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97 Cards in this Set

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