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345 Cards in this Set
- Front
- Back
Other name for an open fracture |
Compound fracture |
|
What happens with an open fracture after 6 hours |
It's considered infected |
|
What is the classification for open fracture |
Gustillo and Anderson |
|
Gustillo type 1 |
Less than 1cm Clean Bone graft can be done immediately |
|
Gustillo type 2 |
Greater than 1cm Clean Bone graft at delayed primary closure |
|
Gustillo type 2 |
Greater than 1cm Clean Bone graft at delayed primary closure |
|
Gustillo type 3 a,b,c |
Extensive open wound Dirty Bone graft when bone callus diminishes
Type 3a soft tissue coverage Type 3b not enough coverage Type 3c vascular damage |
|
Treatment for compound fracture |
Culture and sensitivity Wound debridement/irrigation Fracture stabilization Tetanus prophylaxis IV ancef 1-2 g followed by 1g q8 until cultures arrive |
|
Treatment for compound fracture |
Culture and sensitivity Wound debridement/irrigation Fracture stabilization Tetanus prophylaxis IV ancef 1-2 g followed by 1g q8 until cultures arrive |
|
Fluorescein can be used for __________ evaluation in open fractures |
Vascular |
|
Treatment for compound fracture |
Culture and sensitivity Wound debridement/irrigation Fracture stabilization Tetanus prophylaxis IV ancef 1-2 g followed by 1g q8 until cultures arrive |
|
Fluorescein can be used for __________ evaluation in open fractures |
Vascular |
|
Where is the most notable area of stress fracture in foot |
Neck of 2nd met |
|
How long can it take for a stress fracture to show up on x-ray |
2 weeks |
|
How long can it take for a stress fracture to show up on x-ray |
2-3 weeks |
|
Stress fracture can show up on bone scan as early as |
2-8 days |
|
An incomplete fracture of only 1 cortex is known as |
Greenstick fracture |
|
An incomplete fracture of only 1 cortex is known as |
Greenstick fracture |
|
Greenstick fractures are seen in |
Children |
|
Injury to the MPJ caused by excessive extension |
Turf toe |
|
Injury to the MPJ caused by excessive extension |
Turf toe |
|
Turf toe result in injury to |
Ligaments and plantar capsule |
|
What is the classification for MPJ injuries |
JAHSS |
|
What is the classification for MPJ injuries |
JAHSS |
|
JAHSS type 1a |
Dorsal dislocation of proximal phalanx
Met head intrasesamoid ligament |
|
What is the classification for MPJ injuries |
JAHSS |
|
JAHSS type 1a |
Dorsal dislocation of proximal phalanx
Met head intrasesamoid ligament |
|
JAHSS Type 2a |
Dorsal dislocation of proximal phalanx
Met head tears through intrasesamoidal ligament |
|
What is the classification for MPJ injuries |
JAHSS |
|
JAHSS type 1a |
Dorsal dislocation of proximal phalanx
Met head intrasesamoid ligament |
|
JAHSS Type 2a |
Dorsal dislocation of proximal phalanx
Met head tears through intrasesamoidal ligament |
|
JAHSS type 2b |
Dorsal dislocation of proximal phalanx on met
Met head causes avulsion fracture of sesamoid |
|
What is the classification for MPJ injuries |
JAHSS |
|
JAHSS type 1a |
Dorsal dislocation of proximal phalanx
Met head intrasesamoid ligament |
|
JAHSS Type 2a |
Dorsal dislocation of proximal phalanx
Met head tears through intrasesamoidal ligament |
|
JAHSS type 2b |
Dorsal dislocation of proximal phalanx on met
Met head causes avulsion fracture of sesamoid |
|
Which JAHSS is easier to reduce |
Type IIa
That tears intrasesamoid ligament |
|
Sesamoid fracture must be distinguished from |
Bipartite sesamoid |
|
Complications of sesamoid removal
Fibular sesamoid Tibial sesamoid Both sesamoids |
Hallux varus Hallux valgus Hallux malleus |
|
Sesamoid fracture must be distinguished from |
Bipartite sesamoid |
|
Complications of sesamoid removal
Fibular sesamoid Tibial sesamoid Both sesamoids |
