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74 terms

MED-SURG EXAM #2 MUSCULOSKELETAL

STUDY
PLAY
LIST 4 TECHNIQUES USED TO ASSESS THE MUSC. SK. SYS
INSPECTION
PALPATION
MEASUREMENT OF MUSCLE MASS
ROM
THIS EXAMINATION BEGINS BY ASSESS OF WHAT?
GATI AND POSTURE
LUMBAR CURVE FLATTENS AND SPINAL MOBILITY IS DECREASES
HERNIATED LUMBAR DISC
INC LUMBAR CURVE IS CALLED
LORDOSIS
S-SHAPED CURVATURE OF THE SPINE
SCOLIOSIS
SEEN IN OBESITY AND PREGNANCY
LORDOSIS
SCOLIOSIS DISAPPEARS WITH _____ AND IS ACCENTUATED WITH _______
FORWARD FLEXION &&
FORWARD BENDING
AN EXAGGERATED THORACIC CURVATURE IS CALLED?
KYPHOSIS
CREPITATION OCCURS WHEN WHAT HAS BEEN LOST?
CARTILAGE
NECK PAIN AND LIMITED EXTENSION WHAT 2 DISEASES?
HERNIATED CERVICAL DISKS
CERVICAL SPONDYLOSIS
FINGERS ASSESS -
FLEXION:
EXTENSION:
ABDUCTION:
ADDUCYION:
- MAKE A FIST
- OPEN YOUR HAND
- SPREAD FINGERS
- CLOSE FINGERS
FLEXION & EXTENSION OF FINGERS IS DEC IN WHAT?
ARTHRITIS
SWOLLEN FINGER JOINTS MAY BE SEEN IN WHAT?
CHRONIC GOUT
HEBERDEN'S NODES AND BOUCHARD'S NODES ARE COMMON IN?
OSTEOARTHRITIS
SYNOVITIS IS COMMON IS WHAT TRAUMA?
KNEE TRAUMA
NUMBNESS AND BURNING DURING PHALENS TEST MAY INDICATE WHAT?
CARPAL TUNNEL SYN.
BALLOTTEMENT TEST IS DONE TO TEST WHAT?
LARGE AMOUNTS OF FLUID
- PATELLA WILL REBOUND AGAINST FINGERS IF FLUID IS PRESENT
HOW LONG SHOULD THE PHALEN'S TEST BE PERFORMED?
60 S
IN THE THOMAS TEST WHAT IS INDICATED IF THE EXTENDED LEG RISES OFF THE TABLE
HIP FLEXION CONTRACTURE
STRAIN IS R/T
MUSCLE OF MUSCLE TENDON
SPRAIN IS R/T
STRETCH OF LIGAMENTS SURROUNDING THE JOINT
SPRAINS OCCURS MOST OFTEN IN WHAT AREA
ANKLE AND KNEE
WHAT REGIMEN SHOULD PATIENTS FOLLOW FOR SOFT TISSUE DAMAGE
RICE
REST
ICE
COMPRESSION
ELEVATION
WHAT MEDICATIONS IS PRESCRIBED FOR CONTUSION, SPRAINS, STRAINS?
NSAIDS
2 DIAGNOSTIC STUDIES FOR SOFT TISSUE TRAUMA
X-RAY
MRI
ANKLE SPRAINS MAY BE IMMOBILIZED WITH WHAT?
CAST OR SPLINT
KNEE INJURY REQUIRES?
KNEE IMMOBILIZER
TIME IT TAKES TO HEAL DEPENDS ON WHAT?
SEVERITY OF INJURY
WHAT SIDE DO YOU USE A CANE OR CRUTCH?
UNAFFECTED SIDE
NAME 3 JOINT RELATED INJURIES
ROTATOR CUFF
KNEE
DISLOCATION
DISLOCATION IS USUALLY REDUCED USING WHAT?
MANUAL TRACTION
WHEN WOULD A HIP DISLOCATION REQUIRE SURGERY?
IF IT HAS A FRACTURE TOO
TREATMENT?
RICE
AND RESTRICTIVE WEIGHT BEARING
KNEE INJ
TREATMENT?
JOINT REST
NSAIDS
MOIST HEAT
ROTATOR CUFF INJ
HOW TO YOU ASSESS NEUROVASCULAR FOR DISLOCATION?
ASSESS THE 5 P'S
WHAT ARE THE 5 P'S
PAIN
PALLOR
PULSES
PARALYSIS
PARESTHESIA
WHAT PURPOSE DOES SPLINTING SERVE?
MAINTAINS JOINT ALIGNMENT
REDUCES PAIN AND INFLAMMATION
WHICH TYPE OF FRACTURE INC. RISK OF COMPLICATIONS
OPEN FRACTURE
OBLIQUE FRACTURES ARE?
AT AN ANGLE
COMMINUTED IS WHERE THE BONE IS?
BROKEN INTO MANY PEICES
COMPRESSED IS WHERE THE BONE IS?
