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181 Cards in this Set
- Front
- Back
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Joint pain w/ a characteristic butterfly rash on cheeks could signify what? |
Systemic Lupus Erythematous (SLE). |
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Joint pain w/ a scaly rash & pitted nails could signify what? |
Psoriatic Arthritis. |
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Joint pain w/ a few papules,pustules,vesicles on reddened based located on distal extremities could signify what? |
Gonococcal Arthritis. |
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Joint pain w/ an expanding erythematous patch (early in illness) or a mental status change, facial weakness, and neck stiffness could signify what? |
Lyme Disease (CNS involvement). |
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Joint pain w/ hives could signify what? |
Serum Sickness or Drug Reaction. |
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Joint pain w/ erosions/scaling of penis & crusted papules on the palms/soles could signify what? |
Reiter's syndrome (urethritis, arthritis, uveitis). |
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Joint pain w/ a characteristic maculopapular rash of rubella could signify what? |
Arthritis of Rubella. |
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Joint pain w/ clubbing of the finger nails could signify what? |
Hypertrophic Osteoarthropathy. |
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Joint pain w/ red, burning, itching eyes (conjunctivitis) could signify what? |
Reiter's Syndrome or Behcet's Syndrome. |
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Joint pain that was preceded by a sore throat could signify what? |
Acute Rheumatic Fever or Gonococcal Arthritis. |
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Joint pain w/ diarrhea, abd pain, & cramping could signify what? |
Arthritis of UC, regional enteritis, or scleroderma. |
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Joint pain w/ sx of urethritis could signify what? |
Reiter's Syndrome or Gonococcal Arthritis. |
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What commonly occurs @ the DIP joints & PIP joints in pts w/ osteoarthritis? |
Herberden's nodes (hard dorsolateral nodules) & Bouchard's nodes |
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TTP over the distal radius with a mechanism of injury involving a pt trying to catch themselves s/p falling suggests what potential dx? |
Colles' Fx from Fall. |
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TTP over the extensor & abductor tendons of the thumb suggest what diagnoses? |
de Quervain's Tenosynovitis or Gonococcal Tenosynovitis. |
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TTP over the anatomical "snuffbox" signifies what? |
Scaphoid Fx; most common injury of carpal bones & @ increased risk for avascular necrosis. |
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A pt w/ TTP over MCPs that feel boggy (doughy) w/ noted symmetric deformities in PIPs, MCPs, & ulnar deviation suggests what? |
Rheumatoid Arthritis (RA). |
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Pain @ base of the thumb occurs in what? |
Carpometacarpal arthritis; most common in women. |
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When would you asses for CTS? |
Pt (~woman) c/o dropping objects, inability to twist lids off jars, aching in wrist/~forearm, numbness in digits I-III, h/o repetitive motion w/ wrists flexed (keyboard typing or mail sorting), pregnancy, RA, DM, or hypothyroidism. |
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A woman pt, w/ slight hand grip weakness, wrist pain/TTP over abductor,extensor tendons of thumb, & + Finkelstein's test suggests what? |
de Quervain's Tenosynovitis (more common in women). |
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What is the medical terminology for Bowlegs? |
Genu Varum. |
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What is the medical terminology for Knock-knees? |
Genu Valgum. |
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Midline back pain could suggest what? |
Musculoligamentous Injury, Disc Herniation, Vertebral Collapse, Spinal Cord Metastases, or Epideral Abscess. |
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Off the midline back pain could suggest what? |
MM Strain, Sacroilitis, Trochanteric Bursitis, Sciatica, Hip Arthritis, Renal Conditions (Pyelonephritis, Stones). |
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What often often overlies spina bifida? |
Birthmarks,port-wine stains, hairy patches, & lipomas often overlie the bony defect. |
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What are 3 conditions commonly seen in neurofibromatosis? |
Cafe-au-lait patches/spots, skin tags, & fibrous tumors. |
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What abnormal spinal curvature increased with aging? |
Thoracic Kyphosis occurs w/ increased aging. |
