PHYSICIAN
ASSISTANT
PROGRAM

CLINICAL YEAR 2005-2006
STUDY GUIDES

Jefferson College of Health Sciences
Roanoke, VA
General Orthopedics Rotation

  • For the following medical conditions or disease processes, understand the

    • physiology and epidemiology

    • clinical presentation, acute and chronic

    • laboratory and diagnostic findings

    • treatment

    • management, pharmacological and non-pharmacological

    • prevention

  • Resources: first-year lectures, required reading, preceptor’s materials, PANCE review books, the Blueprint series, and Uptodate.com

Diseases and Disorders of the Musculoskeletal System

Disorders of the Shoulder

  • Fractures and dislocations
  • Rotator cuff disorders
  • Separations
  • Sprains and strains

Disorders of Forearm, Wrist, Hand

  • Fractures and dislocations
    • Boxer’s
    • Colles
    • Gamekeeper’s thumb
    • Humeral
    • Nursemaids elbow
    •  Scaphoid
  • Sprains and Strains
  • Tenosynovitis
    • Carpel tunnel syndrome
    • De Quervain’s tenosynovitis
    • Elbow tendonitis
    • Epicondylitis

Disorders of the Back and Spine

  • Ankylosing spondylitis
  • Back strain and sprain
  • Cauda equina
  • Herniated nucleus pulposus
  • Kyphosis, scoliosis
  • Low back pain
  • Spinal stenosis

Disorders of the Hip

  • Aseptic necrosis
  • Fractures and dislocations
  • Slipped capital femoral epiphysis

Disorders of the Knee

  • Baker’s cyst
  • Bursitis
  • Fractures and dislocations
  • Meniscal injuries
  • Osgood-Schlatter disease
  • Sprains and strains

Disorders of the Ankle and Foot

  • Fractures and dislocations
  • Sprains and strains

Infectious diseases

  • Acute and chronic osteomyelitis
  • Septic arthritis

Neoplastic disease

  • Bone cysts and tumors
  • Ganglion cysts
  • Osteosarcoma

Osteoarthritis; Osteoporosis

 

Rheumatic Conditions

  • Fibromyalgia
  • Gout and pseudogout
  • Juvenile rheumatoid arthritis
  • Polyarteritis nodosa
  • Polymyositis
  • Polymyalgia rheumatica
  • Reiter’s syndrome
  • Scleroderma
  • Sjögren’s syndrome
  • Systemic lupus erythematosus
.
Know the indications, contraindications, and side effects associated with the following drug groups:

  • salicylates

  • NSAID agents: COX-1 and COX-2

  • steroids

  • muscle relaxants

  • antibiotics commonly used in orthopedics

  • narcotics

  • DMARDs

  • acetaminophen

  • Describe the use of supportive and corrective devices.

  • Be able to prescribe and refer for rehabilitation:

  • physical therapy - cold, heat, ultrasound

  • exercises

  • occupational therapy

  • Identify indications for the following:

  • artificial joint replacement

  • operative placement of wires, pins, and plates

  • Provide service and counseling for the following preventive measures:

  • pre-participation screening

  • conditioning and training

  • injury prevention.

  • Perform the skills for the following:

  • fractures—simple, stable, closed, and nondisplaced

  • sprains and strain

  • Be familiar with the following procedures (indications, contraindications, interpretation):

  • joint aspiration

  • joint and musculoskeletal injections

  • wrapping and taping

  • splint application

  • plaster and fiberglass casts

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