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MSK > Wrist > Flashcards

Wrist Flashcards

1
Q

What is in the wrist compartment with deQuervain? causes?

A

EPB, APL

Overuse, Pregnant

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2
Q

deQuervain diag?

A

Fincklesteins

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3
Q

deQuervain tx?

A

thumb spica or NSAID

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4
Q

Carpal tunnel Synd causes? tx?

A

DM, Overuse, Preg, hypothyroid. SXS = night pain, shake hand 3 1/2 dig

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5
Q

Carpal tunnel Synd diag?

A

Tinel, Phalens

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6
Q

Carpal tunnel Syndrome tx?

A

Volar/night splint, NSAID, ICS, tunnel release

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7
Q

ganglion cyst causes, PE?

A

dorsal, synovial fluids, well-circumscribed, transilluminators

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8
Q

ganglion cyst tx?

A

Observation, Aspirate

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9
Q

Colles fx is most common fx?

A

Yes

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10
Q

Colles, dinner fork is tx with?

A

volar/sugar splint, NSAID, CR

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11
Q

MC carpal fx?

A

Scaphoid - AVN, Thumb spica, NSAID

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12
Q

Lunate fx diag?

A

spill tea-cup on xray

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13
Q

Duyuytren contracture, what finger?

A

ring, fibrosis of fascia

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14
Q

Duyuytren contracture diag

A

knot or painless cord

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15
Q

Duyuytren contracture pe tx

A

Stuck in flex, Collagenase injection (X)

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16
Q

Boxer fracture is at the

A

volar 5th neck/head fx

17
Q

boxer fx diag, tx?

A 
Human bite (augmenten)
Digit malrotation (overlap finger)
Gutter splint - surgery (>40degrees)
18
Q

Gamekeepers thumb moa

A

Thumb abd - ulnar collateral ligament

19
Q

Gamekeeper tx?

A

UCL laxity -> no pincer.

thumb spica to surgery

20
Q

trigger finger mc at the?

A

A1 pulley (PIP) at ring finger

21
Q

trigger finger tx?

A

Splint, NSAID, ICS, Surgery

22
Q

Swan neck comes from

A

mallet finger, RA, PIP ext, DIP flexed

23
Q

swan neck tx?

A

PIP splint, surgery

24
Q

Boutonniere def looks like

A

ext tendon injury, cant extend finger

25
Q

Boutonniere tx?

A

PIP neutral splint

26
Q

mallet finger MOA

A

hyperflex, cant extend DIP

27
Q

Mallot finger tx?

A

mallet finger splint - keep DIP in neutral

28
Q

subungual hematoma associated with

A

nail bed damage

29
Q

subungual hematoma tx?

A

trephination, if open = surgery.

30
Q

subungual hematoma if >50% then?

A

remove nail bed

31
Q

Paronychia associated with?

A

osteomyelitis, abscess

32
Q

Paronychia tx?

A

I&D, CEPHALEXIN

Bactrim/Clinda for MRSA

33
Q

flexor tenosynovitis cause?

A

abscess in flexor = felxed fingers (like paronychia tx, but admitted)

34
Q

does the thumb have a middle phalanx?

A

no

35
Q

human bites

A

strep/staph (Bactrim/amox)

36
Q

animal bites

A

pasturella (augmentin)

bartonella (azythro/doxy)

MSK (8 decks)

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