Ace Your Musculoskeletal System Classes and Exams with Picmonic: #1 Visual Mnemonic Study Tool for Nurse Practitioner (NP) Students
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Musculoskeletal System | Nurse Practitioner (NP) School Study Aid
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
Rheumatoid Arthritis Assessment
- Mechanism
- Destruction of Connective Tissue and Synovial Membrane
- Signs and Symptoms
- Inflammation of Joints
- Morning Stiffness
- Nodules
- Joint Deformities
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
Osteoporosis Assessment
- Highest Risk
- Postmenopausal Women
- Long Term Corticosteroids
- Assessment
- Kyphosis
- Dowager's Hump
- Loss of Height
- Back Pain
- Pathologic Fractures
- Spinal Compression Fracture
1 min
Osteoporosis Interventions
- Increased Calcium Intake
- Vitamin D Supplements
- Bisphosphonates
- Raloxifene
- Denosumab
- Calcitonin
- Teriparatide
- Bone Densitometry (DEXA) Scan
- Weight Bearing Exercises
2 mins
Osteomyelitis
- Cause/Mechanism
- Bone Infection
- Assessment
- Warmth
- Edema
- Constant Bone Pain
- Fever
- Interventions
- IV Antibiotics
- Implanted Beads
- Hyperbaric Oxygen
- Surgical Removal of Ischemic Tissue
- Considerations
- Elevated ESR
3 mins
Scoliosis
- Assessment
- S Shaped Lateral Spinal Rotation
- Unequal Shoulder and Scapula Height
- Uneven Gait
- Impaired Oxygenation
- Hump when Bending Forward
- Interventions
- Body Braces
- Worn 23 Hours/Day
- Surgery
- Considerations
- Adolescent Screening
3 mins
Muscular Dystrophy
- Mechanism
- X-linked Recessive
- Signs and Symptoms
- Muscle Weakness
- Motor Problems
- Gower Sign
- Large Calves
- Waddling Gait
- Loss of Ambulation
- Consideration
- Cardiac and Respiratory Failure
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
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
Pseudogout
- Pathophysiology
- > 50 Years Old
- Arthritis of Large Joints (Classically the Knee)
- Calcium Pyrophosphate Crystals
- Diagnosis
- Positively Birefringent
- Chondrocalcinosis (On X-ray)
- Treatment
- NSAIDs
- Colchicine
- Steroids
1 min
Osteogenesis Imperfecta
- Pathophysiology
- Autosomal Dominant
- Decreased Type I Collagen Production
- Symptoms
- Phenotypically Diverse
- Brittle Bone Disease
- Fractures from Minimal Trauma
- Confused with Child Abuse
- Hearing Loss
- Dental Imperfections
- Blue Sclera
1 min
Ehlers-Danlos Syndrome Disease
- Pathophysiology
- Faulty Collagen Synthesis
- Autosomal Dominant or Recessive
- Various Severities
- Signs and Symptoms
- Hypermobile Joints
- Hyperextensible Skin
- Easy Bruising/Bleeding
- Berry (Saccular) Aneurysm
- Considerations
- Brighton Criteria
2 mins
Ehlers-Danlos Syndrome Types
- Types
- Types 1 and 2 - Classical
- Type V Collagen Mutation
- Joints and Skin
- Type 3 - Hypermobility
- Most Common
- Tenascin X Deficiency
- Joint Instability
- Type 4 - Vascular
- Type III Collagen Mutation
- Vascular and Organ Rupture
2 mins
Osteosarcoma
- Pathophysiology
- Osteogenic Sarcoma
- Peak incidence men 10-20 years old
- Metaphysis of Long Bones
- Knee Region
- Radiation
- Familial Retinoblastoma
- Paget's Disease
- Diagnosis
- Codman Triangle
- Sunburst Pattern from Elevated Periosteum
- Grave Prognosis
2 mins
Giant Cell Tumor
- Pathophysiology
- Osteoclastoma
- Epiphyseal End of Long Bones
- Peak Incidence 20-40 Years
- Benign
- Knee Region
- Diagnosis
- Soap Bubble Appearance on X-ray
- Spindle-shaped Cells
- Multinucleated Giant Cells
46 secs
Ewing's Sarcoma
- Epidemiology
- Most Common in Boys < 15 years old