Hallux varus Hallux valgus Hallux malleus |
|
Correction for hallux malleus |
Jones tenosuspension hallux ipj fusion |
|
Most common method of ankle injury |
Inversion, plantarflexion |
|
Most common method of ankle injury |
Inversion, plantarflexion |
|
Inversion dorsiflexion ankle sprain will damage |
Calcaneofibular |
|
Dorsiflexion inversion injury will damage |
Calcaneofibular ligament |
|
Arthrograms are useful in acute or chronic ankle sprains? |
Acute sprains while ligaments are still damaged |
|
Arthrograms are useful in acute or chronic ankle sprains? |
Acute sprains while ligaments are still damaged |
|
Oreo cookie sign |
Radiolucent ankle articular cartilage with radiopaque die between |
|
Anterior drawer for ankle is used to test |
ATF
8mm of excursion positive |
|
Stress inversion test for ankle inversion injury tests |
Calcaneofibular ligament
Taker till greater than 5* indicates injury |
|
Everersion sprain Schoolfields procedure |
Advances deltoid ligament |
|
Everersion sprain Schoolfields procedure |
Advances deltoid ligament |
|
Eversion sprain Duvries |
Cruciate incision in deltoid then sutured together |
|
Everersion sprain Schoolfields procedure |
Advances deltoid ligament |
|
Eversion sprain Duvries |
Cruciate incision in deltoid then sutured together |
|
Surgery for inversion sprains |
Brostrum procedure |
|
Bosworth fx |
Lateral malleolus |
|
Cotton fx |
Tri malleolar |
|
Potts fx |
Bi malleolar |
|
Maisonneuve fx |
High fibular |
|
Tillaux chaput fx |
Avulsion Anterior inferior lateral tibia |
|
Wagstaffe fx |
Anterior medial inferior fibula |
|
Potts fx |
Bi malleolar |
|
Maisonneuve fx |
High fibular |
|
Tillaux chaput fx |
Avulsion Anterior inferior lateral tibia |
|
Wagstaffe fx |
Anterior medial inferior fibula |
|
Volkmann fx |
Posterior malleolus |
|
Lauge Hansen is a classification for |
Ankle fractures |
|
Lauge Hansen |
SAD - supination adduction
SER - supination external rotation
PAB - pronation abduction
PER - pronation external rotation |
|
Lauge Hansen is based on the |
Fibula |
|
Lauge Hansen is based on the |
Fibula |
|
Intact ligament means |
Bone fracture |
|
Lauge Hansen is based on the |
Fibula |
|
Intact ligament means |
Bone fracture |
|
Ruptured ligament means |
Intact bone |
|
Lauge Hansen is based on the |
Fibula |
|
Intact ligament means |
Bone fracture |
|
Ruptured ligament means |
Intact bone |
|
Which has a better prognosis
Avulsion or ruptured ligament |
Avulsion/fracture |
|
Lauge Hansen is based on the |
Fibula |
|
Intact ligament means |
Bone fracture |
|
Ruptured ligament means |
Intact bone |
|
Which has a better prognosis
Avulsion or ruptured ligament |
Avulsion/fracture |
|
What is the key to restore in ankle fracture management |
Fibula |
|
Lauge Hansen is based on the |
Fibula |
|
Intact ligament means |
Bone fracture |
|
Ruptured ligament means |
Intact bone |
|
Which has a better prognosis
Avulsion or ruptured ligament |
Avulsion/fracture |
|
What is the key to restore in ankle fracture management |
Fibula |
|
What is the most common lauge Hansen is |
SER 2 |
|
Lauge Hansen is based on the |
Fibula |
|
Intact ligament means |
Bone fracture |
|
Ruptured ligament means |
Intact bone |
|
Which has a better prognosis
Avulsion or ruptured ligament |
Avulsion/fracture |
|
What is the key to restore in ankle fracture management |
Fibula |
|
What is the most common lauge Hansen is |
SER 2 |
|
What is the mechanism of injury that pt says for SER 2 |
I sat on my ankle |
|
Lauge Hansen is based on the |
Fibula |
|
Intact ligament means |
Bone fracture |
|
Ruptured ligament means |
Intact bone |
|
Which has a better prognosis
Avulsion or ruptured ligament |
Avulsion/fracture |
|
What is the key to restore in ankle fracture management |
