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Part IV review
IG HAND
52
Medical
Professional
11/05/2013

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Cards

Term
A fx of the ulna after a FOOSH injury is known as
Definition
collies fx
Term
a collies fx will have a __ like deformity
Definition
spade like
Term
a reverse collies fx is known as
Definition
smith fx
Term
fx where the radius is angled to the anterior (toward the thumb)
Definition
smith
Term
mechanism of injury for collies fx
Definition
hyperflexion (football)
Term
a smith fx will have a __ deformity
Definition
spade
Term
if the ulna drops down beneath the radius it is known as
Definition
negative ulnar variance
Term
disease in which you will see ulnar styloid erosion
Definition
RA
Term
ulnar deviated x-rays are taken for
Definition
fx of scaphoid/lunate
Term
Most common dislocated carpel bone
Definition
lunate
Term
most common fx of wrist
Definition
scaphoid
Term
2nd most common fx of the wrist
Definition
triquetrium
Term
if the scaphoid is whiter than the lunate think
Definition
AVN (check fx)
Term
AVN of scaphoid is known as
Definition
prissers disease
Term
What is the best test for prisers disease
Definition
MRI

(bone scan 2nd best)
Term
If there is a circle appearance on the scaphoid it is known as
Definition
signant ring sign
Term
if there is a big space between scaphoid or lunate or any alteration in joint space of the lunate it is known as
Definition
terry thomas sign or david letterman
Term
if a lunate dislocates it becomes
Definition
pie shaped
Term
AVN of the lunate is known as
Definition
keinbocks disease

mottled bone appearance
Term
in a lateral film check for the rubber duck appearance with white tail and black poop
Definition
fx triquitrum
Term
spotty carpel sign
Definition
RA
Term
patient with RA you would co manage with
Definition
rhumatologist
Term
2 lab tests for RA
Definition
rhumatoid factor
RA latex
Term
RA in che MCP's
Definition
haygarths nodes
Term
RA in PIPs
Definition
brouchards nodes
Term
do you see RA in the DIPs
Definition
NO!
Term
If there is an even distribution then you may rule out
Definition
gout
Term
if the DIP is whiter with decreased joint space you will have
Definition
OA
Term
Nodes on the DIP indicating OA
Definition
heberdens
Term
if the DIP is wider and dark you will have
Definition
PA
Term
Flexion of the DIP and extension of the PIP is known as
Definition
swan neck deformity
Term
Extension of the DIP and flexion of the PIP
Definition
boutonniere deformity
Term
Darkening of the joint due to RA
Definition
juxta-articular osteoporosis
Term
tests for RA
Definition
ESR
Rh Factor
Sero positive (scleroderma)
Marginal erosions/rat bite erosions
Term
Central appearance seen with OA on the DIP.
Definition
gull wing appearance
Term
what makes oa worse
Definition
cold, rain, low barometric pressure
Term
what make OA better
Definition
warmth, adjustment, supplements
Term
Joint space with darkened erosions
Definition
PA
Term
erosions of the distal tuffs
Definition
scleroderma
Term
scleroderma is aka
Definition
acro-osteolysis
Term
what is also seen with scleroderma
Definition
CREST
calcinosis cutis
raynauds phenomenon
esophageal problems
sclerodactyly
telangencia- dilation of the blood vessels
Term
management of scleroderma?
Definition
co-manage with rhumatologist
Term
Periarticular erosions are only seen with
Definition
PA
Term
x ray findings seen with PA
Definition
pencil and cup deformity
ray sign
auto acrolysis
balancing pagoda sign
auspitz sign
silver sclases and pitted nails
cocktail sausage digits
Term
who do you refer to with PA
Definition
rhumatologist
Term
gross uneven distribution and destruction in the hands is seen with
Definition
gout
Term
tests for gout
Definition
uric acid
joint aspiration test
Term
manage gout with
Definition
rhumatologist
dietary changes
Term
fx of the 1st mc
Definition
bennets
Term
fx of the 2nd/3rd mc
Definition
boxers
Term
fx of the 4/5th mc
Definition
bar room
Term
fx of the 5th
Definition
1. bar room if not seen then pic boxers
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