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NR569 / NR 569 Final Exam Review Week 5-8 Differential Diagnosis in Acute Care Practicum Expected Questions and Verified Answers
- Bicipital Tendon Rupture: Long head of bicep tendon tears from proximal shoul-
der insertion, usually from lifting a heavy object. Sudden pain, swelling, bruising. (Popeye deformity)
- Lateral Epicondylitis: Sharp, radiating pain down outside of elbow, Pain occurs with extension
of wrist and gripping. May have weakness in forearm or weak grip, injury of the wrist extensor muscles
- Paxino's sign: Acromioclavicular sprain. Place hand over the shoulder, with the fingers on the
clavicle and the thumb on the back of the shoulder, then pinch. Pain is a positive sign. 1 / 2
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- Acromioclavicular sprain: Pain in clavicular area after direct trauma or exces- sive
pushing/pulling of upper extremity. Common in young males; typically associat- ed with fall with arm abduction. Pain increases with lying on arm, adduction/abduc- tion past 90, heavy lifting
- Spinal Stenosis: refers to the local, segmental, or generalized narrowing within the vertebral
spinal column by bony overgrowth and hypertrophic changes in the facet joints, intraspinal canal, lateral recess, neural foramen as well as through a thickening of the ligamentum flavum. typically slow and may worsen over months or years. Back pain that worsens with activity is common.Unilateral leg numbness or paresthesias may occur.
- Medial Epicondylitis: Sharp, radiating pain down inside of elbow, Pain occurs with
supination of forearm and gripping motions. May have weakness in hand or wrist, numbness or tingling in ring/little fingers. overuse injury of the wrist flexor muscles.
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