Fibula |
|
What is the most common lauge Hansen is |
SER 2 |
|
What is the mechanism of injury that pt says for SER 2 |
I sat on my ankle |
|
What is the worst ankle fracture in Lauge hansen |
PER 3 |
|
Lauge Hansen is based on the |
Fibula |
|
Intact ligament means |
Bone fracture |
|
Ruptured ligament means |
Intact bone |
|
Which has a better prognosis
Avulsion or ruptured ligament |
Avulsion/fracture |
|
What is the key to restore in ankle fracture management |
Fibula |
|
What is the most common lauge Hansen is |
SER 2 |
|
What is the mechanism of injury that pt says for SER 2 |
I sat on my ankle |
|
What is the worst ankle fracture in Lauge hansen |
PER 3 |
|
What is the mechanism of action pt says with with PER 3 |
Moving forward and catches weight moving forward snapping ankle |
|
What is a SER 2 |
Spiral oblique fracture of fibula at level of ankle joint |
|
What is a PER 3 |
High fibular neck fracture (Maissoneve) |
|
Unique fracture patterns of lauge Hansen
SAD 1, 2 PAB 3 SER 2 PER 3 |
SAD 1 - transverse fibula SAD 2 - vertical tibia
PAB 3 - short oblique, butterfly fibula
SER 2 - long oblique fibula
PER 3 - high fibula |
|
Short oblique fracture will look oblique on Lateral but on AP will will look |
Transverse |
|
Danis Weber ankle classification is based on |
Fibula |
|
Danis Weber
And corresponding Lauge Hansen |
Type A - below syndesmosis SAD
Type B - at syndesmosis SER
Type C - Above syndesmosis PER |
|
Classification for epiphyseal plate fractures |
Salter-harris |
|
Classification for epiphyseal plate fractures |
Salter-harris |
|
Salter-harris classification |
Type 1 - same Type 2 - above Type 3 - lower Type 4 - through Type 5 - compression Type 6 - rate bite Type 7 - |
|
Classification for epiphyseal plate fractures |
Salter-harris |
|
Salter-harris classification |
Type 1 - same Type 2 - above Type 3 - lower Type 4 - through Type 5 - compression Type 6 - rate bite Type 7 - |
|
Osteochondritis dissecans = |
Talar dome fx |
|
Classification for epiphyseal plate fractures |
Salter-harris |
|
Salter-harris classification |
Type 1 - same Type 2 - above Type 3 - lower Type 4 - through Type 5 - compression Type 6 - rate bite Type 7 - |
|
Osteochondritis dissecans = |
Talar dome fx |
|
What are the common locations for Talar dome fractures |
DIAL a PIMP |
|
Anterior lateral Talar dome fractures
are what shape
Caused by |
Wafer shaped
Trauma |
|
Anterior lateral Talar dome fractures
are what shape
Caused by |
Wafer shaped
Trauma |
|
Posterior medial Talar dome fractures are what shape |
Deep cup
Not trauma |
|
Anterior lateral Talar dome fractures
are what shape
Caused by |
Wafer shaped
Trauma |
|
Posterior medial Talar dome fractures are what shape |
Deep cup
Not trauma |
|
Classification for Talar dome fractures |
Berndt- hardy |
|
Berndt hardy |
Type 1compression Type 2 partial detached Type 3 full detached but still in Type 4 full detached and out |
|
Berndt hardy |
Type 1compression Type 2 partial detached Type 3 full detached but still in Type 4 full detached and out |
|
Talar dome lesion treatment |
NWB cast Type 1, Type 2, Type 3 medial
Surgery Type 3 lateral, Type 4 |
|
Fracture of posterior process of talus |
Steida's process
Shepards fx |
|
Fracture of posterior process of talus |
Steida's process
Shepards fx |
|
Which tubercle is involved in shepards fx |
Lateral |
|
What is the mechanism of injury in shepards fx |
Forced plantar flexion Dorsiflexion cause avulsion with talofibular ligament |
|
What is the test for shepards fx |
Plantarflex foot and dorsiflex hallux |
|
Nutcracker sign is |
Pain with forced plantarflexion |
|
Is shepards fracture caused by plantar flexion or dorsi flexion |
Both |
|
Front (Term) |
Jones fracture Avulsion fracture |
|
