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29 Cards in this Set

  • Front
  • Back
The thumb flexor sheath communicates with what bursal space?
Radial bursa
The thumb flexor sheath communicates with what index linger bursal space?
Thenar space
The thumb flexor sheath communicates with what long and ring linger space?
Midpalmar space
The thumb flexor sheath communicates with what small linger space?
Ulnar bursa
What is the location of the septum dividing the radial and ulnar bursae?
Third metacarpal
In what percentage of patients do the radial and ulnar bursae communicate?
50 to 80%
Parona’s space is located where?
Deep space at the level of the carpal tunnel
This is defined in the next question
What are the borders of this space?
PQ(dorsally)
Flexors (volarly)
FCU (ulnarly)
FPL (radially)
A distal infection extending proximally to this space is referred to as what?
A horseshoe abscess: communication between the radial and ulnar bursae at the space of Parona
What is the earliest sign of flexor tenosynovitis?
Pain with passive extension
What is the most likely causative organism?
Staphylococcus aureus
If no response to standard therapy, then consider which organism?
Candida (especially common with diabetic patients)
What are the most common organisms associated with light bites?
S. aureus
Streptococcus
What other organism may be associated with a light bite?
Eilcenella (7-29% of patients)
What organisms are associated with dog and cat bites?
Streptococcus
Anaerobes
Pasteurella
Staphylococcus
How do these infections commonly present?
Nodular mass
What is the causative organism?
Sporothrix schenckii
From?
Rose thorns
What is the treatment of choice?
Potassium iodide
Atypical mycobacteria may also present how?
Nodular mass
What special stain is used to identify mycobacteria?
Ziehl-Neelson stain
What medium?
Lowenstein-]ensen
What prep is used to identify herpetic
Tzanck
In cases of whitlow, should an l&D be
performed?
What is a common means by which oral secretion may result in herpetic whitlow of the finger?
Nail biting
What is the treatment for herpetic whitlow?
Oral acyclovir
Describe the timing and clinical usefulness of each of the three phases of the bone scan: phase I?
Within the first 2 minutes after
injection
ls an arteriogram
Phase Il timing and features?
5 to 10 minutes after injection
Areas of cellulitis appear intense
Phase III timing and features?
2 to 3 hours after injection
Areas of osteomyelitis appear intense