Things I Dpnt Remember 3 Flashcards
What is a Jefferson fx?
Hangmans?
Clay shovelers fx?
Compression C1
C2 Pedicles bilaterally
Avulsion of C7>c6>T1
Cervical Nerves Sensory, Motor, Reflex: C5? C6? C7? C8?
- Lateral upper arm, Deltoid abduction, biceps
- Thumb and radial aspect of the forearm, biceps/wrist extensor, brachiosaurus-radialis
- Dorsum of the forearm extending to 2-3rd digits, Triceps, triceps
- Ulnar aspect of forearm to digits 4-5, finger flexor and interosseous muscles, none
Which type of shoulder dislocations are most common?
TX?
Anterior
Reduction and sling
Treatment for adhesive capsule tips?
NSAIDS and ROM exercises
Which fx do we worry about radial nerve injury the most?
Numeral head fx
PE with biceps tendinitis?
Pain over the anterior shoulder due to biceps inflammation. Crepitis
Yergason’s test
What is the most common overuse injury of the elbow?
TX?
Lateral epicondylitis
NICER
Medial epicondylitis has pain when?
Wha nerve is often affected?
With resisted pronation or flexion of the wrist
Ulnar
What are we looking at on X-ray for radial head fracture?
Fat pads
What is nursemaids elbow and how do we treat?
Subluxation of the radial head
Out and up
Treatment of carpel tunnel?
Collar wrist splint
TX of scaphoid or navicular fx?
Thumb spica cast
TX of boxer’s fx?
Gutter splint or casting for at least 4 weeks
Colles fx?
Distal radius fracture with dorsal angulation
What is gamekeeper’s thumb?
Sx?
TX?
Sprain or tear of the ulnar collateral ligament
Increased laxity with instability and weak pincer grasp
Thumb spica
Dequervians TX?
Thumb spica splint for one month
Trigger finger?
Can’t extend the digit due to fibrous thickening
Mallet finger?
Unable to extend distal phalanx
Immobilize for 8 weeks in mild extension
What kind of brace for kyphosis?
Milwaukee brace
What PE test for scoliosis?
When to refer?
When for surgery?
Adams test
Over 20 degrees
Over 45 degrees
Lumbar/Sacral nerves Sensory, motor, tendon reflex? L4? L5? S1?
- From GT oblique to the medial foot, Tibialis anterior = dorsiflexion of the foot (heel walking) and foot inversion, patellar
- Slightly distal to the GT to dorsal foot, foot dorsiflexion (lift big toe) and ankle extension (heel walking). None
- Posterior aspect of the lower extremity to the lateral aspect of the foot, peroneus longus and brevus muscles- plantar flexion of the foot, toe walking and tip toe, achilles
What does the Scotty dog defect mean?
Spondylolysis, defect in pars interarticularis
What is spondylolisthesis?
Where does it occur most commonly?
Slippage or step off
Most common L5/S1
Where does a herniated nucleus pulposis happen most often?
L4-L5, L5-S1
Where does Claudia equine syndrome happen most often?
L4-L5
What is the most common hip dislocation?
Posterior
What is the most frequent meniscus injury?
Pain is worse with?
Medial
Inability to extend knee, worse with squatting and stairs
What is the more commonly torn collateral ligament?
Medial
Patellofemoral syndrome aka?
X-ray?
Chondromalacia
Sunrise view
What is the most common injury in ankle sprains?
Inversion injury of the anterior talofibular ligament
Bunions aka?
Sx?
X-ray?
Hallux Valgus, deformity of the MTP, lateral deviation
Metatarsal head pain
>15 degrees of angulation
What is mortons neuroma?
Traction of the interdigital nerve against the transverse metatarsal ligament causes degeneration of the nerve
Pain in web space
Conservative
What is a march fx?
Jones fx?
Lisfranc fx?
- Stress fx on the metatarsals, usually the 3rd mid shaft
- Fracture at the base of the 5th metatarsal
- Tarsometatarsal fracture dislocation at the proximal 1st and 2nd MT
What is the most common primary bone cancer?
MM
What is the most common primary bone sarcoma?
Osteosarcoma Age 10-20
Ewing sarcoma in what ages?
5-25
Most common cancers that mets to bone?
PbKTL
Prostate, breast, kidney, thyroid, lung
Most commonly mets to spine
Most common bug in osteomyelitis?
TX?
Staph aureus
Sickle cell - salmonella
6-8 weeks of FQ and possible surgical debridement.
Number one route of entrance for septic arthritis?
Sx?
Hematongenous
Passive ROM tenderness
Abx with aspiration
Most common bug in septic arthritis?
Staph - Pen G
N Gonorrhea- Ceftriaxone
How long does the pain have to be there for a dx of fibromyalgia?
3 months
TCA TX
Gout serum Uris acid at wat level?
7
Most common joint of RA?
Usually spares?
MCP
DIP
What is felty syndrome?
RA
Splenomegaly
Neutropenia
Juvinaile Arthritis has to begin before what age?
16
Koebners phenomenon present
What PE test is positive for ankylosing spondylitis?
Shober test
Classic triad for reactive arthritis?
Urethritis
Conjunctivitis
Arthritis
Which antibodies are positive in CREST?
Anticentromere anti
Anitbodies in Sjogrens?
Higher risk for?
Ro and La, ANA
Lymphoma
What sign is positive in polymyositis?
Gottrons papules/sign
Wegener’s granulomatosa is associated with what tes?
ANCA
What is most common in polyarteritis nodosa?
TX?
Renal involvement with HTN and Proteinuria
Skin lesions- livedo reticularis
Steroids
Wegener’s ANCA?
C-ANcA
