What are the top 3 causes of AVN Correct Answer: trauma, chronic steroid use, and alcohol use
For an intertrochanteric femur fracture how does the foot/leg look? surgery? Correct Answer: it is externally rotated, ab
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What are the top 3 causes of AVN Correct Answer: trauma, chronic steroid use, and alcohol use
For an intertrochanteric femur fracture how does the foot/leg look? surgery? Correct Answer: it is externally rotated, abducted and shortened. needs surgery
If you have a posterior dislocation of hip what is the leg doing? Correct Answer: leg is shortened, flexed, adducted and internally rotated
If you have an anterior dislocation of hip what is the leg doing Correct Answer: mid flexion, abducted and externally rotated
What is the more common way to dislocate the hip? Correct Answer: posterior
How is AVN diagnosed/staged? Correct Answer: plain films and then after that would stage with an MRI. That being said you should not order the MRI unless you are going to be the one interpreting it!
What is the most common presenting symptom of AVN Correct Answer: pain
How is AVN treated? Correct Answer: either by replacement of the joint or can do bone grafting. There are other options such as core decompression however these are not totally studied
Pt. presents with significant edema over the olecranon bursa. It is not warm or angry looking and they have no fever. Of note is that they are constantly hitting it on things or rubbing it against something. What do they have and what should you do to manage? Correct Answer: They have bursitis probably non infective therefore do not aspirate. Rather this is a self limited condition so NSAIDs and protecting the bursa are the goals of treatment
What are the only 2 indications to aspirate a bursa if it is inflamed. Correct Answer: If suspicious of infection or gout
What is the most important sign/symptom of carpal tunnel syndrome that should make you think of this? Correct Answer: nocturnal pain or paresthesias in the distribution of the median nerve
How do you differentiate mild from severe CTS? Correct Answer: mild is numbness or tingling in the median nerve distribution but no sensory loss, nocturnal sx, or loss of hand function that impairs ADLs. Severe is when you have Median nerve weakness, loss of ADLs or frequently being awoken at night.
What is the initial tx for those with CTS who show mild sx Correct Answer: nocturnal wrist splinting.
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