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Matt's Lists > Random Lists > Flashcards

Random Lists Flashcards

1
Q

Side Effects of Bisphosphonate Usage in anyone - 4

A 
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.
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2
Q

Absolute Contraindications to Hyperbaric O2 Therapy - 4

A

Untreated pneumothorax - need chest tube.
Doxorubicin (adriamycin) - precipitate cardiotoxicity.
Cisplatinum - worsens wound healing.
Disulfiriam (antabuse) blocks production of suproxide dismutsase - protects from O2 toxicity

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3
Q

Relative Contraindications to Hyperbaric O2 Therapy - 4

A 
Pregnancy
Asthma
Cancer
Emphysema
Blocked Sinus
Seizure Hx
Optic Neuritis
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4
Q

4 CLINICAL Risk Factors for Malignant Transformation Enchondroma > 2e Chondrosarcoma

A 
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
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5
Q

4 IMAGING Risk Factors for Malignant Transformation Enchondroma > 2e Chondrosarcoma

A 
Surface irregularity 
Blurriness of the border 
Osteochondroma >5 cm 
Increase in size of osteochondroma 
Cartilage cap >2 cm 
Inhomogeneous mineralization of large cartilage cap
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6
Q

4 RISK FACTORS for Elder Abuse

A 
Increasing Age
Disabled
Prevalence of child abuse regionally
Cognitive impairment 
NOT GENDER
Caregiver financially dependent
Substance Abuse of caregiver
Caregiver feels burdened
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7
Q

4 CLINICAL SIGNS for Elder Abuse

A 
Long Bones #
Rib #'s
Bruise >5cm
Face/Neck/Back Bruise
Unmatching History
Delayed Care seeking
Repeat fracture/burn/laceration
Behaviour change
Bad Hygiene
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8
Q

3 RISK FACTORS Spousal Abuse

A 
Female
19-29
Pregnant
Low income family
Low socioeconomic background
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9
Q

2 INJURY PATTERNS Spousal Abuse

A

Long delay for treatment
Repeat Injuries
Inconsistent History

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10
Q

2 ABUSER Characteristics

A

Refusal to leave patient alone
Overly attentive
Aggressive/hostile
Answers for patient

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11
Q

2 ABUSED Characteristics

A 
Change in affect
Seeking partner approval
Repeat ER visits
Decreased work productivity/missed time
Wants to stay at hospital without reason
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12
Q

Prevalence of abuse in Plaster Room - 1 in _____ as a direct result of partner violence. 1 in _____ victim in the past year.

A

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.
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13
Q

Side Effects of Radiation in Kids - 6

A 
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
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14
Q

Risk Factors for Radiation Induced Fracture - 4

A 
Female
Anterior femoral compartment resection
Age
Periosteal stripping
High Radiation Dose
Osteoporosis
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15
Q

Indications for Radiation Therapy - 4

A 
Ewings
Lymphoma
Hemangioendothelioma
Solitary Plasmacytoma of Bone
Myeloma 
Soft Tissue Sarcoma
Metastatic Bone Disease
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16
Q

Radiosensitive Tumors - 5

A 
T-U-M-O-R
Thyroid
Undiff Sarcoma
Myeloma
Osteosarcoma
Renal Cell
17
Q

PAO Indications - 3

A 
Healthy
Well conditioned
<40
Symptomatic dysplasisa
Congruent joint
Good cartilage
Good ROM
18
Q

PAO Contraindications - 5

A 
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+
19
Q

Risk Factors for Scaphoid Non-Union - 7

A
  1. Proximal pole
  2. Delayed presentation/treatment
  3. Inadequate period of immobilization
  4. Non anatomic reduction
  5. Smoker
  6. Perilunate # dislocation
  7. Iatrogenic injury to blood supply
  8. Greater than 1 mm displacement
  9. Greater than 35 degree intrascaphoid angle
  10. Oblique fracture line
  11. Open #
  12. Greater than 15 degree radiolunate angle
  13. Wire fixation (vs compression screw)
  14. Comminution
20
Q

4 ways to Judge Femoral Nail Malrotation in OR

A

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

21
Q

CANMEDS - List 7

A

C-CAMMPS

Communicator
Collaborator
Advocate
Manager
Medical Expert
Professional 
Scholar
22
Q

Blood Supply to Talus - 4

A

Artery of tarsal canal - Major via Posterior Tibial Artery
Deltoid Branch - Posterior Tib
Anterior Tibial Artery
Sinus Tarsi - peroneal A is contributor

23
Q

Soft Tissue Tumours with Lymphatic Progression - 4

A 
CREAS
Clear Cell
Rahabdomyosarcoma
Epithelioid 
Alveolar 
Synovial Cell Sarcoma
24
Q

Bugs to worry about in open # in water - 3

A

Aeromonas
Vibrio Vulnificus
Mycobaterium Marinum -

25
Q

Beighton Horan Score for Hypermobility 9 points.

A

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.

26
Q

Mangled Extremity Score -

A

“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

27
Q

Bisphosphonate Indications - 6

A 
V-O-O-M-M-P-P
Vertebral Comp #
OI
Osteoporosis
Myeloma
Metastatic Disease
Paget's
Polyostotic FD
Prevent AVN
28
Q

1 yr risk reduction for adding oral bisphosphonate therapy in a patient presenting with vertebral compression fracture

A

50-60%

29
Q

Bisphosphonates in AVN Hip - Risk Reduction at 2 yrs?

A

76% collapse with out. 7% with.

Matt's Lists (3 decks)

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