Shoulder Exam
This is the leading cause of shoulder pain in the ambulatory setting.
What is ROTATOR CUFF INJURY
This common medical problem presents in newly active patients with swelling below the medial knee joint line
What is PESANSERINE BURSITIS.
DAILY DOUBLE...
This is the easiest way to detect small knee effusions
What is DIRECT OBSERVATION
DAILY DOUBLE...(demonstrate)
This is the backbone treatment for pain 2/2 degenerative joint disease from arthritis
What is Tylenol 1 G TID
Q1
A1
This rotator cuff muscle is most commonly injured
What is SUPRASPINATUS MUSCLE
When examining for popliteal cyst, this is how you want to examine the patient.
What is stand lateral to look for differences in shadowing.
These are the tests we perform to diagnose a supraspinatus injury
What are HAWKINS and EMPTY CAN TEST
DAILY DOUBLE...(demonstrate)
This class of medications are used what patients have acute inflammatory conditions
What are NSAIDS
DAILY DOUBLE... (name meds with doses)
Q2
A2
Found on exam by limited extension, this common secondary injury can lead to significant functional impairment.
What is ADHESIVE CAPSULITIS
This is the compartment of the knee that is most commonly affected in primary osteoarthritis
What is MEDIAL JOINT LINE
A shoulder MRI is indicated when this physical exam maneuver is abnormal
What is positive DROP ARM TEST
These treatments constitute "conservative management" for knee osteoarthritis
What are OT, PT, Tylenol 1g TID, short term PO/topical NSAIDS +/- lidocaine
Q3
A3
These three bursa are injectable in MSK clinic
What are BICEPS, SUBACROMIAL, and DELTOID bursa
DAILY DOUBLE...
This is the reason we do not routine perform anterior/posterior drawer tests.
What is LOW PRETEST PROBABILITY
DAILY DOUBLE...
This exam maneuver can help make the diagnosis for the less common rotator cuff injuries infraspinatus and teres minor injuries (show and tell)
What is EXTERNAL ROTATION with ARMS at SIDES (AKA robot arms)
This is the primary anatomic cause of acute "flairs" in knee osteoarthritis
What is MENISCAL INJURY
Q4
A4
When injecting the biceps bursa, this dangerous complication should be discussed in risks and benefits.
What is PNEUMOTHORAX.
DAILY DOUBLE...
Name that diagnosis:
1. 60F obesity and DM2 presenting with years of chronic BL knee pain, R>L. No clear joint deformity, though occasional “flairs” with swelling, usually on “inside” of the knee.
2. 30M overweight who recently started a new exercise routine and notices that he has anterior knee pain, with some cracking of the joints, especially when climbing stars.
3. 40F obesity and HTN who notes swelling below her R-knee after starting a new exercise routine. On “inside” of knee under joint line
1. What is OSTEOARTHRITIS
2. What is PATELLOFEMORAL SYNDROME
3. What is PESANSERINE BURSITIS
This physical exam maneuver has your patients twisting and turning to make common knee diagnosis (show and tell)
What is THESSALY MANEUVER
This treatment is indicated for knee pain after patients have failed conservative management (show and tell)
What is KNEE STEROID INJECTION
Q5
A5