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What are the concave curves in the nl spine vs the concave curves of the nl spine? |
Cervical & Lumbar vs Thoracic & Sacrococcygeal. |
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Lateral & rotatory curvature of the spine to bring the head back to midline is a classical presentation of what? |
Scoliosis. |
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When does scoliosis become most evident? |
Adolescence. |
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Unequal shoulder heights occur in what (4) conditions? |
Scoliosis, Sprengel's deformity (attachment of + bone/band to C7), "Winging" of the Scapula due to loss of innervation to the serratus anterior mm (long thoracic NN), & contralateral contraction of trapezius mm. |
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"Listing" of the trunk to one side suggests what? |
Herniated Lumbar Disc. |
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Unequal heights of iliac crests suggests what? |
Unequal Lengths of the Legs or Scoliosis. |
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Pelvic tilt can be caused by what conditions? |
Scoliosis & hip ABduction or ADduction. |
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A firm, knotted mm spasm often occurs in what conditions (5)? |
Degenerative/Inflammatory processess, Overuse, Prolonged Contraction from abnormal posture, Anxiety. |
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Although difficult to palpate on most pts, sciatic nerve TTP suggests what? |
Herniated disc, mass lesion impinging on contributing nerve roots (L4,L5,S1,S2,S3). |
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What is the most common location of herniated intervertebral discs? |
L5-S1 or L4-L5; TTP over spinous processes, intervertebral joints, paravertebral mm, sacro-sciatic notch, & sciatic nerve. |
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Skull-C1(atlas) is responsible for what type of ROM in the neck? |
Flexion & Extension. "Yes" |
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C1-C2(axis) is responsible for what type of ROM in the neck? |
Rotation. "No" |
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C2-C7 is responsible for what type of ROM in the neck? |
Lateral Bending. |
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Limited ROM in the neck can arise from what? |
Arthritic stiffness, Pain secondary to trauma, overuse, torticollis (mm spasm). |
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Lateral deviation & rotation of the head secondary to contraction of the sternocleidomastoid mm suggests what? |
Torticollis. |
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TTP over the spinous processes suggests what (4) conditions? |
Fx or dislocation, infection, arthritis. |
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Point TTP over the facet joints (1" lateral to SP of C2-C7) between C5 & C6 suggest what? |
Arthritis. |
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A vertebral "step-off" felt on palpation suggests what? |
Spondylolisthesis; forward slippage of 1 vertebra which could cause spinal compression. |
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TTP over the SI joint could suggest what? |
Sacroiliitis or Ankylosing Spondylitis. |
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Percussing the spine by "thumping" the ulnar surface of your fist produces pain, what could this suggest (3)? |
Osteoporosis, infection, malignancy. |
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A pt w/ h/o RA has focal TTP @ C1-C2, what possible risks does this suggest? |
Subluxation & High Cervical Compression prompt additional assessment needed. |
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During spinal column flexion noted deformity of the thorax & asymmetric heights of the scapulae suggests what? |
Scoliosis. |
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Persistant lumbar lordosis could suggest what? |
MM spasm or Ankylosing Spondylitis. |
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Focal TTP over the ischiogluteal bursa suggests what? |
Bursitis aka "weaver's bottom." |
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During passive flexion of pt's opposite hip, the affected hip does permit full extension & therefore the thigh appears flexed, this could suggest what? |
Flexion Deformity of the Hip. |
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What can mask Flexion Deformity of the Hip. |
Increased Lumbar Lordosis & Anterior Pelvic Tip. |
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Restricted hip ABduction is common in what? |
Hip Osteoarthritis. |
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What are sensitive indicators of Hip Disease such as Arthritis? |
Restricted external & internal ROM of the hip. |
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What are some problems associated with patellar tracking commonly seen in woman pt's? |
