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MS sys DD
Differential Dx MS
| Question | Answer |
|---|---|
| Arthogryposis:Characterized by?What MS complications can result? Differential Diagnosis(DDx)? | Rigid joint of the extremities (symmetrical) sausage-like shapeless limbs that are weak and nonfunctioning. Other issues: hip dislocations & contractures, shld contractures and club feet. DDx: SB, JRA can also present with rigid jt contractures |
| Complex Regional Pain Syndrome::Characterized by?What MS complications can result? Differential Diagnosis(DDx)? | abnormal sympathetic reflexx resulting in persistent painful lesion presents with pain, edema, decr circulation, osteoporosis, dry skin, decr proprioception, atrophy of mm in close proximity of involved area. DDx: tropic changes |
| Colles' Fx: results from most common are? Rx? | FOOSH- distal radius dorsal displacement. Rx: early AROM, PROM, resistance, mobs, CC stabilization |
| Degenerative Joint Disease (OA): Characterized by?DDx? Disease progresses? | affects WB joints, morning stiffness NOT usually present, any stiffness can be improved with exercise. Progression of dx: motion decr, flex contracture occurs, tenderness and crepitus may appear |
| Fibromyaligia:Characterized by?What MS complications can result? Differential Diagnosis(DDx)? | aching or burning in the mm"migraine headaches of mm", diffuse pain or tender points. DDx: 11/18 tender points, sleep deprivation |
| Gout or gouty arthritis::Characterized by?What MS complications can result? Differential Diagnosis(DDx)?What drug is given to reduce hyperuricemia? | metabolic disease marked by elevated level of serum uric acid and depostion of urate crystals in the joints, st and kidneys. DDx: elevated serum urate content. ALLOPURINOL der hyperuricemia |
| Hemophilia:what is it? PT concerns? | hemorrhagic disorder-deficient clotting factors. PT: hemarthosis, MM pain, deformities (if severe), bleeding may cause peripheral neuropahies, parethesia, and mm atrophy. |
| ITB friction syndrome: caused by? occurs often with? | irritation caused by rubbing of ITB over lateral epicondyle of femur. Runners often due to overuse. DDx: + obers, excessive hip IR, tender ITB |
| Myositis ossificans: caused by?what can induce it? what is NOT indicated for rx? | trauma to mm resulting in hematoma that may calcify or ossify. May be induced by early mobilization & stretching w/ aggressive PT following trauma to mm. Rx NOT: passive stretching or manual stretching with overpressure at end-range be conservative |
| Osteochondritis dissecans: what is it? usually involves? | separation of articular cartilage from the underlying bone(osteochondral fx) Usually involves the medial femoral condyle near intercondylar notch and ovserved less at fem head and talar dome |
| Osteomalacia: what is it cause from? | decalcification of bones caused from Vit D deficiency which may cause deformities fx and severe pain |
| Osteomyelitis:what is it from? common site in children and adults? | commonly due from combined traumatic injury and actue infection that results within the bone. Children:distal femur and prox tibia, humerus and radius. Adults: pelvis and vertebrae |
| Rx for osteoporosis? | postural reeducation, breathing ex, pec stretching and abdominal strengthening |
| Paget's Disease: What is it?what is it associated with? | metabolic bone disease. Associated with CHF, bone sarcoma or giant tumor cells, if vertebral collapse can lead to paraplegia. |
| Patellofemoral dysfunction: what ROM does instability and pain usually occur? DDx: | 0-30 degr incr pain. DDx: Q-angle greater than 18 degrees, + chondromalacia test: pain under patel w/ compression of patel & quads contraction, Ab tracking of patel |
| What glides are used for patella alta and baja? | Alta: inferior, baja: superior |
| Pronator teres syndrome: which N is entrapped? Rx? | median: rx: manual N glides, US, NMES for nerve healing, AROM, stretching |
| Rheumatoid Arthritis: peak when? what other sys may be involved? | 30-40, other sys: cardiovascular, pulmonary, gastrointestinal |
| Sjorgen syndrome: characteristics? | rheumatoid-like disorder by dryness of mucous membranes, jt inflammation and anemia |
| Smith's fx: where does it typically occur? | distal fx of radius which dislocates in ventral direction |
| How long does it take for a second & third degree sprain to heal? | 2nd: 2-3 weeks, 3rd: 5-6 months |
| TMJ three categories of dysfunctions | 1. jt abnormalities result from trauma, arthritis, disease or neoplasm. 2. congenital structural. 3. loss of mobility of unknown |
| TMJ synovitis & capsulitis:SX | unable to fully close teeth, opening less than 40mm secondary to pain, pain decr with rest |
| Hypermobility of TMJ indications? | "my jaw feels like it is going out of place" opening is >40mm and deviates TOWARDS the noninvolved side |
| TMJ jt displacement: what tis the difference between displacement with reduction and without? | with: reciprocal clicking, without:intermittent locking limited to 20-25mm |
| Tibial fracture: march fx, spiral fx, compound fx, how does each one occur? | march: due from long walks when the person is not used to the activity. Spiral fx: fx occurs at middle & inferior thirds from resulting in torsion from skiing. compound: direct blow |
| Torticollis results in what position of mm? What N could it compress? | lateral bending of head to the affected side with rotation to the opposite side. Accessory N |
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