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34 Cards in this Set
- Front
- Back
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what are 4 fractures that are considered highly suspicious for child abuse?
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posterior rib fx
scapula posterior process of the spine fx of sternum |
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when should nerve root functions be tested in a fx?
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if symptoms suggest a back or neck problem
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when should peripheral nerve function be tested in a fx?
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if the disorder is localized to the extremities
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how fast can compartment syndrome lead to necrosis?
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4-8 hours
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when does compartment syndrome commonly occur?
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following crush injuries
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what are the 5Ps of compartment syndrome?
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Pain disporportionate to the inj
paresthesia distal to involved compartment paralysis (weakness) pallor pulselessness |
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what are 2 tests for compartment syndrome
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extension of the fingers will stretch the volar forearm muscle
plantar flexion of the ankle and toes |
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how do you treat compartment syndrome
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wound is left open with delayed closure
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anytime you have a calcaneal fx what else should you suspect?
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vertebral fx
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what will present with indolent onset of mild swelling and tenderness with weight bearing?
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stress fx
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what fx occurs at the end of the bone, forming part of an adjacent bone?
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epipheseal
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what fx occurs at the flared portion of the bone at the ends of the shaft?
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metaphyseal
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what fx occurs at the shaft of the bone?
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diaphyseal
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what is a fx in which the fragments are no longer in their usual alignment?
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displaced
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what is a fx that is malaligned
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angulated
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what is a bayonetted fx?
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overlap
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when will stress fx be visible on x-ray?
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not until the bone resorbs, 1-4 weeks
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what do you do if the patient has the clincal appearance of a fx but no evidence on the x-ray?
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bone scan
CT scan (if you need to know results immediately) splint then repeat 7-10 days later |
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what are the 4 Rs of fx treatment?
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recognition
reduction retention rehab |
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what are the 1st and 2nd most common causative organisms of osteomyeltiis?
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staph aureus
hemolytic strep |
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what requires surgical decompression of the bone immediately?
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osteomyelitis
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what is a sprain?
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involves the supporting structures of a joint, stretching or tearing of a ligament or joint capsule
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what is a strain?
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stretching or partial tear of the muscle-tendon unit
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ROADD of describing fractures
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Rotation
Overlap Angulation Displacement Dislocation |
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what is a tours fx?
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one side is disrupted while the other side remains intact
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what is a greenstick fx?
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one that does not go all the way through
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what are the LBPMKT of bone lesions?
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Lung
Breast Prostate Metastatic/myeloma Kidney Throid |
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what requires surgical decompression of the bone immediately?
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osteomyelitis
|
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what is a sprain?
|
involves the supporting structures of a joint, stretching or tearing of a ligament or joint capsule
|
|
what is a strain?
|
stretching or partial tear of the muscle-tendon unit
|
|
ROADD of describing fractures
|
Rotation
Overlap Angulation Displacement Dislocation |
|
what is a tours fx?
|
one side is disrupted while the other side remains intact
|
|
what is a greenstick fx?
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one that does not go all the way through
|
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what are the LBPMKT of bone lesions?
|
Lung
Breast Prostate Metastatic/myeloma Kidney Throid |