Classification for 5th met fractures |
Torg |
|
|
Jones fracture Avulsion fracture |
|
Classification for 5th met fractures |
Torg |
|
Torg type 1 |
Acute jones |
|
Front (Term) Hj |
He Back (Definition) |
|
Torg type 3 |
Non union jones |
|
Torg type 2 |
Delayed Union jones |
|
Pilon fracture classification |
Ruedi and Allgower |
|
Pilon fracture classification |
Ruedi and Allgower |
|
Ruedi allgower |
Type 1 - distal tibia fracture no displacement
Type 2 - distal tibia fracture with displacement
Type 3 - distal tibia fracture with displacement and comminution |
|
Pilon fracture classification |
Ruedi and Allgower |
|
Ruedi allgower |
Type 1 - distal tibia fracture no displacement
Type 2 - distal tibia fracture with displacement
Type 3 - distal tibia fracture with displacement and comminution |
|
What is the most common type of Hard castle lis franc injury |
Type A total/homolateral |
|
Pilon fracture classification |
Ruedi and Allgower |
|
Ruedi allgower |
Type 1 - distal tibia fracture no displacement
Type 2 - distal tibia fracture with displacement
Type 3 - distal tibia fracture with displacement and comminution |
|
What is the most common type of Hard castle lis franc injury |
Type A total/homolateral |
|
Hardcastle |
Type A homolateral A1 homolateral A2 homomedial
Type B partial B1 1st met medial B2 lesser mets lateral
Type C divergent C1 met 1 medial and met 2 lateral C2 met 1 medial and lesser mets lateral |
|
Classification for navicular fractures |
Watson jones |
|
Classification for navicular fractures |
Watson jones |
|
Watson jones classification |
Type 1 - navicular tuberosity Type 2 - navicular dorsal lip Type 3 - navicular body Type 4 - stress fracture |
|
Classification for navicular fractures |
Watson jones |
|
Watson jones classification |
Type 1 - navicular tuberosity Type 2 - navicular dorsal lip Type 3 - navicular body Type 4 - stress fracture |
|
Watson jones type 1 is associated with what other fracture |
Nutcracker fracture of cuboid |
|
Achilles inserts to |
Middle 1/3 of posterior aspect of calcaneal tuberosity |
|
Achilles inserts to |
Middle 1/3 of posterior aspect of calcaneal tuberosity |
|
Area of Achilles rupture |
Poor blood supply
2-6 cm proximal to insertion |
|
Is active plantarflexion still possible after complete Achilles rupture |
Yes |
|
Is active plantarflexion still possible after complete Achilles rupture |
Yes |
|
Often after a complete Achilles rupture which muscle tendon will remain intact |
Plantaris |
|
Is active plantarflexion still possible after complete Achilles rupture |
Yes |
|
Often after a complete Achilles rupture which muscle tendon will remain intact |
Plantaris |
|
Thompson test |
Squeeze calf to see if there's plantarflexion
No plantarflexion = rupture |
|
Kagers triangle |
Should be clear
If ATR there will be increased soft tissue density in triangle |
|
Toyger's angle |
Like drawn down posterior aspect of Achilles should be 180
With Achilles rupture this angle decreases |
|
Borders of kagers triangle |
Achilles Calcaneus FHL |
|
What can be felt in a ruptured Achilles |
Palpable dell |
|
Conservative treatment for Achilles' tendon rupture |
NWB equinus cast
Equinus reduced every 2 weeks |
|
After surgery of Achilles' tendon rupture pt is casted in what position |
Equinus |
|
The following are procedures for
Bosworth Bugg and boyd Lindholm Peroneus brevis tendon |
Achilles' tendon rupture |
|
What is the sport most associated with peroneal injuries |
Skiiing |
|
What is the sport most associated with peroneal injuries |
Skiiing |
|
With peroneal subluxation/dislocation what sign may be seen on ankle Mortise parallel with lateral malleolus |
Fleck sign |
|
Which peroneal is most likely to dislocate |
Peroneus longus |
|