Shallower (trochlear) grooves leads to Arthritis, Anterior Knee Pain, & Patellar Dislocation. |
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Why is it common for women to have anterior knee pain? |
Quadricep contraction (knee extension) has more of a lateral pull (Q-angle) which alters patellar tracking contributing to anterior knee pain. |
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Describe what the ACL vs PCL prevent. |
The tibia from sliding forward vs the tibia slipping backward on the femur. |
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What are the concavities evident @ each side of the patella called? |
Negative Infrapatellar Spaces (medial&lateral to patella) |
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Stumbling or "giving way" of knee during the heel strike of the stance phase during gait suggests what? |
Abnormal patellar tracking or Quadriceps Weakness. |
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What is flexion contracture in quadriceps & when is it seen? |
Inability to extend knee fully, seen in limb paralysis or hamstring tightness. |
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Swelling over the patella vs tibial tubercle vs medial aspect of knee joint suggest what? |
Prepatellar vs Infrapatellar vs Anserine Bursitis. |
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TTP along the bony ridges of the joint margins, genu varum deformity, stiffness <30mins w/ possible crepitus suggests what? |
Osteoarthritis. |
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What ligament is more common for a tear s/p trauma (MCL vs LCL)? |
MCL. |
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Patellar TTP or Inability to extend the knee could suggest what? |
Partial/Complete Tear of the Patella Tendon. |
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+ Patellofemoral Grinding Test suggests what?*** |
Pain w/ compression & movement (due to quadriceps contraction) suggests chondromalacia or patellofemoral syndrome (degenerative patella). |
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Pain & crepitus due to compression of the patella against the femur & gentle medial/lateral movement suggests what? |
Roughening of the patellar undersurface that articulates w/ femur. Similar sx when climbing, going down stairs, or getting up from chair. |
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Swelling above (~10cm above superior border) & adjacent to patella suggests what? |
Synovial Thickening or Effusion. |
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Thickening, bogginess, warmth around sides of patella suggest what? |
Synovitis or Non-Tender Effusion secondary to osteoarthritis. |
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Housemaid's knee arises from what? |
Prepatellar Bursitis; arises from excessive kneeling. |
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Anserine Bursitis arises from what? |
Running, Valgus Deformity, Fibromyalgia, or Osteoarthritis. |
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Baker's Cyst arises from what? |
Popliteal cyst; arises from distention of the gastrocnemius semimembranosus bursa secondary to trauma or arthritis. |
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What are the 3 steps to perform a bulge sign & what type of effusions does it test for? |
Milk downward (w/ L hand), apply medial P, tap lateral (w/ R hand) watching for fluid wave; tests for minor effusions. |
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What would a + Bulge sign consistent w/ effusion feel like? |
Fluid Wave or Bulge on medial side of patella between patella & femur suggest what? |
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What would a + Ballon Sign consistent w/ a major/large effusion feel like? |
Palpable fluid wave into spaces next to patella (under R thumb & index finger) due to compression of suprapatellar pouch against the femur (L hand) w/ fluid ballooning into the spaces, will then return back to pouch. |
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"Ballotee" or pushing the patella sharply against the femur w/ palpable fluid returning to the suprapatellar pouch further is known as what? |
"Ballotting the Patella" in order to asses a large effusion. A palpable patellar click may yield FP results. |
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A defect in the calf mm (gastrocnemius, soleus) w/ TTP & swelling suggests what? |
Achilles Tendon Rupture. |
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TTP & thickening of tendon above calcaneus ~ w/ protuberant posterolateral bony process suggests what? |
Achilles Tendinitis. |
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+ Achilles Tendon test would indicate what? |
Absence of plantar flexion which suggests Achilles tendon rupture (squeeze calf lower 1/3). |
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What are some sx or findings common with a rupture of Achilles Tendon? |
