Charlotte Shared "ortho" - 31 Picmonics
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ortho
Amputation
- Indications
- Trauma
- Peripheral Vascular Disease
- Diabetes Complications
- Considerations
- Gentle Handling
- Surgical Tourniquet at Bedside
- Prevent Contractures
- Frequent Inspection
- Compression Bandages
- Phantom Pain
- Mirror Therapy
2 mins
Herniated Disc (Nucleus Pulposus)
- Cause/Mechanism
- Spine Trauma
- Natural Degeneration
- Spinal Stenosis
- Assessment
- Pain
- Weakness
- Urinary and Fecal Incontinence
- Interventions
- Brace
- Medications
- Outpatient Procedures
- Surgery
2 mins
Neurovascular Assessment 6 P's
- Pain
- Paresthesia
- Pulse
- Pallor
- Pressure
- Paralysis
1 min
Hip Surgery
- Neurovascular Assessment
- No 90 Degree Hip Flexion
- No Adduction
- No Internal Rotation
- Avoid Turning on Affected Side
- Considerations
- Thromboembolism Prevention
2 mins
Hip Fracture
- Assessment
- External Rotation
- Muscle Spasms
- Shortened Leg
- Pain
- Interventions
- Buck's Traction
- Analgesics
- Surgery
- Considerations
- Avascular Necrosis
1 min
Types of Fractures
- Nondisplaced
- Displaced
- Incomplete
- Complete
- Closed
- Open
- Direction of Fracture Line
2 mins
Sizing Crutches
- 3 Finger Widths
- 6 Inches Lateral From Heel
- 30 Degree Flexion
- Tripod Position
1 min
Total Knee Replacement (TKR)
- Indications
- Joint Pain (Uncontrolled)
- Impaired Mobility
- Considerations
- Compression Dressing
- Frequent Neurovascular Assessments
- Continuous Passive Motion (CPM) Devices
- Early Ambulation
- Venous Thromboembolism (VTE) Prophylaxis
- Limit Flexion Positions
- Monitor for Infection
2 mins
Osteoarthritis
- Mechanism
- Articular Cartilage Destruction
- Biomechanical Stress
- Aging
- Signs and Symptoms
- Asymmetric
- Pain Decreases with Rest
- Morning Stiffness Under 30 Minutes
- Crepitus
- DIP and PIP Joints
- Treatment
- Lifestyle Changes
- Acetaminophen or NSAIDs
2 mins
Osteoarthritis Assessment
- Mechanism
- Aging
- Articular Cartilage Destruction
- Biomechanical Stress
- Signs and Symptoms
- Asymmetric
- Pain Decreases with Rest
- Morning Stiffness under 30 Minutes
- Crepitus
- DIP and PIP Joints
1 min
Osteoarthritis Interventions
- Lifestyle Modifications
- Balance Rest and Activity
- Therapeutic Exercise
- Heat and Cold Applications
- Drug Therapy
- Intra-articular Injection
- NSAIDs
- Considerations
- Reconstructive Joint Surgery
1 min
Rheumatoid Arthritis Interventions
- Lifestyle Modifications
- Heat and Cold Applications
- Therapeutic Exercise
- Balance Rest and Activity
- Drug Therapy
- NSAIDs
- DMARDs
- Glucocorticoids
- Considerations
- PT/OT
- Reconstructive Joint Surgery
2 mins
Gout Disease
- Acute Inflammatory Monoarthritis
- Epidemiology
- Primarily in Males
- Pathophysiology
- Precipitation of Monosodium Urate Crystals
- Underexcretion of Uric Acid
- Overproduction of Uric Acid
- Negatively Birefringent, Needle-Shaped
- Symptoms
- Swollen, Red, Painful Joint
- Asymmetric Joint Distribution
- Podagra
- Tophus
- After Large Meal or Alcohol
2 mins
Gout Treatment
- Acute (Acute-angle)
- NSAIDs
- Glucocorticoids
- Colchicine
- Impairs Leukocyte Chemotaxis
- Chronic Gout (Crone Goat)
- Inhibit Xanthine Oxidase
- Allopurinol
- Febuxostat
- Inhibit Reabsorption of Uric Acid
- Probenecid
1 min
Systemic Lupus Erythematosus (SLE) Interventions
- Avoid Sunlight
- Drug Therapy
- Glucocorticoids
- Methotrexate
- NSAIDs
- Hydroxychloroquine
- Azathioprine
- Considerations
- Monitor for Renal Failure (ARF)
- Manage Pain
2 mins
Systemic Lupus Erythematosus (SLE) Assessment
- Mechanism
- Multisystem Inflammatory Disorder
- Assessment
- Malar Rash
- Discoid Rash
- Arrhythmias
- Arthritis
- Hemolytic Anemia
- Seizures
- Glomerulonephritis
- Considerations
- Periods of Exacerbation and Remission
- Diagnosed by ANA (Anti-nuclear antibody assay)
2 mins
Rheumatoid Arthritis Assessment
- Mechanism
- Destruction of Connective Tissue and Synovial Membrane
- Signs and Symptoms
- Inflammation of Joints
- Morning Stiffness
- Nodules
- Joint Deformities
1 min
Scleroderma Basis
- Exposure to silica dust, organic solvent and vinyl chloride
- Viral infection such as cytomegalovirus, Parvovirus B19
- Sclerosis (hardening or stiffening of the tissue) of the skin
- Triad of 1) autoimmunity
- Triad of (2) Non-inflammatory vasculitis (caused by injury to blood vessel )
- Triad of (3) Collagen deposition + fibrosis (normal tissue replaced by collagen with fibrosis)
- Blood vessel damage and fibrosis which reduce blood flow lead to Ischemic tissue damage.
- Manifest as puffy, taut skin without wrinkles
- Fingertip pitting
- Renal crisis treat ACE inhibitor
- Pulmonary (intestinal fibrosis Hypertension)
- 75% women (3 times more common in woman than men)
- GI (esophageal dysmotility and reflux)
- Cardiovascular
2 mins
Diffuse Scleroderma
- Widespread skin involvement with rapid progression
- Early visceral involvement (Internal organs like heart)
- Anti-Scl-70 Antibody (anti-DNA topoisomerase-I antibody)
- Anti-RNA Polymerase III (ARA)
- Larger area of skin with much severe symptoms
1 min
Systemic Scleroderma (SSc)
- Raynaud's phenomenon
- Cardiac Sx. portend poor prognosis
- Diffuse Cutaneous (dcSSc) Type
- ILD (MCC Death)
- Scleroderma Renal Crisis (SRC)
- Mgmt: ACEIs
- Anti-Topoisomerase, Anti-RNApIII, Anti-nuclear Antibodies
- Limited Cutaneous (lcSSc) Type (CREST Syndrome)
- PAH (MCC Death)
- GERD
- Anticentromere antibodies
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