Study

musculoskeletal 2

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  • what are some symptoms of paget's disease?
    pain, tenderness, and warmth over bones
  • what are the diagnostics of osteomyelitis?
    x-ray, bone scans, mri, cbc, esr, crp, cultures
  • what are the clinical manifestations of osteomyelitis?
    localized pain over the infected bone, sudden (especially hematogenous), sepsis appearing, swelling, tenderness, and pulsating pain
  • what is direct inoculation when it comes to osteopmyelitis?
    via surgery on the bone, open fracture, traumatic injury, like impailment, or gun shot wound to the bone
  • what bones does Paget's disease affect?
    skull, femur, tibia, pelvic bones, humerus, scapula, and vertebrae
  • preoperative management for hip surgery includes?
    evaluate cardiovascular, respiratory, kidney, & liver functions, neurovascular assessment, assess for leg edema, blood clot hx, pt education, infection preventi
  • what is paget's disease?
    disorder of bone remodeling
  • what is the post-op management for total hip replacement?
    proper alignment, preventing hip dislocation, promoting ambulation, preventing DVT, teaching self care
  • when should joint replacement be done?
    prior to muscle contraction, atrophy and structural abnormalities
  • what causes osteomyelitis?
    bacteria called Staphylococcus aureus
  • what is the post-op management for total knee replacement?
    compression banadage dressing, neurovascular assessment, continuous passive motion device, knee immobilizer, promoting ambulation
  • How is Paget's disease managed?
    NSAIDs, walking aids/PT, weight control, calcium & vitamin D, biphosphates, and calcitonin
  • medical management of osteomyelitis?
    antibiotics based on cultures, supportive therapy, immobilization of affected area, surgical debridement
  • how does someone get osteomyelitis?
    direct inoculation (open fracture), contiguos infection (foot ulcer overlying bone), hematogenous spread (bacteremia due to endocarditis)
  • what are the diagnostics for Paget's disease?
    serums labs- elevated alkaline phosphatase, x-rays, bones scans, bone scintigraphy, bone biopsy
  • what does proper alignment include for total hip surgery?
    hips higher than knees when sitting, hip precautions for 4+ months
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