CRUSHED
3 COMPLICATIONS OF A FRACTURE
DVT
FAT EMBOLI
COMPARTMENT SYN
PAIN
NORMAL/DEC PERIPHERAL PULSES
CYANOSIS
TINGLING, LOSS OF SENSATION,
WEAKNESS
SEVERE PAIN
MANIFESTATIONS OF COMPARTMENT SYNDROME
INTERVENTIONS FOR COMPARTMENT SYNDROME INCLUDE
REMOVING RESTRICTIVE DRESSINGS/CAST
FASCIOTOMY - INCISION TO REMOVE PRESSURE
--INCISION IS LEFT OPEN AFTER LEADING TO POTENTIAL RISK OF INFECTION
COMPARTMENT SYNDROME USUALLY DEVELOPS WITHIN WHAT TIME FRAME?
FIRST 48 HOURS OF INJURY
ARE ARTERIAL PULSES NORMAL OR ABNORMAL DURING COMPARTMENT SYN
THEY MAY REMAIN NORMAL
NEUROLOGICAL DYSFUNCTION
PULMONARY INSUFFICIENCY
PETECHIAL RASH ON CHEST, AXILLA, AND UPPER ARMS
FAT EMBOLI SYNDROME
RISK FACTORS FOR FES
LONG BONE FRACTURES**
MAJOR TRAUMA
HIP REPLACEMENT
STATE 3 RISKS FOR DVT
DEC BLOOD FLOW
INJURY TO BLOOD VESSEL
ALTERED BLOOD COAGULATION
WHAT IS THE BEST TREATMENT FOR DVT
PREVENTION
-IMMOBILIZATION OF FRACTURE
-AMBULATION OF PATIENT
- ANTICOAGULANT
- TEDS
WHAT IS PREVENTIVE FOR FES
EARLY STABILIZATION OF LONG BONE FRACTURES
WHAT MUST BE DONE BEFORE A FRACTURE IS STABILIZED FOR HEALING?
IT MUST BE REPOSITIONED TO PROPER ALIGNMENT
AN OPEN REDUCTION IS DONE WHERE?
IN SURGERY
IN CLOSED REDUCTION, THE BONE IS REPOSITIONED USING WHAT?
EXTERNAL MANIPULATION -- NO SURGICAL INCISION
WHAT 3 THINGS DOES TRACTION DO
OVER COMES MUSCLE SPASMS
IMMOBILIZED INJURY
REDUCES PAIN
MOST COMMON TYPE OF SKIN TRACTION AND WHEN IS IT USED
BUCKS TRACTION &&
DURING TRANSPORT OR BEFORE SURGERY
SKELETAL TRACTION INCREASES THE RISK FOR WHAT?
INFECTION
CASTS ARE APPLIED TO WHAT KIND OF FRACTURE
RELATIVELY STABLE
WHAT IS A MAJOR CAUSE OF AMPUTATION
PVD
COMPLICATIONS OF AMPUTATION INCLUDE?
INFECTION
DELAYED HEALING
CHRONIC STUMP PAIN
PHANTOM PAIN
CONTRACTURES
WHAT CAN CAUSE DELAYING HEALING IN AN AMPUTATION?
INFECTION
LOSS OF HEIGHT, PROGRESSIVE CURVATURE OF SPINE, LOW BACK PAIN AND FRACTURES ARE MANIFESTATIONS OF WHAT?
OSTEOPOROSIS
DORSAL KYPHOSIS AND CERVICAL LORDOSIS OCCUR DURING?
OSTEOPOROSIS
WHAT IS THE MOST COMMON COMPLICATION OF OSTEOPOROSIS?
FRACTURES
DEPOSITS IN THE SYNOVIAL FLUIDS CAUSE ACUTE INFLAMMATION OF THE JOINT IS WHAT?
GOUTY ARTHRITIS
DEPOSITS OF CRYSTALS FROM GOUT IN THE KIDNEYS CAN RESULT IN WHAT?
KIDNEY FAILURE
UNTREATED GOUT CAN RESULT IN?
KIDNEY DISEASE
IT IS IMPORTANT TO DO WHAT BEFORE REDUCE URIC ACID LEVELS IN GOUT?
TREAT THE ACUTE ATTACK OF GOUTY ARTHRITIS
WHAT ARE THE TREATMENT OF CHOICE FOR AN ACUTE ATTACK OF GOUT?
NSAIDS
WHAT IS THE DRUG OF CHOICE TO LOWER URATE LEVELS
ALLOPURINOL
TREATMENT FOR GOUT INCLUDES 2 THINGS
DIETARY MANAGEMENT
REST
2 THINGS TO DO DURING AN ACUTE GOUT ATTACK
AFFECTED JOING MAY BE ELEVATED AND ICE PACKS APPLIED
LIMITED REST, EXERCISE, AND EDUCATION IS TREATMENT FOR WHAT?
LOW BACK PAIN
HOW MAY PAIN BE RELIEVED FOR LOW BACK PAIN
ICE OR HEAT