Shared Flashcard Set

Details

Clin Med- Ortho
MSK (some PA)
53
Medical
Graduate
08/23/2018

Additional Medical Flashcards

 


 

Cards

Term
Hutchinson fx
Definition
AKA Chauffeur's fx- radial styloid (from cranking handle to start engine on old cars)
Term
MC causes of posterior shoulder dislocation?
Definition
Seizures, electric shock
Term
What does "lightbulb" sign on shoulder film indicate?
Definition
Posterior dislocation
Term
Hawkins test?
Definition
Elbow & shoulder flexed 90deg, pain on internal rotation
Term
Neer test
Definition
Thumb's down, pain w/ passive flexion of shoulder
Term
"Drop wrist" due to damage to what nerve?
Definition
Radial
Term
Adson test?
Definition
For thoracic outlet syndrome- loss of radial pulse w/ neck flexed toward affected side
Term
Monteggia fx tx?
Definition
ORIF (unstable fx)
Term
Galeazzi fx tx?
Definition
ORIF (unstable)
Term
Alternative name for lateral epicondylitis?
Definition
Tennis elbow
Term
Alternative name for medial epicondylitis?
Definition
Golfer's elbow
Term
Scaphoid fx tx?
Definition
Thumb spica
Term
Which fracture produces a "dinner fork deformity" on XR?
Definition
Colles- distal radius fx w/ dorsal angulation of wrist
Term
Colles fx tx?
Definition
Sugar tong splint
Term
Barton fx?
Definition
Intra-articular distal radius fx w/ carpal displacement
Term
Which distal radius fx has ventral angulation?
Definition
Smith
Term
Mallet finger pathophys?
Definition
Torn extensor tendon after direct blow to extended finger; may have avulsion fx of distal phalanx
Term
Boutonniere deformity?
Definition
Finger flexed @ PIP & hyperextended @ DIP
Term
Swan neck deformity?
Definition
Finger hyperextended @ PIP and flexed @ DIP
Term
Most common deformity in RA?
Definition
Ulnar deviation
Term
Gamekeeper's thumb tx
Definition
Thumb spica
Term
Boxer's fx tx
Definition
Ulnar gutter splint
Term
Mnemonic for Salter-Harris epiphyseal plate fxs?
Definition
SALTR:
Same (straight through plate)
Above (Plate + metaphysis)
Below (Plate + epiphysis)
Through (Plate + metaphysis + epiphysis)
Rammed (crush injury)
Term
Gamekeeper's thumb pathophys?
Definition
Ulnar collateral ligament damage due to forced abduction of thumb
Term
Ligaments involved in de Quervain?
Definition
Abductor pollicus longus & extensor pollicus brevis
Term
Positive Finkelstein indicates?
Definition
De Quervain
Term
Carpal tunnel tx?
Definition
Volar splint
Term
Clinical distinction b/w hip dislocation & fx?
Definition
Both- limb shortened
Dislocation (MC posterior)- hip internally rotated & adducted
Fx- hip externally rotated & abducted
Term
13-y.o. obese male presents w/ hip pain and limping. What do you suspect?
Definition
Slipped capital femoral epiphysis (SCFE)- "ice cream fell off cone" appearance on XR
Term
What other injuries are commonly associated w/ ACL tears?
Definition
MCL and medial meniscus
Term
McMurray's sign- what is it and what does it indicate
Definition
Pain w/ external/internal rotation of knee
Meniscal tear
Term
Apley's test?
Definition
Clicking heard or felt with compression of meniscus- tear
Term
What injury do we use a sunrise Xray view to diagnose?
Definition
Patellar fx
Term
Osgood Schlatter?
Definition
Prominent, tender tibial tuberosity, MC young male athletes
Term
MC ankle sprain MOI and ligament damaged
Definition
Inversion; anterior talofibular
Term
What do the Ottawa rules (ankle, foot or knee) tell you?
Definition
Whether to X-ray (they don't dx a fx)
Term
Ottawa ankle rules
Definition
1) Lateral malleolus pain;
2) Medial malleolus pain; or
3) Inability to bear weight @ time of injury or in ED
Term
Ottawa foot rules
Definition
1) Midfoot (navicular) pain; or
2) 5th metatarsal pain; or
3) Inability to bear weight @ time of injury or in ED
Term
Thompson test?
Definition
Weak or absent plantar flexion when calf is squeezed (can indicate achilles tendon rupture)
Term
Maisonneuve fx
Definition
Spiral proximal fibular fx
Term
Which metatarsal is MC fx due to stress/marching?
Definition
3rd
Term
Is plantar fasciitis pain usually better or worse in the morning?
Definition
Worse
Term
What is a pseudojones fx?
Definition
Avulsion fx of base of 5th metatarsal
Term
Lisfranc injury?
Definition
Disruption b/w medial cuneiform & base of 2nd metatarsal
Term
L4 neural deficits
Definition
Sensory: Anterior thigh, medial ankle
Weakness: ankle dorsiflexion
Reflex: knee jerk
Term
L5 neural deficits
Definition
Sensory: Lateral thigh, top of foot
Weakness: Big toe dorsiflexion
Term
S1 neural deficits
Definition
Sensory: back of leg/calf, sole of foot
Weakness: plantar flexion (test toe walking)
Reflex: calcaneal
Term
How much lateral spinal curvature is required to dx scoliosis?
Definition
At least 10 degrees
Term
Which organism is pathognomonic for sickle cell disease osteomyelitis?
Definition
Salmonella
Term
Which lesion is associated w/ a "sunburst appearance" of the bone on X-ray?
Definition
Osteosarcoma
Term
Which bone lesion has a bimodal age distribution?
Definition
Osteosarcoma
Term
Which bone lesion has an "onion skin" appearance on X ray due to periosteal layering?
Definition
Ewing's sarcoma
Term
What is osteochondroma?
Definition
Benign bone tumor in young males, grows away from growth plate
Supporting users have an ad free experience!