TX FOR
CHRONIC
ACHILLES
TENDINOPATHY ECCENTRIC STRENGTHENING EXERCISES
wrong ans
NSAID= not effective for long term tx CORRECT ANSWER tow
knee pain
TTP OVER MEDIAL AND LATERAL ASPECT OF KNEE
PAIN WORSE WITH ACTIVITY
=
SQUATTING, RUNNING, STAIRS, EXTENDED SITTING
PE:
ISOLATED TENDERNESS AT MEDIAL+LATERAL ASPECT OF KNEE
GRIND TEST POSITIVE PATELLOFEMORAL PAIN SYNDROME
===
WRONG ANS=
OSGOOD SCHLATTER DISEASE
,=
TTP NEAR BOTTOM OF KNEE CLOSE TO TIBIAL TUBERCLE OR DISTAL PATELLAR TENDON CORRECT
ANSWER TX OF STRESS FRACTURE NON WEIGHTBEARING WITH
IMMOBILIZATION OF JOINT
=
WALKER BOOT
REST/DECREASE ACTIVITY
==
WRONG ANS:
NSAID
PT CORRECT ANSWER PT WHO IS A RUNNER
HAS ANTERIOR TIBIA PAIN ON RIGHT LEG
XRAY= FAINT LUCENCY AT THIS LOCATION
TOW?
TX? STRESS FRACTURE
TX= WALKER BOOT CORRECT ANSWER ELDERLY PATIENT
DEXA- OSTEOPENIA NOT OSTEOPROSIS
SO SHE IS ONLY ON CA, VIT D
NOW HAS FALL AND HIP FRACTURE
HOW SHOULD HER BONE REGARDLESS OF DEXA SCAN RESULTS, SINCE OSTEOPENIA PT NOW HAS
FRACTURE/FALL
, =
GIVE BISPHOSPHONATE
=
ALENDRONATE 70MG WEEKLY CORRECT ANSWER USE OF BISPHOSPHATE IS ASSOCIATED WITH
INCREASE RISK OF WHAT FEMORAL SHAFT FRACURES
ALSO
OSTEONECROSIS OF JAW
ESOPHAGITIS CORRECT ANSWER LATERAL UPPER THIGH NUMBNESS
TOW MERALGIA PARESTHETICA
=
IMPINGEMENT OF LATERAL FEMORAL
CUTANEOUS NERVE
=
ASSOC WITH
OBESITY
TIGHT CLOTHING IN WAIST/GROIN CORRECT ANSWER OBESE KID WITH PAIN IN KNEE
TOW SLIPPED CAPITAL FEMORAL EPIPHYSIS
COMMON- PAIN IN ANTERIOR THIGH/ HIP/GROIN
BUT ALSO CAUSES
REFERRED PAIN IN KNEE
==
occurs in teens and pre-teens
=
the ball at the head of the femur (thighbone) slips off the neck of the bone in a backwards direction.
This causes pain, stiffness, and instability in the affected hip. CORRECT ANSWER TX OF