What is the sport most associated with peroneal injuries |
Skiiing |
|
With peroneal subluxation/dislocation what sign may be seen on ankle Mortise parallel with lateral malleolus |
Fleck sign |
|
Which peroneal is most likely to dislocate |
Peroneus longus |
|
Classification for peroneal/subluxation |
Eckert & Davis |
|
What is the sport most associated with peroneal injuries |
Skiiing |
|
With peroneal subluxation/dislocation what sign may be seen on ankle Mortise parallel with lateral malleolus |
Fleck sign |
|
Which peroneal is most likely to dislocate |
Peroneus longus |
|
Classification for peroneal/subluxation |
Eckert & Davis |
|
Which eckert and Davis classification is most common |
Grade 1 |
|
What is the sport most associated with peroneal injuries |
Skiiing |
|
With peroneal subluxation/dislocation what sign may be seen on ankle Mortise parallel with lateral malleolus |
Fleck sign |
|
Which peroneal is most likely to dislocate |
Peroneus longus |
|
Classification for peroneal/subluxation |
Eckert & Davis |
|
Which eckert and Davis classification is most common |
Grade 1 |
|
Which eckert and davis classification has a bony avulsion |
Grade 3 |
|
Treatment for peroneal subluxation |
Retinacular repair with Achilles slip augmentation
Deepen fibular groove
Sagitally cut to fibula and move proximally |
|
Snowboards fracture |
Lateral process of talus |
|
Treatment for peroneal subluxation |
Retinacular repair with Achilles slip augmentation
Deepen fibular groove
Sagitally cut to fibula and move proximally |
|
Snowboards fracture |
Lateral process of talus |
|
Footballers injury or plié can cause |
Anterior ankle impingement |
|
Treatment for peroneal subluxation |
Retinacular repair with Achilles slip augmentation
Deepen fibular groove
Sagitally cut to fibula and move proximally |
|
Snowboards fracture |
Lateral process of talus |
|
Footballers injury or plié can cause |
Anterior ankle impingement |
|
Dancers tendinitis |
FHL tendinitis |
|
Where do tibialis posterior ruptures occur |
Lowest vascularity behind medial malleolus |
|
Where do tibialis posterior ruptures occur |
Lowest vascularity behind medial malleolus |
|
When tibialis posterior tendon ruptured pts may see what change in foot structure |
Longitudinal arch falls |
|
Test to see if Tibialis posterior is ruptured |
Raise on toes and see if heel inverts |
|
Which tendon can be used to reinforce ruptured tibialis posterior |
Flexor digitorum longus |
|
Which tendon can be used to reinforce ruptured tibialis posterior |
Flexor digitorum longus |
|
When the FDL proximal part is used to reinforce tibialis posterior, the distal part is sutured to |
FHL |
|
Which tendon can be used to reinforce ruptured tibialis posterior |
Flexor digitorum longus |
|
When the FDL proximal part is used to reinforce tibialis posterior, the distal part is sutured to |
FHL |
|
Classification for PTTD |
Johnson and strom |
|
Which tendon can be used to reinforce ruptured tibialis posterior |
Flexor digitorum longus |
|
When the FDL proximal part is used to reinforce tibialis posterior, the distal part is sutured to |
FHL |
|
Classification for PTTD |
Johnson and strom |
|
Johnson and strom stage 1 |
Normal tendon length, mild degeneration |
|
Which tendon can be used to reinforce ruptured tibialis posterior |
Flexor digitorum longus |
|
When the FDL proximal part is used to reinforce tibialis posterior, the distal part is sutured to |
FHL |
|
Classification for PTTD |
Johnson and strom |
|
Johnson and strom stage 1 |
Normal tendon length, mild degeneration |
|
Johnson and strom Stage 2 |
Tendon elongation, marked degeneration |
|
Johnson and strom Stage 3 |
Tendon elongation, fixed valgus hind foot |
|
Johnson and strom Stage 4 |
Stage 3 plus lateral ankle pain and instability |
