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20 Cards in this Set

  • Front
  • Back
A pt was drunk at a bar last night and punched a stranger- he was not a professional, what did he/she break?
Brawler's fx- 3rd metacarpal
A pt was a professional and punched a stranger, what did he/she break?
Boxer's fx- 5th metacarpal
Teenager with pain in one hip, limping, what is going on?
slipped capital femoral epiphysis
Underlying chronic inflammatory dz, (RA, chron's, colitis=steroid), sudden unilateral pn in the hip?
avascular necrosis d/t fat emboli in artery blocking it
Osteomyelitis, metastases, and occult vertebral fx; what is needed to dx these?
bone scan
Pt with a hx of a fx that penetrated the skin has a higher risk for what complication?
osteomyelitis
Most common muscular dystrophy in children?
Duchenne muscular dystrophy
death by 20
muscle replaced by fat esp in calves, males more common
What is the sign for muscular dystrophy?
Gower's sign-walking hands up thigh to stand upright
Fatigueability of muscles, female, thymomas-what dz?
myasthenia gravis
Heads getting larger, what are the two dz?
acromegaly, paget's dz (osteitis deformans)
Pn in skeletal sx without trauma?
think bone tumor-benign or metastatic
Most common primary bone cancer?
osteosarcoma- young males or secondary to paget's
Single swollen jt after jt aspiration in adults?
infectious arthritis
child that wakes up with single swollen joint and will not move it??
infectious arthritis
How is pseudogout differentiated from gout?
arthrocentesis
Paired, inflammatory arthropathies, tends to be more than 3 pairs, may have on and off sx which progress; what is this dz?
RA
Joints that have a lot of wear and tear or weight bearing joints; pt presents with pain and joint deformaties?
osteoarthritis
Urethritis/conjunctivitis/asymmetric lower extremity arthritis?
Reiter's syndrome-RF-, HLA B27+, knees ankles fingers toes, post CT infx males
Things that tell you it won't be a physmed case? (ominous signs, or require rapid evaluation)
1) pain that does not get better with lying down
2) systemic signs of inflammation (fevers, chills)
3) HX of Cancer
4) trauma of substantial force
5) neuro compromise- incontinence, weakness, foot drop
6) referred pain to back from other areas
swan neck deformity, ulnar deviation of the MCPs?
RA