Diseases of the Musculoskeletal System

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jrpena13  on April 23, 2012

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Diseases of the Musculoskeletal System

Bone development, growth and homeostasis rely on interplay among its
Constituent minerals, proteins, and living cells
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Bone development, growth and homeostasis rely on interplay among its Constituent minerals, proteins, and living cells
What are bones primary minerals? Calcuim, phosphate
bones primary protein, embededded in calcuim phosaphate Collagen
Mature bone cells Ostecytes
Bone forming cell Osteoblast
Bone resorbing cells osteoclast
Bone Cells recieve nutrients by an organized system of blood vessels that course thourght the bone
Shapes of bones long, flat, irregular
Most bones are cover with a type of bone tissue called Compact bone
Type of layer that contains many bone-marrow-filled spaces Spongy bone
Where the blood cells forms red-color marrow found at the end of the bone
Medullary cavity yellow bone marrow consisting of fat
Growth of long bones occures at Growth plate
Process where cartilage turns into bone Ossificatation
A highly vascular layer of fibrous connective tissue that covers the surface of the bone Periosteum
Various degrees of movemnet that are possible by joints Range of motion
Articulating bones are held together by Ligaments
The inner surface of the capsule is lined with the Synovial membrane
Lubricates the joints synovial fluid
Sacs of fluid situated near some joints Bursae
muscles that are frimly attached to bones by tendons Skeletal or voluntary muscles
Used to visualize the inside of joint cavity Arthroscopy
detects abnormalities of spinal cord by visualizing the distribution of a radio opaque dye Myelography
Measure electrical activity of muscles Electromyography
inflammation of bone Osteomyelitis
In children these bones are the most affected with osteomyelitis Humerus,Tibia, Femur
In adults Osteomyelitis it affects the pelvis and vertabrae
Osteomyelities is caused by bacteria Staphylococcus aureus and Escherichia coli, Streptococcus pyogenes, Pneumococcus,
Ostemylities is treated with antibiotic therapy and in advance serious cases mar require surgery
Its rare and associated with untreated pulmonary tuberculosis Tuberculosis of the bone
Common affected areas of Tb of the Bone Ends of the long bones and knees
Potts disease TB of the vertebrae
Disease of infancy or early childhood in which bones do not properly ossify or harden Rickets
Symptoms of Rickets -bones fail to calcify
-growth retardation
-bowed legs
-weak abdominal muscles
-stomach muscles
Rickets can be prevented with Vitamin D and exposure for sunlight
Osteomalacia abnormal softening of bones caused by deficiencies of phosphorus or calcium or vitamin D
osteporosis disease in which bone becomes porous, fracture easily, heal slowly- 80% women
Osteporosis is diagnose patinet history and bone density test
Overproduction of bone Pigets disease/ ostetis defromans
The cause of pigets is unkown but.. 20 to 30 of cases are genetic
Complication of Pigets ostegenic sarcoma
Pigets is diagnose with examination, xrays, bone scans and bone biopsy
Treatment for Pigets requires calcitonin and etidronate wich reduce bone resorption and mithramycin wich decreases calcium
Scolosis Exaggerated lateral curvature of the spine. curves to one side or the other, Usually diagnose in children
Scoliosis may result from fusion of vertabrae or neuromascular origin
Mild curvature od scoliosis is less 20 degrees, more severe are more 30 degree must be treated with braces to prevent further, Curvetures of 40 require surgery
Kyphosis exaggerated posterior curvature of the thoracic spine (hunchback)
Lordosis abnormal anterior curvature of the lumbar spine (sway-back condition)
Ostegenic sarcoma cancer of bone, usually effects the ends of long bones. The cause is unknown.
The chief signs and symptoms of fracture include Visibly out of place or misshapen limb or joint
Swelling, Bruising,or Bleeding
Intense pain
Numbness and tingling
Broken Skin with bone protruding
Limited mobility or inability to move a limb
Imflammation of a joint Arthitis
Rheumatoid Arthitis Autoimmune causes chronic inflammation of joints, stiffness, swan neck, boutonie deformity, ulnar deviation
Rheumatoid factors autoanitbodies directed against human IgG that are often present in the serum of patients with rheumatoid arthritis
Symptoms of RA 1. morning stiffness lasting longer than 1 hour
2. fatigue (chronic)
3. pain
4. weakness (30-40% weaker)
5. depression
6. anorexia (just not hungry)
Ankylosis immobility, consolidation, and fixation of a joint because of disease, injury, or surgery; most often due to chronic rheumatoid arthritis
OsteoarthritisMost common type of arthritis Mechanical pathology-wear and tear of joints, gets better with movement and then pain at night
-Secodarily due to Pagets, Achondroplasia, Legg Perthes and or Trauma
-Herberdens nodes on DIP
-Bouchards nodes on MIP
-narrowing of the joint space
-non-inflammatory, no systemic symptoms
-Get osteophytes (bone spur), subchondral cysts,
bone spurs Are small projections of bone that form around joints due to damage to the joint's surface, most commonly caused from the onset of osteoarthritis. They limit movement and cause pain in the joint.
Gout a painful inflammation of the big toe and foot caused by defects in uric acid metabolism resulting in deposits of the acid and its salts in the blood and joints
septic arthritis Medical emergency
Joint infection can destroy joint in 48hrs
Knee and hip are most common sites
Since the acetabulum is not yet formed, it may cause long term problems or destroy the entire femoral head in newborns
Immediate aspiration, drainage is needed
Bursitis inflammation of the sacs of sinovial fluid that usually provide for frictionless movement of a joint
Bursae FLUID-FILLED, SACLIKE MEMBRANES THAT PROVIDE FOR CUSHIONING AND FRICTIONLESS MOTION BETWEEN TWO TISSUES
Dislocation of bone displacement of bones from thier normal position of bone
sprain injury to a ligament caused by joint trauma but without joint dislocation or fracture
strain muscle caused by overworking tendon, muscle, or group of muscles. prevention: warming up before exercising
Carpal tunnel symdrome is an example of trauma that result from prolonged,repettitive
movement.CTS is a condition in which the median nerve in the wrist becomes compressed,causing pain and discomfort.
Electromyogram a graphic representation of the electrical currents associated with muscular contraction, obtained by inserting electrodes into the muscle fibers
Muscle Dystrophy group of inherited muscle-destroying diseases muscles enlarge due to fat and connective tissue deposits, Muscle fibers atrophy
Dystrophin protein is important in maintaining the integrity of muscle fiber. absence cuases muscular dystrophy
Myasthemia Gravis muscle weakness resulting from abnormalities in the neuromuscular junction; likely cause: reduced number of ACh receptors; affects face and neck (swallowing, speaking, chewing, eye movements)
Rhabdomyosarcoma malignant tumor of striated muscle; have rapid metastasis.

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