A defect in the calf mm, TTP, swelling, absent plantar flexion (+ test), sudden severe pain "like a GSW," ecchymosis from calf into heel, flat-foot gait w/ absent "toe-off" may also be present. |
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Crepitus w/ flexion & extension of the knee suggests what? |
Osteoarthritis. |
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McMurray Test tests for what structure abnormalities? |
Medial & Lateral Meniscal tears. |
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Pt is supine, knee flexed, passive external rotation, apply valgus stress then slowly extend knee w/ TTP & click/pop along medial joint suggests what kind of tear? |
Tear of the Posterior Portion of the Medial Meniscus causing meniscal tissue to become displaced "locking" on full knee extension. |
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Pt is supine, knee flexed, passive internal rotation, apply varus stress then slowly extend knee is asses for what? |
Lateral Meniscus Tear. |
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Valgus or Abduction Stress test asses for what? |
MCL Tear more common that LCL. |
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Pain or a gap in the medial joint line during the Abduction or Valgus Stress Test suggests what? |
Ligamentous laxity, Partial Tear of MCL. |
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Pain or gap in the lateral joint line during the Adduction or Varus Stress Test suggests what? |
Ligamentous laxity, Partial Tear of LCL. |
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A forward jerk of the contours of the upper tibia when performing the Anterior Drawer Sign suggests what? |
ACL tear (11.5x) |
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Significant forward excursion while performing the Lachman Test suggest what? |
ACL tear (17.0x) |
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If the proximal tibia falls back when performing a posterior drawer test than what is indicated? |
PCL tear less common, resulting from direct blow to the proximal tibia. |
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How do typical ACL injuries occur? |
Hyperextension & direct blows to the knee and twisting/landing on extended hip or knee. |
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The deltoid ligament of the ankle protects against what? |
Eversion (heel bows outward). |
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The anterior talofibular ligament (ATL) is at most risk for what? |
Inversion (heel bows inward). |
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What is known as the Ottawa Rule? |
S/p trauma, inability to bear weight 4 steps & TTP posterior aspect of either malleoli (medial>lateral) is suspicious for ankle fx. |
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Pain with metatarsal joint compression suggests an early sign go what? |
RA. |
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Describe the significant characteristics of PMR. |
>50yo, W, associated w giant cell arthritis, insidious or abrupt progression w/ common joint pain located in symmetric mm of hip, shoulder, neck. |
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What is adhesive capsulitis? |
"Frozen Shoulder" due to fibrosis of the glenohumeral joint capsule described as "diffuse, dully, aching pain," seen in pts 40-60yo. w/ an antecedent shoulder disorder (~MI) that has decreased ROM. |
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What would + apprehension sign suggest (arm abducted & externally rotated). |
Anterior shoulder instability, dislocation, subluxation. |
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Swelling, inflammation of the olecranon bursa due to trauma, gout, or RA & able to reach 6cm in diameter? |
Olecranon Bursitis. |
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Firm, subQ, non-TTP nodules that develop @ P points along extensor surfaces of the ulnar could suggest what? |
RA (acute or chronic) or Rheumatic Fever. |
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Lateral Epicondylitis due to repetitive extension of wrist or pronation-supination of forearm is aka as what? |
Tennis Elbow. |
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Medial Epicondylitis due to repetitive wrist flexion, as in throwing is aka as what? |
Pitcher's, Golfer's, Little League Elbow |
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Describe different characteristics seen in Acute RA va Chronic RA. |
Fusiform or spindle shaped swelling of PIP joints vs Thickening of MCP/PIP joints, ulnar deviation, interosseous mm atrophy, "swan-neck" & boutonniere deformities @ PIP joints. |
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What is a "Swan-Neck" deformity seen in Chronic RA? |
Hyperextension @ PIP w/ fixed flexion @ DIP joint. |
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What is A "Boutonniere" deformity seen in Chronic RA? |
Persistent flexion @ PIP w/ hyperextension @ DIP joint. |
