ECCENTRIC STRENGTHENING EXERCISES
TX FOR
CHRONIC wrong ans
ACHILLES NSAID= not effective for long term tx
TENDINOPATHY
PATELLOFEMORAL PAIN SYNDROME
===
WRONG ANS=
tow OSGOOD SCHLATTER DISEASE
=
knee pain TTP NEAR BOTTOM OF KNEE CLOSE TO TIBIAL
TUBERCLE OR DISTAL PATELLAR TENDON
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
NON WEIGHTBEARING WITH
IMMOBILIZATION OF JOINT
=
WALKER BOOT
REST/DECREASE ACTIVITY
TX OF STRESS ==
FRACTURE WRONG ANS:
NSAID
PT
, STRESS FRACTURE
PT WHO IS A RUNNER TX= WALKER BOOT
HAS ANTERIOR TIBIA
PAIN ON RIGHT LEG
XRAY= FAINT LUCENCY
AT THIS LOCATION
TOW?
TX?
REGARDLESS OF DEXA SCAN RESULTS, SINCE
OSTEOPENIA PT NOW HAS FRACTURE/FALL
ELDERLY PATIENT =
GIVE BISPHOSPHONATE
DEXA- OSTEOPENIA NOT
=
OSTEOPROSIS
ALENDRONATE 70MG WEEKLY
SO SHE IS ONLY ON CA,
VIT D
NOW HAS FALL AND HIP
FRACTURE
HOW SHOULD HER
BONE
FEMORAL SHAFT FRACURES
USE OF BISPHOSPHATE ALSO
IS ASSOCIATED WITH OSTEONECROSIS OF JAW
INCREASE RISK OF
WHAT ESOPHAGITIS
MERALGIA PARESTHETICA
=
IMPINGEMENT OF LATERAL FEMORAL
CUTANEOUS NERVE
LATERAL UPPER THIGH =
NUMBNESS ASSOC WITH
TOW OBESITY
TIGHT CLOTHING IN WAIST/GROIN
, SLIPPED CAPITAL FEMORAL EPIPHYSIS
COMMON- PAIN IN ANTERIOR THIGH/ HIP/GROIN
BUT ALSO CAUSES
REFERRED PAIN IN KNEE
==
occurs in teens and pre-teens
OBESE KID WITH PAIN IN =
KNEE the ball at the head of the femur (thighbone) slips off
TOW the neck of the bone in a backwards direction.
This causes pain, stiffness, and instability in the
affected hip.
PROMPT surgery to stop the head of the femur from
TX OF slipping any further
SLIPPED CAPITAL
FEMORAL EPIPHYSIS
VIT D AND IRON
GIVE VIT D 400 ID/QD
=
FIRST FEW DAYS OF LIFE
=
GIVE UNTIL CHILD IS GETTING FORMULA MILK
WHAT SUPPLEMENTS
ARE NEEDED IN BABY ===
EXCLUSIVELY BREAST GIVE IRON
FED AND =
AT WHAT AGE STARTING 4 MONTHS OF AGE...BUT if child
premature, start iron 1 month
6 MONTHS OF AGE==solid
WHAT AGE SHOULD
BABIES GET CEREAL? 1 YR OLD= cows milk
cows milk?
PATELLOFEMORAL SYNDROME
KNEE PAIN AFTER
PROLONGED SITTING ALSO KNEE PAIN WITH RUNNING
TX FOR
CHRONIC wrong ans
ACHILLES NSAID= not effective for long term tx
TENDINOPATHY
PATELLOFEMORAL PAIN SYNDROME
===
WRONG ANS=
tow OSGOOD SCHLATTER DISEASE
=
knee pain TTP NEAR BOTTOM OF KNEE CLOSE TO TIBIAL
TUBERCLE OR DISTAL PATELLAR TENDON
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
NON WEIGHTBEARING WITH
IMMOBILIZATION OF JOINT
=
WALKER BOOT
REST/DECREASE ACTIVITY
TX OF STRESS ==
FRACTURE WRONG ANS:
NSAID
PT
, STRESS FRACTURE
PT WHO IS A RUNNER TX= WALKER BOOT
HAS ANTERIOR TIBIA
PAIN ON RIGHT LEG
XRAY= FAINT LUCENCY
AT THIS LOCATION
TOW?
TX?
REGARDLESS OF DEXA SCAN RESULTS, SINCE
OSTEOPENIA PT NOW HAS FRACTURE/FALL
ELDERLY PATIENT =
GIVE BISPHOSPHONATE
DEXA- OSTEOPENIA NOT
=
OSTEOPROSIS
ALENDRONATE 70MG WEEKLY
SO SHE IS ONLY ON CA,
VIT D
NOW HAS FALL AND HIP
FRACTURE
HOW SHOULD HER
BONE
FEMORAL SHAFT FRACURES
USE OF BISPHOSPHATE ALSO
IS ASSOCIATED WITH OSTEONECROSIS OF JAW
INCREASE RISK OF
WHAT ESOPHAGITIS
MERALGIA PARESTHETICA
=
IMPINGEMENT OF LATERAL FEMORAL
CUTANEOUS NERVE
LATERAL UPPER THIGH =
NUMBNESS ASSOC WITH
TOW OBESITY
TIGHT CLOTHING IN WAIST/GROIN
, SLIPPED CAPITAL FEMORAL EPIPHYSIS
COMMON- PAIN IN ANTERIOR THIGH/ HIP/GROIN
BUT ALSO CAUSES
REFERRED PAIN IN KNEE
==
occurs in teens and pre-teens
OBESE KID WITH PAIN IN =
KNEE the ball at the head of the femur (thighbone) slips off
TOW the neck of the bone in a backwards direction.
This causes pain, stiffness, and instability in the
affected hip.
PROMPT surgery to stop the head of the femur from
TX OF slipping any further
SLIPPED CAPITAL
FEMORAL EPIPHYSIS
VIT D AND IRON
GIVE VIT D 400 ID/QD
=
FIRST FEW DAYS OF LIFE
=
GIVE UNTIL CHILD IS GETTING FORMULA MILK
WHAT SUPPLEMENTS
ARE NEEDED IN BABY ===
EXCLUSIVELY BREAST GIVE IRON
FED AND =
AT WHAT AGE STARTING 4 MONTHS OF AGE...BUT if child
premature, start iron 1 month
6 MONTHS OF AGE==solid
WHAT AGE SHOULD
BABIES GET CEREAL? 1 YR OLD= cows milk
cows milk?
PATELLOFEMORAL SYNDROME
KNEE PAIN AFTER
PROLONGED SITTING ALSO KNEE PAIN WITH RUNNING
