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Muscle and SkeletalMedical-Surgical Nursing-7th edition

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Page 7
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Question Answer
Duchenne's is present at birth, but isn't usually diagnosed until an age of _______.
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3
When is a person most likely to get Ewing's sarcoma?
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Between 5-15
What joints are typically impacted by RA?
Show Answer
wrists, hands, elbows, shoulders, knees, ankles.
What medications increase the risk of osteomalacia? Why?
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Seizure meds. like Dilatin and Tegretol. Decreased vitamin D absorption leads to decreased Ca+.
The bones of patients with osteomalacia consist of _______ instead of rigid bone.
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soft osteoid bone (spongy)
S-A-D P-A-N-
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Sensory, Ascending, Doral, Posterior, Afferent, Nerve impulses.
How does extreme athleticism lead to myoglobinemia/ rhabdomyolysis?
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They overwork their entire body leading to inflamed muscles and dehydration. The muscles break down (myoglobinuria), the proteins damage the tubules of the kidneys which leads to Acute Tubular Necrosis and RF.
Long bone or pelvic bone fracture + SOA = _______.
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fat emboli
Tear or rupture of a tendon...
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Strain
What causes myoglobinuria aside from crush injury?
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Extreme athleticism. Rare SE of statin drug therapies (like Lipitor).
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What are signs and symptoms of Ewing's sarcoma? Prognosis?
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Primary symptom is pain, usually decreases at night. Symptoms of metastasis. Fracture that shouldn't have occurred. Poor prognosis.
What is the pathology of osteoarthritis?
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Cartilage in area of articulation degenerates leads to bone rubbing on bone (very painful). Osteophytes form, leading to really big joints which leads to malalignment and more pain, chronic problems, back and hip pain.
What are Heberdens' nodules and what disease are they associated with?
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Nodules at the distal interpharyngeal joints; osteoarthritis.
Forefoot adducted and supinated, heel is inwardly deviated and pointing down....
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Clubfoot
Osteoarthritis = ______ joints RA = ______ joints
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Osteoarthritis = big joints and RA = red, hot joints
RA is more common in _______ and there seems to be a genetic component.
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women
Osteomyelitis in children is usually caused by an _______ source.
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endogenous
What will you see in a child with DDH that wasn't fixed?
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Difference in leg lengths which leads to chronic problems.
How is DDH treated?
Show Answer
A Pavlik harness. Puts pressure against the bone causing it to complete the joint, worn for months.
What is the most likely direct cause of a fracture that progresses to compartment syndrome?
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MVA
What are some pathological causes of bone fractures?
Show Answer
Hyperparathyroidism; osteoporosis; bone cancer.
  
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