Bones & Muscles
A movement of the hand and forearm that causes the palm to face upward or forward
Supination (pg. 111, box 4.2)
Forms between and around the broken ends of a fractured bone during healing, when osteoblasts continue to lay the network for bone buildup and osteoclasts destroy dead bone
Callus (pg. 139)
Gives more detailed pictures of fluid-filled soft tissue and blood vessels than any other test
Magnetic Resonance Imaging (MRI) (pg. 112)
A minimally invasive procedure involving only one of the compartments of the knee that removes only the most damaged areas of cartilage and replaces it with a small plastic disk for cushioning
Unicompartmental knee arthroplasty (pg. 131)
Applying an elastic wrap to reshape for fitting a prosthesis is a NI to help what post surgical intervention
Amputation (pg. 165)
Starting at the sternum, clavicle, and upper rib cartilages and end at the humerus; I help flex and adduct the upper arm
Pectoralis Major (pg. 109, tbl. 4.1)
A 67 yo male patient presents to the ED stating that he has chest pain on inspiration that started a day after he fell on his arm the other day. Upon assessment you find auditory crackles and wheezes, dyspnea, and petechiae on his chest in neck. What is his likely dx?
Fat embolism (pg. 147)
Injection of a radiopaque dye into the subarachnoid space at the lumbar spine to x-ray the spinal cord and the vertebral column. Used for dx of tumors, herniated disks, and presence of infection.
Myelogram (pg. 111)
A metabolic disease resulting from an accumulation of uric acid in the blood. Can be primary, secondary, or idiopathic
Gouty arthritis (pg. 125)
Using an abduction splint for 7-10 days post op on the patient to ensure postoperative maintenance is most commonly used upon patients, who are post op what procedure?
Hip fx s/p total hip arthroplasty (pg. 138)
I help with shaking someone's hand in agreement and kicking them out the door when it's time to leave. What part of the skeletal system am I?
Appendicular skeleton (pg. 107, box 4.1)
Poorly localized sharp pain unrelieved by analgesics or elevation of the extremity, numbness or tingling, inability to flex fingers or toes of the affected limb, coolness in the extremity, and absence of pulsation are all symptoms that have been assessed on a patient's right forearm, what is the likely dx?
Compartment syndrome (pg. 146)
Requires the pt to be NPO 3-4 hr prior to procedure, check for shellfish or iodine allergy as well as creatinine clearance before this diagnostic test
Computed Tomography (CT scan) (pg. 113)
A rise in the erythrocyte sedimentation rate (ESR) can mean that there is inflammation somewhere in the body. This test along with a + ANA and an elevated rheumatoid factor can be indicative of what disease process?
Rheumatoid arthritis (pg. 116)
Used as a NSAID for its anti-inflammatory, analgesic, and antipyretic properties, this drug can cause fluid retention (so monitor BP) and should be avoided with aspirin and women who are pregnant or plan to become pregnant
Meloxicam (pg. 118, tbl. 4.5)
An increase in curvature at the lumbar space region that throws the shoulders back, resulting in a sway-backed gait
Lordosis (pg. 166)
Stable fx may require prophylactic anticoagulant therapy and help maintaining erect posture with the help of a back support or brace. Unstable fx may need intense postural positioning and traction such as a halo brace. What type of fx would this treatment be related to?
Vertebral fracture (pg. 143)
Checking the extremity using the 7 "P"s to check neurovascular status, the skin for erythema and irritation, and the ability of the patient to move fingers or toes on the affected side are all NI for what nonsurgical intervention
Cast brace (pg.153)
Loss in bone density that affects the vertebrae, neck of the femur, pelvis, hands, and wrists. It primarily affects women especially of white and asian race
Osteoporosis (pg. 126)
Used to slow bone loss and to increase bone density. You should administer this medication first thing in the morning with water and 30 min before other meds, beverages, or food
Alendronate (pg. 128, tbl. 4.6)
Performs motion, maintains posture, and produces heat
Muscular system (pg. 107)
Avoid hip flexion beyond 60 degrees for approximately 10 days post surgery, avoid hip flexion beyond 90 degrees for 2-3 months, avoid adduction of of the affected leg beyond midline for 2-3 months, use a pillow or wedge shaped splint in-between the legs to maintain abduction of the hip. These are post op patient teachings for what procedure?
Hemiarthroplasty (pg. 141, PT box)
a temporary measure to provide support and comfort to a fractured extremity while waiting for a more definitive treatment, frequently used to maintain reduction of a hip fracture before surgery, also used to treat muscle spasms and minor fractures of the lower spine
Buck's traction (pg. 154)
Inflammation typically located where the ligaments and tendons attach to the bone, results in the bones of the spine to fuse together. This can cause kyphosis and difficulty breathing as the ribs struggle to expand
Ankylosing spondylitis (pg. 121)
A patient should obtain an eye examination before beginning therapy and every 6 months thereafter for which medication?
Hydroxychloroquine (pg. 119, tbl. 4.5)