Exam (elaborations)
MSK Exam Spring 2021
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MSK Exam Spring 2021 MSK Exam Spring 2021 MSK Exam Spring 2021
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MSK Exam Spring 2021C2 Dermatome - ANS lower jaw, back of the head
C3 Dermatome - ANS upper neck, back of the head
C4 Dermatome - ANS lower neck, upper shoulders
C5 Dermatome - ANS area of the collarbones, upper shoulders
C6 Dermatome - ANS shoulders, outside of arm, thumb
C7 Dermatome - ANS upper back, back of arm, pointer and middle finger
C8 Dermatome - ANS upper back, inside of arm, ring and little finger
T1 Dermatome - ANS upper chest and back, armpit, front of arm
T2 Dermatome - ANS upper chest and back
T3 Dermatome - ANS upper chest and back
T4 Dermatome - ANS upper chest (area of nipples) and back
T5, T6, T7 dermatome - ANS mid chest and back
,T8, T9 Dermatome - ANS upper abdomen and mid-back
T10 Dermatome - ANS abdomen (area of belly button) and mid-back
T11 Dermatome - ANS abdomen and mid-back (below umbilicus)
T12 Dermatome - ANS Inguinal or groin regions
lower abdomen & mid-back
L1 Dermatome - ANS Inguinal Ligament
lower back, hips, groin
L2 Dermatome - ANS Anterior thigh, 2-3 inches below ASIS
L3 Dermatome - ANS Anterior distal thigh and medial knee
L4 Dermatome - ANS lower back, front of thigh and calf, area of knee, inside of ankle
L5 Dermatome - ANS lower back, front and outside of calf, top and bottom of foot, first four toes
S1 Dermatome - ANS lower back, back of thigh, back and inside of calf, last toe
S2 Dermatome - ANS buttocks, genitals, back of thigh and calf
,S3 Dermatome - ANS buttocks and genitals
Ligaments
Tendons - ANS ______ = connects bone to bone
______ = connects muscle to bone
finkelsteins test (DeQuervain's Tenosynovitis) - ANS client makes a fist with thumb "inside" fist. You
stabilize forearm and ulnarly deviate wrist. Positive sign is pain over the abductor pollicus and extensor
pollicus brevis.
thompsons test (also called simmonds) - ANS test for Achilles tendon rupture by squeezing the calf
lateral epicondylitis (Tennis elbow) - ANS overuse syndrome from excessive wrist extension and
repetitive gripping activities using thumb & first 2 fingers. Focal pain to lateral aspect of elbow.
Medial Epicondylitis (golfers, baseball or suitcase elbow) - ANS -Overuse syndrome from excessive wrist
flexion and repetitive gripping activities
•Rest, Ice, Use commercial elbow strap, NSAID's, ROM activities with PT, Steroid injections - ANS TM for
lateral & medial epicondylitis
fat pad sign - ANS Also called sail sign because of it's shape. Finding suggesting an occult, not directly
visible fracture.
scaphoid fracture in the "snuff box". - ANS What type of injury to the hand is a do not miss injury
because of all the important vessels nearby it?
thumb spica spint
, RICE, NSAIDs
Plain film, CT, bone scan, MRI
Ortho followup - ANS What's TM/care plan of scaphoid "snuff box" injury?
reactive arthritis (Reiter's syndrome)
MC from chlamydia - ANS Can't see, can't pee and can't climb a tree refers to conjunctivitis of eyes,
painful urination or decrease in urine, joint pain. This is called what?
•Circumstances surrounding the total illness
•and, if symptoms are episodic, the duration of a typical episode. - ANS In regards to MSK HPI, when
asking about duration, what two durations should you consider?
Inhibin - ANS Inhibits GnRH synthesis and FSH synthesis and secretion.
Activin - ANS Increases FSH secretion and modulates tissue response to FSH and LH.
Relaxin - ANS Increases glycogen synthesis and water uptake by the myometrium and decreases uterine
contractility.
perpendicular; parallel - ANS Fractures generally are _______ to diaphysis. An apophysis generally runs
______ to the diaphysis
diaphysis - ANS shaft of long bone; elongation occurs toward the epiphysis
epiphyseal (physis) - ANS Referred to the "growth plate". Site of elongation of long bones.
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