|
Johnson and strom Stage 4 |
Stage 3 plus lateral ankle pain and instability |
|
Johnson and strom stage II is associated with |
Flexible acquired pea planovalgus |
|
Johnson and strom Stage 4 |
Stage 3 plus lateral ankle pain and instability |
|
Johnson and strom stage II is associated with |
Flexible acquired pea planovalgus |
|
If FDL is not available for tibialis posterior tendon repair, can use |
Tibialis anterior |
|
Johnson and strom Stage 4 |
Stage 3 plus lateral ankle pain and instability |
|
Johnson and strom stage II is associated with |
Flexible acquired pea planovalgus |
|
If FDL is not available for tibialis posterior tendon repair, can use |
Tibialis anterior |
|
Most common complication of arthroeresis |
Sinus tarsitus |
|
Signs of tibialis anterior rupture |
Decreased dorsiflexion Steppage gait, foot drop |
|
At 95* |
Patient unaware of 1/3 of events around them |
|
At 95* |
Patient unaware of 1/3 of events around them |
|
Loss of shivering occurs at |
87.8* |
|
During hypothermia advanced life support should continue until pt is rewarded to |
95* F
35* C |
|
During rewarming of hypothermia pt what effect can happen |
Afterdrop
Drop in core temperature |
|
During rewarming of hypothermia pt what effect can happen |
Afterdrop
Drop in core temperature |
|
Methods of rewarming pt |
Passive Active external Active core |
|
During rewarming of hypothermia pt what effect can happen |
Afterdrop
Drop in core temperature |
|
Methods of rewarming pt |
Passive Active external Active core |
|
Warm environment and blankets are example of what treatment in hypothermia |
Passive |
|
Injury to tissue due to freezing |
Frostbite |
|
Injury to tissue due to freezing |
Frostbite |
|
Cellular damage in frostbite occurs from |
Direct injury (ice)
And ischemia |
|
Injury to tissue due to freezing |
Frostbite |
|
Cellular damage in frostbite occurs from |
Direct injury (ice)
And ischemia |
|
If there is frostbite with continued risk for re-freezing the part should |
Not be thawed |
|
Frostbite 1st degree |
No blistering |
|
Frostbite 2nd degree |
Blistering |
|
Frostbite 3rd degree |
Death of skin |
|
Frostbite 3rd degree |
Death of skin |
|
Frostbite 4th degree |
Full thickness Loss of body part |
|
How can superficial frostbite (frostnip) be rewarmed |
Place warm hands or on other warm body part |
|
How can superficial frostbite (frostnip) be rewarmed |
Place warm hands or on other warm body part |
|
When rewarming from frostbite pt might need |
Analgesics |
|
Best method for treating full thickness frostbite |
Rapid thawing at just above body temperature for 30 minutes |
|
Best method for treating full thickness frostbite |
Rapid thawing at just above body temperature for 30 minutes |
|
Should you massage frostbite area |
No |
|
Best method for treating full thickness frostbite |
Rapid thawing at just above body temperature for 30 minutes |
|
Should you massage frostbite area |
No |
|
When is amputation done in frostbite |
When there's visible line of demarcation |
|
Best method for treating full thickness frostbite |
Rapid thawing at just above body temperature for 30 minutes |
|
Should you massage frostbite area |
No |
|
When is amputation done in frostbite |
When there's visible line of demarcation |
|
Should extreme heat be used in frostbite |
No |
|
A recurrent localized skin lesion resulting from cold humid environments |
Chillblains (pernio) |
|
A recurrent localized skin lesion resulting from cold humid environments |
Chillblains (pernio) |
|
Caused by prolonged immersion in cool or cold water |
Trench foot (immersion foot) |
|
Trench foot is treated by |
Elevating limb and rewarming it |
|
The basis of hypothermia is |
Dehydration |
|
The basis of hypothermia is |
Dehydration |
|
At 90* |
