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97 Cards in this Set
- Front
- Back
"Chronic inflamation that can involve the hips
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SI Joint and vertebrae
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Elevated ESR
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negative rheumatoid factor
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Without xray
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what is most likely DX?" "Ankylosing spondylitis
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Cardiac-aortic regurg/insuff
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pericarditis
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Renal-amyloidosis
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IgA nephropathy
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PE reveals pain with strait led raise
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right leg/thigh loss of sensation
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"35 year old Accountant comes it with localized pain in the lumbosacral area. No radiculopathy. PE - palpation of lumbar paraspinal muscles reveals spasms and limited motion
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no pain with straight leg raise?
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HOWEVER
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get Xray if >50 with Hx of trauma
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If severe
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it may cause pressure on nerve roots with subsequent sensory and/or motor disturbances
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Basically a stress fx of pars interarticularis. The great majority of cases occur in the lowest of the lumbar vertebrae (L5)
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but spondylolysis may also occur in the other lumbar vertebrae
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**include presentation
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Dx
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Presents as painful neck motion
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peaks after several hours/days
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Tx: Anti-inflam
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heat
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"Stiff neck associated with muscle spasm
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classically causing lateral flexion contracture of the cervical spine musculature (a condition in which the head is tilted to one side). The muscles affected are principally those supplied by the spinal accessory nerve.
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In newborns
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caused by SCM injury during birth
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Acquired after newborn
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usually develops overnight and will resolve spontaneously in 1-2 weeks"
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L4 - pain/numbness to the medial lower leg and foot; weak quads
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+/- inability to bring the foot upwards (heel walk). Pt may have reduced patella tendon reflex.
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L5 - weakness in extension of the big toe and potentially in the ankle (called foot drop). Pain/numbness at the top of the foot
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particularly in the web between the great toe (big toe) and the second toe.
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Tumor
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trauma (LP)
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(Classically there is bilateral
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lateral offset of C1 on C2 )
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"10 yo male presents with mild neck pain
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numbness and tingling on the back of his head
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Xray shows a round lucency
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containing a dense sclerotic central nidus
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Front
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Back
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How are spinal cord injuries resulting in paralysis or paresthesia named?
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"INjury named for the last level of function
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Without xray, what is most likely DX?"
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"Ankylosing spondylitis
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Does it have a genetic factor?"
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"Other articular areas:
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Treatment of Ankylosing Spondylitis
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"Heat/Excercise to improve posture
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Which of the causes is most probable in the above presentation?"
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"Lumbar Stenosis
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What would be at the top of your differential based on the pt's work history?"
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Name the chategories of herniation."
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"Weakening of annulus fibrosis with resulting herniation of nucleus pulposis from center.
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What is Dx and Tx?"
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"Lumbar Strain
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Pt presentation may include increased pain with spinal extension"
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Spondylosis
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Describe mechanism"
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"Spondylolysis
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Treatment of Spondylolysis
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"Sidelined for 4-6 weeks
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What is the most likely Dx?"
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"Spondylolysthesis
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**include presentation, Dx, and Tx"
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"Cervical SPRAIN
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Possible causes?"
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"Torticollis
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What is this called and where does it generally originate?"
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"Sciatica
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Tx?"
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"Cuada Equina Syndrome
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Differentiate Kyphosis from Lordosis
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"Kyphosis
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Angles associated?"
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"Scoliosis
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Tx?"
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"Jefferson Burst Fx
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Xray"
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TX?"
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"Osteoid Osteoma
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Benign"
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Osteochondroma
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Benign cartilaginous growth in medullary cavity with central calcification"
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Enchondroma
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Benign"
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"Cystic Bone Lesion
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Front
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Back
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How are spinal cord injuries resulting in paralysis or paresthesia named?
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"INjury named for the last level of function
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Without xray, what is most likely DX?"
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"Ankylosing spondylitis
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Does it have a genetic factor?"
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"Other articular areas:
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Treatment of Ankylosing Spondylitis
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"Heat/Excercise to improve posture
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Which of the causes is most probable in the above presentation?"
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"Lumbar Stenosis
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What would be at the top of your differential based on the pt's work history?"
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Name the chategories of herniation."
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"Weakening of annulus fibrosis with resulting herniation of nucleus pulposis from center.
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What is Dx and Tx?"
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"Lumbar Strain
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Pt presentation may include increased pain with spinal extension"
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Spondylosis
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Describe mechanism"
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"Spondylolysis
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Treatment of Spondylolysis
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"Sidelined for 4-6 weeks
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What is the most likely Dx?"
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"Spondylolysthesis
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**include presentation, Dx, and Tx"
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"Cervical SPRAIN
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Possible causes?"
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"Torticollis
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What is this called and where does it generally originate?"
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"Sciatica
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Tx?"
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"Cuada Equina Syndrome
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Differentiate Kyphosis from Lordosis
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"Kyphosis
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Angles associated?"
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"Scoliosis
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Tx?"
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"Jefferson Burst Fx
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Xray"
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TX?"
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"Osteoid Osteoma
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Benign"
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Osteochondroma
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Benign cartilaginous growth in medullary cavity with central calcification"
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Enchondroma
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Benign"
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"Cystic Bone Lesion
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Front
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Back
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How are spinal cord injuries resulting in paralysis or paresthesia named?
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"INjury named for the last level of function
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Without xray, what is most likely DX?"
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"Ankylosing spondylitis
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Does it have a genetic factor?"
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"Other articular areas:
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Treatment of Ankylosing Spondylitis
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"Heat/Excercise to improve posture
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Which of the causes is most probable in the above presentation?"
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"Lumbar Stenosis
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What would be at the top of your differential based on the pt's work history?"
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Name the chategories of herniation."
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"Weakening of annulus fibrosis with resulting herniation of nucleus pulposis from center.
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What is Dx and Tx?"
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"Lumbar Strain
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Pt presentation may include increased pain with spinal extension"
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Spondylosis
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Describe mechanism"
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"Spondylolysis
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Treatment of Spondylolysis
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"Sidelined for 4-6 weeks
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What is the most likely Dx?"
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"Spondylolysthesis
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**include presentation, Dx, and Tx"
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"Cervical SPRAIN
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Possible causes?"
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"Torticollis
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What is this called and where does it generally originate?"
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"Sciatica
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Tx?"
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"Cuada Equina Syndrome
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Differentiate Kyphosis from Lordosis
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"Kyphosis
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Angles associated?"
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"Scoliosis
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Tx?"
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"Jefferson Burst Fx
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Xray"
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TX?"
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"Osteoid Osteoma
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Benign"
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Osteochondroma
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Benign cartilaginous growth in medullary cavity with central calcification"
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Enchondroma
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Benign"
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"Cystic Bone Lesion
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