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19 Cards in this Set
- Front
- Back
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Pain in runner w/reproduction on squeezine 3rd & 4th digits?
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Morton's neuroma
mechanically induced neuropathic degeneration |
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Tarsal tunnel syndrome?
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compression of tibial nerve as passes through ankle
usually results from fracture of bones around ankle burning, numbness, aching of distal plantar surface of foot/toes, sometimes radiating up calf |
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What is patellofemoral syndrome - hx and findings?
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overuse injury common in runners
pain worse going down stairs or hills pain localized to patella |
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What is Osgood-Schlatter disease - hx and findings?
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knee pain in adolescent male athletes (13-14 males
10-11 females) traction apophysitis of tibial tubercle where patellar tendon inserts worsened by running jumping kneeling, improved by rest pain and edema over tibial tubercle pain reproduced by extension against resistance |
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In children, what is most common neurovascular injury seen with supracondylar fracture?
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brachial artery entrapment
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What monoarthritis can occur with hyperparathyroidism?
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Pseudogout - rhomboid shaped crystal with positive birefringence
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Knee morning stiffness of what duration is suggestive of OA vs RA?
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>30 minutes suggests RA
~10 minutes suggests OA |
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What nerve innervates mm of anterior compartment of thigh? Which mm are these?
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Femoral nerve
quadriceps, sartorius, pectineus responsible for knee extension and hip flexion also does sensation to anterior thigh and medial leg (via saphenous branch) |
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What is most common form of shoulder dislocation?
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Anterior dislocations, usually caused by a direct blow or fall on outstretched arm
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How do patients hold their arms with anterior vs posterior shoulder dislocation?
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Anterior dislocation - holds arm slightly abducted, externally rotated
Posterior dislocation - holds arm adducted and internally rotated |
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Which way do ppl commonly dislocate shoulder following tonic clonic seizure?
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Posterior dislocation
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Low back pain worsened by walking and standing, improved by sitting or lying down? ("neurogenic claudication")
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Lumbar spinal stenosis
narrowed spinal canal compressing nerve roots extension (standing, walking) exacerbates pain, flexion (sitting, laying down) relieves |
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What is the most common sarcoma in adolescent males? What are characteristic radiographic findings?
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Osteosarcoma (2nd MCC is Ewing)
Elevated periosteum Codman's triange and spiculated sunburst pattern occurs distal femur, prox tibia or prox humerus |
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Pain in shoulder w/passive ROM above head, relieved by lidocaine injection?
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Rotator cuff tendonitis ( / impingement)
no h/o trauma typically |
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What two conditions account for majority of avascular necrosis of bone in adults?
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chronic corticosteroids + excessive alcohol = >90%
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What is the pathophys of a Baker's cyst?
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excessive fluid production by an inflamed synovium, accumulates in popliteal bursa expanding to create a tender mass
occurs w/RA, OA, and cartilage teras |
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What portion of the spine does Rheumatoid arthritis most commonly affect?
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Cervical spine joints in axial skeleton
spinal subluxation and spinal cord compression can occur |
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What causes an Erlenmeyer flask deformity of distal femur? Associated findings?
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type 1 Gaucher's dz (MC lysosomal storage dz)
deficient beta-glucosidase wrinkled paper appearance of cells on bone marrow biopsy |
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What bursa is located anteromedially over the tibial plateau?
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Anserine bursitis
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