Random5 Flashcards
post traumatic shoulder pain w/ limited active abduction - think?
rotator cuff tear
rotator cuff tear, typical trauma –> ?
fall on an outstretched arm
signs of rotator cuff tear? (3)
- drop arm sign
- weakness w/ external rotation (passive range nL)
- pain worsened by raising arm overhead or w/ ext rotation
treatment of rotator cuff tear?
surgery w/ best results if performed w/in 6 wks of injury
MSK suggestions of a pancoast tumor? (4)
- shoulder pain
- radicular pain radiating to wrist
- atrophy of muscles
- compressive symptoms (ie edema)
infant nL @ birth but graudally dev apathy, weakness, hypOtonia, large tongue, sluggish movement, abdominal bloating, difficult breathing, jaundice, hypOthermia, umbilical hernia, refractory macrocytic anemia - think
congenital hypOthyroidism
causes of floppy baby syndrome (2)?
- Botulism
- Werdnig-Hoffman syndrome
Werdnig Hoffman syndrome is?
- AR disorder
- Degeneration of ant. horn cells and cranial motor nuclei
- symp prior to 6mo (ie generalized m. weakness, hypOtonia, hypermobility of joints, absent tendon relfexes, fasiculation of tongue, etc)
m. weakness, atrophy of distal m. of upper and lower extremities, inc tone, testicular atrophy, and baldness - think?
Myotonic congenital myopathy
nikolsky sign is?
top layer of skin slips away from lower layers when slightly rubbed
nikolsky sign is positive w? (3)
- Scalded skin syndrome (Staph aureus - exfoliative toxin)
- Toxic epidermal necrolysis
- Pemphigus vulgaris (absent in bullous pemph)
complication of kawasaki disease (2)?
- Coronary artery aneurysms
- MI
What should be done at time of dx and post kawasaki disease?
Echocardiography
reye syndrome is?
hepatic encephalopathy due to aspirin use in children during influenza or varicella infx
sickle cell pt w/ stroke, treatment?
- Exchange transfusion (to dec # of sickle RBCs)
- Continue hydroxyurea
- Note: this does not reverse stroke, prevents any further strokes
- note: fibrinolytic therapy not likely to help bc 2ndary to sludging of sickle cell not thrombus/emboli
twisting force w/ foot fixed –> popping sound, what injured?
medial meniscus
palpable locking, catching, clicking when joint is internally or externally rotated and is then flexed or extended – think?
meniscal tear
forceful hyperextension of knee or noncontact torsional injury during deceleration –> ?
ACL tear
blow to the lateral knee or forceful leg abduction –>?
Medial collateral ligament tear
patellofemoral pain syndrome presents? (3)
- chronic ant. knee pain
- worsened by activity or prolonged sitting/flexion
- crepitus w/ motion of patella
gold standard confirmatory test for HIT?
Serotonin release assay
necrotic lesions at heparin injection sites –> think?
HIT (Ab mediated)
supracondylar fracture concern for entrapment of what? (2)
- Brachial artery
- Median nerve
anti-topoisomerase 1 antibody?
Scleroderma