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43 Cards in this Set

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PRICE
protect, rest, ice, compress, elevate
PPRICE
pt progression, relax, inflammation, consult, exercise
Sites of spondylosis?
C5,C6
Sites of herniated disc in neck? Where do 90% of herniated discs occur?
C6,C7...L4/L5, L5-S1
What is Hoffman's reflex?
flick finger and thumb retracts, UMN sign, sign of spinal cord compression, 'finger flexor reflex', equiv of Babinski in upper limb
What is Spurling sign?
neck extended, rotation, and laterally flexed. Pain indicates radiculopathy
Patient with reduced chest expansion may have...
ankylosing spondylitis
Knee jerk
L3,L4
Ankle jerk
L5,S1
What is spinal stenosis and how do you test for it?
pseudoclaudication, do Phalen test (Sx relieved when patient leans forward and puts foot up)
What is the difference between shoulder separation and shoulder dislocation?
separation: AC joint involved
dislocation: humeral head involved (tends to move anterior and inferior)
What is another name for 'frozen shoulder'? What needs to be checked?
adhesive capsulitis, check the biceps groove, will feel abnormal scapular movement
What is the drop test?
hold out arm, let go, arm will fall with supraspinatus injury
What is the impingement test?
test of biceps tendon pinching on acromion, thumb down? PAIN. Thumb up? no pain
Tennis elbow causes...
lateral epicondyle tenderness
Golfers elbow causes...
medial epicondyle tenderness
Nurse maids elbow causes...
dislocation of radial head, reduce with over pronation
When does carpal tunnel pain most commonly occur?
at night
Where does the tenderness of a scaphoid fracture occur?
anatomical snuffbox
What is DeQuervains tenosynovitis? Tx?
pain in wrist from moving thumb, steroid injections
Tinel's sign?
percuss over median nuerve at carpal tunnel causing tingling
Phalen's sign?
back of hands pressed together, pain indicates carpal tunnel injury
Who does a slipped capital femoral epiphysis affect? Tx?
heavy adolescent male, surgery
Who does Legg Calve Perthes dz affect? Tx?
preadolescent white male, osteonecrosis of capital femoral epiphyses, nonoperative treatment
Localized pain in the hip suggests:
Anterior? Lateral? Posterior?
Anterior: pain in hip joint itself
Lateral: bursitis
Posterior: piriformis syndrome
What is piriformis syndrome? Tx?
compression of sciatic nerve, pain goes down back of leg and stops at knee, treat by sitting on tennis ball
What is the most important test of intra-articular dysfunction?
internal rotation
Faber test?
test of SI joint pathology, flexion, abduction, external rotation
Where is the most common location of arthritis in the knee?
medial compartment
Osgood Schlatter dz?
common in adolescent male, tubercle pain in tibia (knee)
Patellofemoral syndrome?
runners knee
Chondromalacia patella? Tx?
cartilage degeneration, NSAIDS
Lachman test?
test ACL, thumbs on either side of patella and pull from behind
Drawer test?
ant: to test ACL, pull tibia anteriorly
post: to test PCL, push tibia posteriorly
Valgus stress test?
test for pain in MCL, abduct tibia on femur
Varus stress test?
test for pain in LCL, adduct tibia on femur
What kind of pain will a collateral ligament sprain present with?
medial pain after acute injury
McMurray test?
test checking for click or clunk of knee, snap or pain suggests torn medial meniscus
What ligaments are least/most likely to be sprained in the ankle?
least: deltoid (lateral) ligament
most: medial ligament (esp: anterior talofibular)
What type of injury tends to cause ankle sprain?
inversion
How does plantar fasciitis present?
heel spur
How does a neuroma present?
parasthesia between toes
How are sprains graded?
grade 1: pain with minimal damage to ligament
grade 2: more damage to ligament, mild joint looseness
grade 3: ligament completely torn, joint very loose