Study your flashcards anywhere!

Download the official Cram app for free >

  • Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off
Reading...
Front

How to study your flashcards.

Right/Left arrow keys: Navigate between flashcards.right arrow keyleft arrow key

Up/Down arrow keys: Flip the card between the front and back.down keyup key

H key: Show hint (3rd side).h key

A key: Read text to speech.a key

image

Play button

image

Play button

image

Progress

1/12

Click to flip

12 Cards in this Set

  • Front
  • Back
Reflex Sympathetic Dystrophy
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
RSD: stages
(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
claw limb
RSD
Tx complex regional pain syndrome
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
dupuytren's contracture
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
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
pain aggravated by wrist extension
lateral epicondylitis
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
bursitis: Dx?
-exquisite local tenderness
-pain on motion and at rest
reduced active ROM, nl passive ROM
soft tissue d/o, i.e. bursitis
decr in both active and passive ROM
joint abnormalities
bursitis: tx?
-remove aggravating faactors
-ice or heat, rest, NSAIDS
-inject corticosteroids