- Pathophysiology
- 11;22 Translocation
- Characteristics
- Long bones, Pelvis, Ribs
- Diaphysis
- Small Blue Cells
- Malignant
- Aggressive
- Onion-skin Appearance
- TREATMENT
- Responsive to Chemotherapy
2 mins
Chondrosarcoma
- Pathophysiology
- Cartilaginous tumor
- Malignant
- Men 30-60 years old
- Pelvic and femur bones
- Signs & Symptoms
- Glistening mass in medullary cavity
- Can be primary in origin or from osteochondroma
- Metastasize to lungs
1 min
Marfan Syndrome
- Mechanism
- Fibrillin-1 Mutation
- Symptoms
- Autosomal Dominant
- Tall
- Arachnodactyly
- Pectus Excavatum
- Hypermobile Joints
- Aortic Aneurysm And Dissection
- Mitral Valve Prolapse (MVP)
- Subluxation of Lens (Superior)
2 mins
Baker's Cyst
- Pathophysiology
- Due To Enlargement of Bursa Between Gastrocnemius and Semimembranosus Muscles
- Often Related to Rheumatoid Arthritis or Osteoarthritis
- Clinical Manifestations
- Often Asymptomatic
- Mass or Swelling Behind Knee
- Acute Pain If Rupture
- Crescent Sign
- Diagnosis
- Ultrasound
- Management
- Treat Underlying Condition
- Arthrocentesis
- Glucocorticoid Injection
4 mins
Polymyalgia Rheumatica
- General Characteristics
- Proximal Muscle Pain
- Normal Muscle Strength
- Morning Stiffness
- Age Over 50
- Associated With Temporal Arteritis
- Diagnosis
- Elevated ESR, CRP
- Normal CK
- Management
- Corticosteroids
4 mins
Poliomyelitis
- Characteristics
- Poliovirus
- Picornavirus
- Fecal-Oral Transmission
- Destruction of Anterior Horn
- Clinical Features
- Flaccid Paralysis
- Hyporeflexia
- Fasciculations
- Diagnosis
- Elevated CSF Lymphocytes and Proteins
- Normal CSF Glucose
- Viral Culture or PCR
- Management
- Supportive Care
- Vaccination
3 mins
Osteochondroma
- Characteristics
- Most Common Benign Bone Tumor
- Males Under 25
- Cartilage-capped Spurs
- Metaphysis of Long Bones
- Small Risk of Chondrosarcoma
- Clinical Features
- Painless Mass near Joint
- Painful if Growing or Malignant
- Workup
- X-Ray
- MRI if Concern for Malignancy or Functional Limitation
- Management
- Monitoring
- Surgery
3 mins
Medial Epicondylitis (Golfer's Elbow)
- Characteristics
- Overuse Injury of Flexor Tendons
- Wrist Flexion
- Forearm Pronation
- Pain over Medial Epicondyle
- Management
- Conservative Management
- Injections
- Surgery
1 min
Lateral Epicondylitis (Tennis Elbow)
- Characteristics
- Overuse Injury of Extensor Tendons
- Wrist Extension
- Forearm Supination
- Pain over Lateral Epicondyle
- Management
- Conservative Management
- Surgery
- Injections
1 min
Chorea and Athetosis
- Characteristics
- Sudden Jerky Movements
- Athetosis
- Snake-like, Writhing Movements
- Basal Ganglia Lesions
- Associations
- Huntington's Disease
- Acute Rheumatic Fever
- Management
- Treat Underlying Disorder
- Tetrabenazine
1 min
Prepatellar Bursitis
- Etiologies
- Repetitive Trauma on Flexed Knee
- "Housemaid's Knee"
- Symptoms
- Pain
- Erythema
- Complications
- Septic Bursitis
- Staphylococcus aureus
- Diagnosis
- Aspiration
- Management
- NSAIDs
- Antibiotics
2 mins
Plantar Fasciitis
- Characteristics
- Inflammation of Plantar Fascia
- Symptoms
- Heel Pain
- Worse in Morning and with Dorsiflexion
- Treatment
- Lifestyle Changes
- NSAIDs
- Glucocorticoids
- Surgery as Last Resort
2 mins
Ganglion Cyst
- Characteristics
- Benign
- Fluid-filled Swelling
- Water Balloon on a Straw
- pathophysiology
- Herniation of Dense Connective Tissue
- Location
- Dorsal Side of Wrist
- Treatment
- Observation
- Surgery
- Considerations
- Resolves Spontaneously
1 min