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What are some characteristic of osteoarthritis (DJD) in the hands? |
Herberden's nodes (on dorsolateral aspects @ DIP due to bony overgrowth), radial deviations of distal phalanx, & Bouchard's nodes @ PIP joints. |
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Describe some characteristics of Tophaceous Gout caused by accumulation of sodium urate in joints/tissues (commonly on extensor surfaces)? |
Knobby swellings around joints that ulcerate & produce chalk-white urates. |
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What is Dupuytren's Contracture? |
Due to an initial thickened nodule overlying the flexor tendon of the ring finger, skin puckering for fibrotic cord development therefore extension is limited but flexion is nl. (Flexion Contracture). |
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What is Trigger Finger? |
Due to painless nodule development in flexor tendon near metacarpal head an audible or palpable snap occurs when the finger is extended or flexed w/ assistance. |
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What is a ganglion cyst? |
Round non-TTP swelling containing synovial fluid along the tendon sheaths or joint capsules frequently located @ dorsum of wrist (~hands,ankles, feet) which can disappear spontaneously. |
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How can you make a ganglion cyst more prominent vs obscure? |
Flexion vs Extension. |
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Hot, TTP, dusky red swelling that extends beyond the margins of the first metatarsophalangeal joint is known as what? |
Acute Gouty Arthritis; no stiffness, limited ROM secondary to pain, ~fever due to inflammatory rxn to micro crystals of monosodium urate. |
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What are some signs of flat feet? |
Longitudinal arch flattens so sole touches floor w/ nl concavity of medial foot becoming more convex. TTP along medial malleolus due to posterior tibial tendinitis secondary to obesity, DM, prior injury. |
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A pt presents c/o numbness, aching, burning in the 3rd-4th toes. On exam compression of metatarsal heads on planter surface provokes further pain radiating to the toes, what would this suggest? |
Morton's Neuroma. |
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Lateral deviation of the great toe & head enlargement of 1st metatarsal on medial side forming a bunion/bursa is known as what? |
Hallux Valgus. |
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What are 3 common forefoot abnormalities most commonly seen in women who wear high-heeled shoes w/ narrow toe boxes? |
Hallux Valgus, Metatarsalgia, & Morton's Neuroma. |
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Sharp,burning, tingling pain in the neck & one arm w/ paresthesias, weakness in a myotomal pattern suggests what? |
Cervical Radiculopathy from C7 or C6 due to Spinal Nerve Root Compression b/c of foramina impingement secondary to degenerative joint changes (70-75%) vs disc herniation (20-25%). |
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What is Lhermitte's Sign? |
Neck flexion exhibits the sensation of electrical shock radiating down the spinal column. |
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Pt c/o neck pain, BUE weakness, paresthesia in all extremities w/ + Lhermitte's Sign, wrist/ankle clonus, + Babinski Sign, & slight gait disturbance on PEx suggests what? |
Cervical Myelopathy from Cervical Cord Compression usually due to spondylosis. |
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What is Chronic Whiplash Syndrome? |
Mechanical neck pain, stiffness s/p trauma due to musculoligamentous sprain/strain due to forced hyperflexion-extension injury to neck w/ sx lasting >6mo. (Associated sx occipital HA, dizziness, malaise, fatigue) |
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Neck pain, stiffness/ tightness in c-spine & paraspinal musculature due to sustained mm contraction seen in poor posture/sleep/head position, & stress lasting up to 6wks suggests what? |
Mechanical Neck Pain. |
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A pt presents c/o low back pain that shoots down lateral leg (L5) or posterior calf (S1) w/ sx exacerbated by bending, coughing, straining during BM w/ + crossed-SLR on PEx suggests what? |
Radicular Low Back Pain (Sciatica); usually due to disc herniation w/ compression of roots involving L5 & S1. |
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"Pseudoclaudication" vague back pain when ambulating that is alleviated w/ rest & lumbar flexion (decompression of spinal cord) that exhibits provokable thigh pain s/p 30s of lumbar extension suggests what? |
Lumbar Spinal Stenosis. |
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Nocturnal back pain unrelieved by rest w/ loss of nl lumbar lordosis & limited ROM during anterior/lateral flexion raises concern for what? |