Heart and lungs begin to fail |
|
In trench foot pulses are ________ but as rewarm pulses are ________ |
Bounding
Normal |
|
In trench foot pulses are ________ but as rewarm pulses are ________ |
Bounding
Normal |
|
Hypothermia is at |
95* |
|
Escharotomy may be indicated in |
Burns |
|
Rule of 9s |
Used to estimated burn % of body |
|
Rule of 9s |
Used to estimated burn % of body |
|
Rule of palm |
1hand = 1.25% Burn percent
1 foot = 3.5% |
|
1st degree and 2nd degree burns are |
Partial thickness |
|
1st degree and 2nd degree burns are |
Partial thickness |
|
3rd degree burns are |
Full thickness |
|
1st degree and 2nd degree burns are |
Partial thickness |
|
3rd degree burns are |
Full thickness |
|
1st degree burn involves |
Epidermis |
|
1st degree and 2nd degree burns are |
Partial thickness |
|
3rd degree burns are |
Full thickness |
|
1st degree burn involves |
Epidermis |
|
2nd degree burn involves |
Dermis |
|
1st degree and 2nd degree burns are |
Partial thickness |
|
3rd degree burns are |
Full thickness |
|
1st degree burn involves |
Epidermis |
|
2nd degree burn involves |
Dermis |
|
3rd degree burn |
Goes through dermis |
|
How can you shorten period of burn progression |
Cool water |
|
Might tetanus prophylaxis be needed for burns |
Yes |
|
Animal responsible for most bites |
Dog |
|
Do more cat bites or dog bites become infected |
Cat |
|
What is the most common organism in cat bites |
Pasteurella multocida |
|
How fast do pasturella infections advance |
Within 24 hours |
|
How fast do pasturella infections advance |
Within 24 hours |
|
Cat scratch fever is caused by |
Bartonella |
|
How fast do pasturella infections advance |
Within 24 hours |
|
Cat scratch fever is caused by |
Bartonella |
|
In human bites there is a higher number of __________ organisms |
Anaerobic |
|
How fast do pasturella infections advance |
Within 24 hours |
|
Cat scratch fever is caused by |
Bartonella |
|
In human bites there is a higher number of __________ organisms than in other bites |
Anaerobic |
|
Eikenella may be seen in ______ bites |
Human |
|
What is the treatment choice for bites |
Penicillin
Augmentin 500 mg PO TID |
|
What is the treatment choice for bites |
Penicillin
Augmentin 500 mg PO TID |
|
If bitten by a household pet is rabies shot required |
No, observation for 10 days unless animal develops rabies |
|
What is the treatment choice for bites |
Penicillin
Augmentin 500 mg PO TID |
|
If bitten by a household pet is rabies shot required |
No, observation for 10 days unless animal develops rabies |
|
For other animal bites, what should you do about rabies |
Contact local health department above prevalence of rabies in that animal |
|
Puncture wounds resulting in cellulitis caused by |
Staph aureus |
|
Puncture wounds causing osteomyelitis are caused by |
Pseduomonas |
|
Scarring after compartment syndrome can cause |
Volkmanns contractures |
|
Scarring after compartment syndrome can cause |
Volkmanns contractures |
|
Puncture involving soil |
Clostridium |
|
Above how many mmHG do consider surgery for compartment surgery |
30 mmHg |
|
Above how many mmHG do consider surgery for compartment surgery |
30 mmHg |
|
Are pulses intact in compartment syndrome |
Yes |
|
Can a tight cast cause compartment syndrome |
Yes |
|
Fracture in foot that can cause compartment syndrome |
Calcaneal |
|
Are incisions for compartment syndrome fasciotomy closed |
No, Left open for 5 days |
|
Medial compartment muscles |
ABH FHL tendon FHB |
|
Lateral compartment |
Flexor digiti minimi Abductor digiti minimi |
|
Central compartment muscles |
FDB Lumbricales Quadratus plantae Adductor hallucis
Tendons of FDL PT Peroneal longus |
|
Interosseous compartment muscles |
4 dorsal interossei 3 plantar interossei |