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12 Cards in this Set
- Front
- Back
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Reflex Sympathetic Dystrophy
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Reflex Sympathetic Dystrophy (RSD) is a d/o of extremities characterized by:
-pain -swelling -limited ROM -vasomotor instability -skin changes -patch bone demineralization -begins after injury, surgery, or vascular event like MI or stroke |
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RSD: stages
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(complex regional pain syndrome: Stages 2 and 3)
Stage 1: *pitting edema of hand, non-itting edema of fingers 1. burning, throbbing pain 2. diffuse aching 3. sensitive to hot/cold (d/t vasomotor disturbances) 4. localized edema Stage 2: -thickening of skin and non-pitting edema Stage 3: -contractures of digits -waxy trophic skin changes -brittle nails |
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claw limb
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RSD
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Tx complex regional pain syndrome
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early intervention essential
Stage 1: TCA + topical cream alpha blocker PHYSICAL THERAPY IS KEY If no response: stellate ganglion block + corticosteroids If no response: sympathectomy |
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dupuytren's contracture
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progressive fibrosis of palmar fascia==>puckering and tethering of skin
-white males >50 -genetic predisposition -repetitive handling tasks or vibration (jackhammers) -assoc w: RSD DM alcoholics cig's |
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lateral epicondylitis
-et? -present? -Dx? |
-repetitive wrist turning or hand ggripping
-old ppl who start lifting weights -tool use, shaking hands -pain is well-localized -pain aggravated by lifting, shaking hands Dx: -lateral epicondylar tenderness + elbow pain aggravated by wrist extension |
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pain aggravated by wrist extension
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lateral epicondylitis
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bursitis
-def? -sites? |
inflamm or degen of fluid filled sacs that protect soft tissues from underlying bony prominences
MC sites: subdeltoid, olecranon ischial trochanteric prepatellar bursa resultws from repetitive mvmt |
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bursitis: Dx?
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-exquisite local tenderness
-pain on motion and at rest |
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reduced active ROM, nl passive ROM
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soft tissue d/o, i.e. bursitis
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decr in both active and passive ROM
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joint abnormalities
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bursitis: tx?
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-remove aggravating faactors
-ice or heat, rest, NSAIDS -inject corticosteroids |