Metastatic Malignancy to Spine. |
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The Apley Scatch Test asses what & a positive result would indicate what? |
Overall ROM of shoulder via abduction/external rotation & adduction/internal rotation. + Rotator Cuff Disorder or Adhesive Capsulitis. |
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+ Neer's or Hawkin's Impingement Signs suggest what? |
Inflammation or Rotator Cuff Tear of the shoulder. |
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+ Cross-over Test or localized TTP & pain w/ adduction of the shoulder, suggests what? |
Inflammation or AC joint arthritis. |
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"Empty Can Test" asses what? |
Supraspinatus strength. |
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Weakness provoked during the Infraspinatus Strength test indicates what? |
Rotator Cuff Tear or Bicipital Tendinitis. |
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Testing Forearm Supination provokes pain indicates what? |
Inflammation of Long Head of Biceps Tendon or Rotator Cuff Tear. |
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What does a + "Drop-Arm" Sign which signifies a Rotator Cuff Tear look like during examination? |
Pt is unable to actively abduct to 90 degrees fully producing the characteristic shoulder-shrugging effort or uncontrolled lowering of the arm. |
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What should be considered if there is bladder/bowel dysfunction, saddle anesthesia, & perineal numbness? |
Cauda Equina Syndrome (S2-4) due to tumor or midline disc herniation. |
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What is the probability of serious systemic disease in the case of low back pain w/ another indicator? |
10%. |
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What are some conditions (4) suggested w/ pain in 1 joint? |
Injury, Monoarticular Arthritis, Tendinitis, Bursitis. |
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Lateral hip pain near the greater trochanter of femur suggests what? |
Trochanteric Bursitis. |
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Migratory joint pain is seen in what conditions? |
Rheumatic Fever or Gonococcal Arthritis. |
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Progressive additive joint pain pattern w/ symmetric involvement suggests what? |
RA. |
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Are women or men more likely to have inflammatory arthritides? |
Women. |
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Extra-articular pain is often seen in what conditions (4)? |
Bursitis, Tendinitis, Tenosynovitis, Sprains secondary to stretching/tearing of ligaments. |
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Severe pain, rapid onset, w/ red & swollen joint could indicate what in adults? What about children? |
Acute Septic Arthritis or Gout in adults & Osteomyelitis b/c bone contiguous to joint in children. |
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Fever,chills, warmth, redness in a pt w/ joint pain could suggest what? |
Septic Arthritis, Gout, Rheumatic Fever. |
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Pain, swelling, loss of active/passive ROM, "locking" suggest what? |
Articular Joint Pain. |
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Loss of ACTIVE but not passive ROM w/ TTP outside joint could suggest what? |
Non-articular Pain. |
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What is stiffness w/ limited ROM after inactivity & how long does it typically last? |
Gelling (DJD) lasting only a few minutes. |
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Joint stiffness >30mins could suggest what? |
RA or other inflammatory arthritides. |
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What is a common sx in Fibromyalgia & PMR? |
Stiffness; prominent especially in the AM. |
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What are some examples of conditions in which generalized & systemic sx are seen? |
RA, SLE, PMR, & other inflammatory arthritides. |
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What condition often infiltrates the synovium? |
Leukemia & ~Chemotherapy. |
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What condition is polyarticular & symmetrical? |
RA. |
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Acute involvement of 1 joint suggests what? |
Trauma, Septic Arthritis, Gout. |
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Crepitus can be audible, palpable, or visualized in what (2) conditions? |
Osteoarthritis or Tenosynovitis. |
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When is decreased ROM present? |
Arthritis, Extra-articular inflammation, Joint Fibrosis, Ankylosis (bone fixation). |
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Ligamentous laxity of the ACL occurs when? |
Knee Truma. |
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Palpable bogginess (doughiness) of synovial membrane suggests what? |
