GNRS 5669 Exam 3 Questions and Answers|
Latest Update
Assess medial epicondylitits with pain... pain worse with wrist flexion
Olecron bursitis: swelling to posterior elbow with normal ROM
Tx: NSAIDS, ice, rest, elbow strap
Rotator cuff issues: -weakness in abduction
-crepitus
-pain with internal rotation(impingement sign)
-dull, unrelenting ache
Tx: PT, surgery
Back pain red flags: "TUNA FISH"
trauma
unexplained weight loss
neuro symptoms
age > 50, <18
Fever
,IV drug use
Steroid use
history of cancer
Tenderness in the snuff box of the hand suggests what? scaphoid fracture
-not seen on xray
tx: splint with thumb spica cast, repeat xray in 2 weeks
If unable to flex and extend hand against resistance what should you suspect? tendon
injury
-MRI, PT
What tests assess for carpel tunnel? Phalens
Tinels
-if positive refer!
Tx of trigger finger: steroid injection
local anesthetic
Signs of ganglion cyst: cyst over tendon sheath
, painless, soft, mobile
-tx: resolve on own, or aspirate, or sx removal
Sciatica: -common from a herniated disc
-occurs at L4 to S1
-paresthesia down nerve root and pain
Tx: rest, but slowly increase activity, NSAIDS, back brace
Spinal stenosis: narrowing of one of more lumbar spinal canal with nerve compression
-elderly, obsese, osteoporosis
Tx: laminectomy if symptoms are disabling
NSAIDS, B12, Folic acid
PT- focus on flexion of spine
avoid extension
epidural spinal injections
Symptoms of cauda equina syndrome bilateral lower extremity weakness
numbness or progressive neuro decifit
saddle anesthesia
incontinence or retention-ask about it!
Latest Update
Assess medial epicondylitits with pain... pain worse with wrist flexion
Olecron bursitis: swelling to posterior elbow with normal ROM
Tx: NSAIDS, ice, rest, elbow strap
Rotator cuff issues: -weakness in abduction
-crepitus
-pain with internal rotation(impingement sign)
-dull, unrelenting ache
Tx: PT, surgery
Back pain red flags: "TUNA FISH"
trauma
unexplained weight loss
neuro symptoms
age > 50, <18
Fever
,IV drug use
Steroid use
history of cancer
Tenderness in the snuff box of the hand suggests what? scaphoid fracture
-not seen on xray
tx: splint with thumb spica cast, repeat xray in 2 weeks
If unable to flex and extend hand against resistance what should you suspect? tendon
injury
-MRI, PT
What tests assess for carpel tunnel? Phalens
Tinels
-if positive refer!
Tx of trigger finger: steroid injection
local anesthetic
Signs of ganglion cyst: cyst over tendon sheath
, painless, soft, mobile
-tx: resolve on own, or aspirate, or sx removal
Sciatica: -common from a herniated disc
-occurs at L4 to S1
-paresthesia down nerve root and pain
Tx: rest, but slowly increase activity, NSAIDS, back brace
Spinal stenosis: narrowing of one of more lumbar spinal canal with nerve compression
-elderly, obsese, osteoporosis
Tx: laminectomy if symptoms are disabling
NSAIDS, B12, Folic acid
PT- focus on flexion of spine
avoid extension
epidural spinal injections
Symptoms of cauda equina syndrome bilateral lower extremity weakness
numbness or progressive neuro decifit
saddle anesthesia
incontinence or retention-ask about it!
