Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
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
|