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74 Cards in this Set

  • Front
  • Back
Scoliosis is named for side of
convexity
rotatory scoliosis
Spinous deviate to concavity
simple scoliosis
spinious deviate to convexity. (I'm simple but I'm complex)
Most common scoliosis
thoracic right convex idiopathic scoliosis
Lines of Mensuration of scoliosis
Cobb's (best)and Risser Ferguson
If pt over 25 and has scoloisis then
adjust and dont monitor
Under 25 and under 20 degrees
adjust and monitor
Under 25 and 21-40 degrees
send to orthopedist for bracing (Milwaukee)
Under 25 and over 40 degrees
surgical consultation
under 25 and over 50 degrees
cardio pulmonary compromise (visceral compromise)
How to monitor Scoliosis
Risser's sign, Wrist film(best),Tanner Stages
What is risser sign
secondary growth centers at iliac crest and xray every 3 months. risser grows L to M and fuses M to L
what is wrist film
distal left forearm and wrist
what is tanner stages
pubertal development, looks at external changes, early puberty leads to increased likelihood of curve progression
what are the inflammatory arthritides
RA, AS,enteropathic arthropathy,PA, Reiter's,SLE,scleroderma,OCI
RA in children
Still's Disease
what is the most common cause of bilateral protrusio acetabuli
RA
what has bilateral uniform loss of joint space, rat bite erosions, pannus formation, localized periarticular (juxta)osteoporosis, symmetrical distribution, atlanto-acial instbility
RA
where are Bouchards and Haygarth nodes
Bouchards-PIP Haygarth (MCP)
what is spared in RA
DIPS
what has swan neck, boutonniere deformity, ulnar deviation, baker cyst(benign swelling of semimembranous bursa)
RA
What part of body does RA most commonly attack
MCP
what is second most common place for RA
carpals and they like to fuse
what is Lanois deformity
deviation of hands or feet towards ulnar or fibular side with a distributing pattern
Person with RA would have on inspection
Haggard's nodes
Labs for RA
+RA latex,+FANAor ANA,+CRP, normocytic normochromic anemia
what is Sjogren's
RA with dry eyes and dry mouth
AKA for AS
Marie stumpell
where does AS start and what is second place
starts in SI and then T/L junction with low back pain and morning stiffness
only codition that cause bilateral marginal syndesmophytes
AS
what has thin eggshell calcification around the disc and carrot stick fracture that dont' heal (anderson lesion) and iritis
AS
what are the orthos for AS
chest expansion,Forester's Bowstring, and Lewin's supine
what cause bilateral fusion of S/I,and psuedo widening
AS
radiographic signs of AS
Shiny Corner sign, bilateral marginal syndesmophytes, squarring of vertebral bodies, Bamboo spine, Dagger sign, trolley track sign, ghost joint and star sign
How to treat AS
co mange with Rheumatoligist
Labs for AS
+HLA B27 and +ESR
what is like AS but has GI dysfunction and most common in females
Enteropathic Arthropathy
pitted nails (inginal indentation), silver scales,cocktail sausage digit
PA
Increase in joint space,swan neck
PA
what is swan neck and Boutonniere
hyperflexion of DIP and hyperextension of PIP,hyperextension of DIP and hyperflexion of PIP
what arthritides loves the DIP
PA
balancing pagoda, periarticular erosions,auspidz sign(scales that break off),non marginal syndesmophytes, Ray sign (distributing pattern in phalanges)
PA
Lab for PA
HLA B-27
Reiter's AKA
Reactive Sclerosis
Causes urethritis,conjunctivitis,arthritis
Reiter's
Arthritide caused by Chlamydia
Reiter's
affects lower extrimities,has calcaneal spurs and fluffy periostitis
Reiter's
Lab for Reiter's
HLAB-27
affects females, sunlight cause a rash on face (malar/butterfly rash),alopecia,Raynaud's phenomenon, and can cause ulnar deviation with no erosions
SLE (systemic lupus erythematosus)
when put hand on table ulnar deviation goes away
Rebound effect with SLE
labs for SLE
+LE prep,+FANA, +RA latex, +ESR
Scleroderma AKA
Progressive systemic sclerosis
CREST
Calcinosis,Raynaud phenomenon,Esophageal dysmotility,scleradactly,telangiectasia
labs for Sclerderma
+FANA,+RA latex
AKA for Osteitis Condensans Ilia
Ostetitis Triangularis
Multiparous females, where S/I joints not involved
OCI
Bilateral/symmetric triangular sclerotic area on the lower half of the ilium(periglenoid sulci)
OCI
Trochanteric belt, joint space is normal, self resolving no labs
OCI
Degeneratve Arthrides
DISH,DJD,Neurogenic arthropathy,synoviochondrometaplasia,
AKA for DJD
Osteoarthritis
most commonly involves finger and weight bearing joints, stiffens with rest (cold weather)and improves with activity
DJD
spinal stenosis, IVF encroachment, decrease in joint space, most common site is C5-C6.
DJD
where to check in hip for DJD
superior lateral jont space
has asymetrical distribution, superior 1/3 of S/I joint,in hands have Heberden and bouchard nodes
DJD
AKA for Diffuse Idiopathic Hyperstosis (DISH)
Forestier's, Ankolysing Hyperostosis
associated with Diabetes Mellitus and can cause ossification of the PLL
DISH
Flowing hyperostosis, candle wax dripping,4 contiguous segments involved
DISH
no labs check for fasting blood glucose and check eyes for diabetic retinopathy
DISH
decrease joint space, gullwing appearance, hands and feet distributing pattern form of degeneration
OA
AKA for Neurogenic Arthopathy
Charcot's joint
secondary to impaired sensory function in joints.
Neurogenic Arthropathy
Seen with diabetes, tabes dorsalis, neuro syphlis and syringomyelia
Neurogenic Arthropathy
6 D's most common in weight bearing joints with neurogenic arthopathy
Distention, density of subchondral sclerosis, Debris within joint, Dislocation, Disorganization, and Destruction of Bone
Most commonly affects the knee that has multiple loose bodies within the joint that are ovoid or round in shape
Synoviochondrometaplasia