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39 Cards in this Set
- Front
- Back
Describe types of Collagen
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I: Bones, Skin, Tendons, II: Cartilage, III: Reticulum (everywhere), IV: BM
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Ehlers Danlos Syn etiology
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ABN Type III Collagen, inheritance varies
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Ehlers-Danlos Syn S/Sx
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Hyperextensible skin, easy bleeding, hypermobile joints
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Osteogenesis Imperfect S/Sx
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Blue sclera (ABN translucent CT over choriod), hearing loss (ABN middle ear bones), ABN teeth due (ABN Dentin)
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Osteogenesis Imperfecta AKA
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Brittle Bone Disease
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Osteogenesis Imperfecta types
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Type I is MC, Type II is fatal neonatally
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Osteognesis Imperfecta etiology
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AD mutation in Collagen Type I
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Describe cell counts in arthrocentesis from septic joint
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WBC > 50k with >75% PMNS
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Describe cell counts in arthrocentesis from OA and RA
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OA 2-10k PMNs < 50%, in RA 2-10k PMNs > 50%
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Describe Gout crystals
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(-) birefringence uric acid crystals
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Describe Pseudogout crystals
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(+) birefringence Calcium Pyrophosphate
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Synovial fluid with Glucose < 50
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Septic Arthritis or RA
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Priapism first steps of management
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Dopple U/S to determine ischemic vs non-ischemic; Tx of sickle cell with IVF & Tfx
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Ischemic Priapism Tx
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<4h alpha agonist (penylephrine) intracorporal injection; >4h aspiration with alpha agonist; then surgical shunt if needed
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NonIschemic Priapism Tx
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(1) Observation for days; (2) Arteriography & Embolization of ruptured artery; (3) surgical ligation of ruptured artery
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Venous stasis ulcer presentation
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Distal leg, MC Medial Malleolus, indurated with brawny edges
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Morton Neuroma etiology
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swelling of Lateral & Medial Plantar nn between 3rd&4th metatarsal on ball of foot
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Morton Neuroma S/Sx
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pain on ball of foot, worsened by lateral compression of foot, worsened by walking
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Nursemaid elbow Tx
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Fully extending the elbow and supinating the forearm, then flex elbow 180 while maintaining supination.
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Nursemaid elbow etiology
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Subluxation of radial head a/w pulling on forearm
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Knee dislocation Dx
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Clinical Dx, but Arterigraphy for popliteal aa damage
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Knee meniscal injury Tx
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Rest & NSAIDs, surgery if not improving or knee locked
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Knee meniscal injury etiology
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Twisting injury or degeneration with age
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Knee meniscus description
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2 meniscus lateral & medial that act as shock absorbers
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Bakers Cyst Dx
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U/S or MRI to confirm Baker's Cyst
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Scoliosis Tx
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PT & Konstancin exercises < 20, bracing 20-50, surgery > 50
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Scoliosis complications
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Resp compromise > 50, Cardiac compromise > 75
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Describe Bouchard & Heberden nodes
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Bouchard PIP, Heberden DIP & much more common; both a/w OA
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Swan neck deformity etiology
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Rheumatoid Arthritis
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Bone changes in OA & RA
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Subchondral bone thickens in OA, bone erosion under joint in RA
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Disc herniation nerve involvement
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disk impinges nerve BELOW the disc [L5-S1 impinges S1],
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Appley's Compression Test
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meniscal tear
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Apley's Distraction Test
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Medial or Lateral Collateral Ligaments
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McMurray's Test
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Meniscus
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Ober's Test
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Tight tensor fascia lata & iliotibial band
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Patrick's Test (FABERE)
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Osteoarthritis of the hip
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Speed's Test
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Biceps Tendon
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Trendelenburg Test
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Gluteus weakness
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Yergason's Test
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Biceps Tendon
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