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49 Cards in this Set
- Front
- Back
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What are the classic symptoms of carpal tunnel syndrome?
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Tinnel's sx
Phalen's sx Pain radiating up to the elbow worsens with flexion |
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What nerve in injured in carpal tunnel syndrome?
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Median
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What is the difference btw a Monteggia's fracture and a Galeazzi's fx?
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Monteggia: Ulnar fx with radial dislocation
Galeazzi: Radial fx with ulnar dislocation |
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What complication?
Hip fx |
AVN, DVT
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What is the cause of back pain?
Pain increases with passive straight leg raise |
Disk herniation
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What scenarios favor a posterior shoulder dislocation?
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Seizures, Electrical shock
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What is the treatment for compartment syndrome?
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Emergent fasciotomy of all compartments in area
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What is the unhappy triad?
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ACL, MCL, medial meniscus
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thenar muscle atrophy is seen in what?
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carpal tunnel syndrome
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What nerve is injured?
claw hand |
ulnar nerve
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What nerve is injured?
ape hand |
median
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What nerve is injured?
wrist drop |
radial
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What nerve is injured?
scapular winging |
long thoracic
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What nerve is injured?
unable to wipe bottom |
thoracodorsal nerve
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What nerve is injured?
loss of forearm pronation |
median
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What nerve is injured?
can not ab or adduct fingers |
ulnar
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What nerve is injured?
loss of arm abduction |
axillary
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What nerve is injured?
weak lateral rotation of arm |
suprascapular, axillary
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What nerve is injured?
loss of arm and forearm flexion |
musculocutaneous
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What nerve is injured?
loss of forearm extension |
radian
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What nerve is injured?
trouble initiating arm abduction |
suprascapular
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What nerve is injured?
unable to abduct arm beyond 10 degrees |
axillary
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What nerve is injured?
unable to raise arm above hrozontal |
long thoracic
spinal accessory |
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What nerve is at risk in the following fracture/injury?
injury to carpal tunnel |
median
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What nerve is at risk in the following fracture/injury?
anterior shoulder dislocation |
axillary
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What nerve is at risk in the following fracture/injury?
MEDIAL EPICONDYLE |
ulnar nerve
(funny bone) |
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What nerve is at risk in the following fracture/injury?
supracondyle of the humerus |
median
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What nerve is at risk in the following fracture/injury?
surgical neck of the humerus |
axillary
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What nerve is at risk in the following fracture/injury?
shaft of the humerus |
radial
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Child falls on outstretched hand
WHat is the fx? What is the tx? What are the complications? |
Colles fractures (distal radius +/- distal ulna)
closed reduction, long arm cast, possible surgery profie looks like dinner fork most common wrist fracture, especially in osteoporotic bones |
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Fall on outstretched hand with wrist pain
what is the fx? |
Scaphoid fx
"snuffbox" tenderness thumb spica cast increased risk of avascular necrosis, not seen on x-ray for 1-2 wks after injury. most common carpal fracture. |
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20 yr old man comes in after punching a wall.
WHat is the fx? What is the tx? What are the complications? |
Boxer's fracture
fifth metacarpal neck Bewar the "fight bite" - this will need surgical exloration to rule out tendon involvement. Copious irrigation oral antibiotics |
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Elderly women who slipped on ice.
WHat is the fx? What is the tx? What are the complications? |
Hip fracture
high risk of DVT - need to anticoagulate! Avacular necrosisd surgical repair necessary. |
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WHat fracture is at increased risk of fat embolization
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femur
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Radiating pain that is worse with walking and standing?
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spinal stenosis
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Trauma pt with urinary retention and anesthesia in perineal region
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Cauda equina syndrome
pudendal nerve in this case Emergency surgical decompression and steroids! radiation used in cases of neoplasm! may also see decreased rectal tone or blublocaernosus reflex. |
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What complication?
Fall on an outstretched arm --> snuff box tenderness |
Scaphoid fx
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What complication?
Anterior shoulder dislocation |
Axillary nerve injury
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What complication?
Fx of 5th metacarpal neck |
Boxer's fx with bite wound
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What complication?
Humerus fx |
Radial nerve injury
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What complication?
Femur fx |
Fat embolism
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What complication?
Tibial fx |
compartment syndrome
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What complication?
Pelvic fx |
Hypovolemic shock
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What is the cause of back pain?
Pain lessens with flexion at the hips |
Spinal stenosis
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What is the cause of back pain?
Elderly, weight loss, pain constant but worse when supine |
Tumor
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What is the cause of back pain?
Acute urinary retention |
Cauda Equina syndrome
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What is the cause of back pain?
Pain made worse by walking and standing |
Spinal stenosis
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What is the cause of back pain?
Loss of foot dorsiflexion and pain on crossed straight leg raise |
Disk herniation
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What is the cause of back pain?
Pain limited to paraspinal area |
Muscle sprain
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