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59 Cards in this Set
- Front
- Back
drugs that can cause OA
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indocine, colchicine, corticosteroids
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RA diagnosis criteria
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morning stiffness longer than 1 hr
symmetric swelling swelling of 3 or more joints hand joint involvement |
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RA drug Arava(leflunomide)
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monitor liver function
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RA drug Plaquenil (hydroxychloroquine)
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drug of choice for RA
may cause severe vision changes see eye doctor often |
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Rheumatrex (methotrexate)
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initial DMARD given
can cause birth defects |
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Etanercept (enbrel)
Infliximab (Remicade) |
at increased risk for infection
biologic response modifiers |
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CPM is prescribed 24-48 hrs after
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arthroplasty
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with heparin check
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ptt
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with coumadin check
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pt and inr
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Avoid high impact exercises after
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arthroplasty
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normal ankle-brachial index
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<1
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after amputation what is done to prevent phantom limb sensations
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massage site of amputation
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abnormal serum acid level
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>6 mg/dl
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foods high in purine
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shellfish, lentils, asparagus, spinach, beef, pork, chick, wine, beer, organ meats, red meat, aged cheese, anchovies, sardines, mussels, venison, herring, lentils, asparagus
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allopurinol (zyloprim)
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blocks the production of uric acid
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probenecid (benemid)
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gets rid of uric acid
-contraindicated in renal failure -inactivated by ASA |
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FMS diagnosis
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11 of 18 tender points upon palpitation
widespread pain noted for 3 months |
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side effects of Lyrica
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dizziness, sleepiness, blurred vision, swelling of hands/feet, dry mouth
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Ottawa Rules
assessment protocol for injured ankle or knee before ordering x-rays |
age
ability to flex location of tenderness ability to bear weight |
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time frame for fracture hematoma
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first 72 hrs
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time frame granulation tissue
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3-14 days
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time frame for callus formation
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end of 2nd week
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time frame for ossification
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3weeks - 6 months
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remodeling can last for
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up to 1 yr
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skin traction
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48-72 hrs
5-10 lbs |
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skeletal traction
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5-45 lbs
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direct musculoskeletal complications
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bone infection, bone union, avascular necrosis
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indirect musculoskeletal complications
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blood or nerve damage resulting in compartment syndrome, venous thrombosis, fat embolism, and shock
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normal intracompartmental pressure
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0-15 mmHG
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time frame for fat embolism
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12-72 hrs
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fractures that occur within the hip joint capsule are called
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intracapsular fracture
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fracture that occurs outside the joint capsule are termed
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extracapsular fracture
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most intracapsular fractures are associated with
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osteoporosis and minor trauma
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most extracapsular fractures are associated with
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trauma
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Management of Osteoporosis
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1. sufficient intake of calcium (take with meals but not high fiber)
2. vitamin D is essential for intestinal absorption of calcium (sunlight, dairy products, fatty foods, fish oils, breads, cereals) 3. daily exercise high and low impact 4. avoid smoking |
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osteosarcoma
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very aggressive and metastasizes quickly
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s and s of osteosarcoma
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gradual onset of pain and swelling around the knee
elevated serum alkaline phosphatase and calcium levels |
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vitamins used to help with mastalgia
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vitamin e, a and b
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contraindications for lumpectomy
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breast size too large
masses and calc. multifocal central location of tumor near nipple |
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Hormonal therapy drug
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tamoxifen
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side effects of estrogen
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nausea and vomiting, fluid retention, headache and breast enlargement
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side effects of progesterone
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increase in appetite, weight gain, irritability, depression, spotting, breast tenderness
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long intervals btwn menses
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oligomenorrhea
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absence of menstruation
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amenorrhea
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excessive prolonged bleeding, time length and amount of blood
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menorrhagia
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metorrhagia
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irregular bleeding btwn periods
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painful intercourse
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dyspareunia
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risk factors for cervical cancer
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low socioeconomic status
early sex mult sex partners hpv immunosuppression |
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risk factors for endometrial cancer
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estrogen
increase in age obesity nulliparity late menopause early menarche smoking dm |
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risk factors for ovarian cancer
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family hx
hx of breast of colon cancer nullparity increased age increase in number of ovulatory cysts HRT infertility drugs |
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5-a Reductase inhibitors
Proscar or Avodart |
must be taken continuously for 3-6 months
side effects: decreased libido, decrease in volume of ejaculation and ED |
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a-adrenergic receptor blockers
flomax or cardura |
smooth muscle relaxation in prostate
side effects: orthostatic hypotension, dizziness, retrograde ejaculation and nasal congestion |
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Saw Palmetto
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GI side effects, increase BP, increase risk of bleeding
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after a prostatectomy the patient is catheterized for
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1-2 weeks
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orchiectomy decreases circulating testosterone by
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90%
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patient experience ________ symptoms in prostatitis
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flu-like symptoms
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in prostatitis
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do not enter anything into urethra
do not massage prostate during active infection |
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Oral meds for ED
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Viagra, Levitra and Cialis
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Side effects of Viagra, Levitra and Cialis
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should not be taken with nitrates or foods high in fat
side effects: headaches, facial flushing and diarrhea |