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