical Width
Bone width
LT profile contralateral on AP
Neck anteversional vs. contra on lateral
Bovie Cord - ASIS > central patella > centre ankle > 2 MT
CANMEDS - List 7
C-CAMMPS
Communicator Collaborator Advocate Manager Medical Expert Professional Scholar
Blood Supply to Talus - 4
Artery of tarsal canal - Major via Posterior Tibial Artery
Deltoid Branch - Posterior Tib
Anterior Tibial Artery
Sinus Tarsi - peroneal A is contributor
Soft Tissue Tumours with Lymphatic Progression - 4
CREAS Clear Cell Rahabdomyosarcoma Epithelioid Alveolar Synovial Cell Sarcoma
Bugs to worry about in open # in water - 3
Aeromonas
Vibrio Vulnificus
Mycobaterium Marinum -
Beighton Horan Score for Hypermobility 9 points.
Score or 5 or higher = defined hypermobility.
Knees 10+ hyperetension - 1 point each.
Elbows - 10+ hyperextension - 1 point each.
Thumbs bent back to touch forearm - 1 point each.
Little fingers hyperextend past 90 - 1 point each.
Bent over at waist - palms to floor, knees straight - 1point.
Mangled Extremity Score -
“VISA gives you 50 double points after 6”
Velocity 1-2-3
Ischemia 1-2-3 <30,30-50,50+
7+ = 100 % risk of amp
Bisphosphonate Indications - 6
V-O-O-M-M-P-P Vertebral Comp # OI Osteoporosis Myeloma Metastatic Disease Paget's Polyostotic FD Prevent AVN
1 yr risk reduction for adding oral bisphosphonate therapy in a patient presenting with vertebral compression fracture
50-60%
Bisphosphonates in AVN Hip - Risk Reduction at 2 yrs?
76% collapse with out. 7% with.