Synovitis which is often accompanied by effusion |
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Upon palpation increased warmth of a joint could indicate what (4) conditions? |
Arthritis, Tendinitis, Bursitis, Osteomyelitis. |
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Warmth, DIFFUSE TTP over thickened synovium vs FOCAL TTP suggests what conditions? |
Arthritis/Infection vs Injury. |
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What should you suspect if the rounded lateral aspect of the shoulder appears flattened? |
Anterior Dislocation of Shoulder. |
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What are (3) common sx that appear within 2-3wks of a rotator cuff tear? |
Supraspinatus/Infraspinatus Atrophy & Increased prominence of scapular spine. |
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If the glenohumeral joint capsule appears distended you could suspect what? |
Significant Amt of synovial fluid present. |
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TTP over SITS mm insertions & inability to actively abduct shoulder suggests what? |
Sprains, Tears/Tendon Ruptures of Rotator Cuff. |
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What is the most commonly affected tendon in the Rotator Cuff? |
Supraspinatus. |
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What are the 6 motions of the shoulder girdle? |
Flexion, Extension, Abduction, Adduction, Internal & External Rotation. |
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Restricted ROM of the shoulder girdle occurs when? |
Bursitis, Capsulitis, Rotator Cuff Tears, Sprains, Tendinitis. |
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When would Thenar vs Hypothenar atrophy be seen? |
Median NN Compression (CTS) vs Ulnar NN Compression. |
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What flexion contractors arise from thickening of the palmar fascia? |
3rd-5th fingers or Dupuytren's Contractures (index finger). |
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Besides osteoarthritis what other condition involves the DIP joints? |
Psoriatic Arthritis. |
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A + McMurray & "locking" of the knee suggests what? |
Medial Meniscus Tear. |
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Sciatic Nerve TTP suggests what? |
Herniated disc, mass lesion impinging on contributing NN root, however the nerve is difficult to palpate in most pts. |
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When do mm spams occur? |
Degenerative & inflammatory processes of mm, Overuse, Prolonged Abnormal Posture, Anxiety. |
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What would a + Phalen's Sign feel like & suggest? |
Numbness & tingling in Median NN within 60s (CTS). |
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What would a + Tinel's Sign feel like & suggest? |
Aching & Numbness in Median NN upon tap (CTS). |
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Decreased sensation in the median NN distribution suggests what? |
CTS. |
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What would a + Thumb Abduction Test feel like & suggest? |
Weakness on thumb abduction doubles carpal tunnel disease |
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Decreased hand grip strength (+ test) can occur in what conditions? |
Arthritis (DJD secondary to pain), CTS, Epicondylitis, Cervical Radiculopahty, de Quervain's Tenosynovitis, Finger Flexors/Intrinsic mm of hand, |
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What (3) conditions can impair the ROM of the wrist? |
Arthritis, Tenosynovitis, Dupuyteren's Contracture. |
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Decreased spinal mobility can be seen in what (2) conditions? |
Osteoarthritis, Ankylosing Spondylitis. |
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Pain w/ compression of the MCP joints could suggest what? |
Post-traumatic Arthritis & RA (w/ bogginess). |
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Red, Tender Joint could suggest what? |
Septic Arthritis, Gouty Arthritis, Chronic Tophaceous Gout, RA (seldom red). |
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Name (3) joint deformities/malalignments. |
Dupuytren's Contracture, Genu Varum (Bow-Legs) & Genu Valgum (Knock-Knees). |
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Tenderness, swelling along the course of the tendon sheath (distal phalanx-MCP) due to infection w/ finger held in slight flexion w/ pain exacerbated by extension could suggest what? |
Acute Tenosynovitis; usually s/p local injury (if infection progresses it can extend aka Thenar Space Involvement). |
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An injury to fingertip w/ resulting infection which produces localized TTP, swelling, dusky redness around puncture wound is known as what? |
Felon; if vesicles are present consider Herpetic Whitlow seen in HC workers due to HSV exposure). |
