Shared Flashcard Set

Details

OCPM Pod Med 2 cont..
Quesions
21
Medical
Professional
10/01/2009

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Cards

Term
List the 3 different nerve injuries in order of severity (least to greatest)
Definition
"Neuropraxia, Axonotmesis, Neurotmesis"
Term
Neuropraxia explained
Definition
"Comprssion injury, with CNV and sensation/function diminished for days to weeks, until remyelinated"
Term
Axonotmesis explained
Definition
"Crush or severe compresson injury, CNV slow and sensory/function loss for weeks to months, until remyelination"
Term
Neurotmesis explained
Definition
"Laceration and loss of alignment of axon/connective tisse, NCV no action potential and Wallerian degeneration"
Term
Positive Tinel's sign
Definition
"upon percussion of entrapped nerve, tingling travels distally"
Term
Positive Valleix sign
Definition
"Upon percussion of entrapped nerve, pain radiates distal and proximal"
Term
Where does Morton's Neuroma most frequently occur?
Definition
Third interspace - common digital nerves of course (80-85%)
Term
What is so special about the 3rd common digital nerve?
Definition
"Largest digital nerve, medial and lateral plantar nerves combined"
Term
Etiology for Morton's neuroma
Definition
Wish Petozzi knew. Nerve might be compressed by DTIL and/or adjacent to met. heads
Term
What would be a + Moulders sign for Morton's Neuroma
Definition
Palpable clicking or pain with foot squeezed from medial and lateral on met. heads
Term
What are the 4 tests you use to check for negative findings for MN
Definition
Pain under met. heads. Pain to palp of MTPJs. Pain on ROM MTPJs. Pain with attempt to sublux MTPJs
Term
Joplin's Neuroma explained
Definition
"Neuropathy of Plantar proper digital N. 1, with HAV"
Term
T/F a clinical diagnosis for MN is ideal
Definition
True (if you've got skills)
Term
Neuroma conservative care options
Definition
"Padding, shoe modification, orthoses, strapping/taping, injection (corticosteroid or sclerosing agent)"
Term
Neuroma surgical trmt options
Definition
Resection or decompression
Term
4 common sites for nerve injuru
Definition
"Anterior TT (deep peroneal N), Lemont's (superficial peroneal N), Sural, Common Peroneal"
Term
Stress Fracture def.
Definition
"result from cumulative repeated forces insufficient to cause an acute fracture, but which eventually lead to stress failure of the involved bone"
Term
Most common Met. fractured
Definition
2nd followed by 3rd
Term
Met. stress fracture symptoms
Definition
"Pain (test with tuning fork), diffuse dorsal edema"
Term
Met. stress fracture - what will be seen on radiograph
Definition
"Not reasonable that you will see the fracture in less than 10 days (maybe 14-21), will see halo of periosteal reaction"
Term
Met. stess fracture trmt
Definition
"Restrict activity, P.R.I.C.E, supportive shoe gear"
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