HTHSCI 2F03 Lecture Notes - Lecture 12: Vastus Medialis, Metatarsalgia, Inguinal Ligament
26 Dec 2020
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Great toe deviates laterally @ mtp joint. Pressure of mtp against shoe bunion. Wt. bearing @ 2nd metatarsal head. Conservative: bunion pads, plastic wedge between great and second toes. Entrapment of lat. cutaneous nerve of thigh. Pain paraesthesia on the lateral thigh. Risk c obesity: compression by belts, underwear. Can occasionally be damaged in lap hernia repair. Patellar aching after prolonged sitting or climbing stairs. Popliteal swelling arising between the medial head of gastrocnemius and semimembranosus muscle. Pain from pressure on an interdigital neuroma between the metatarsals. Pain radiates to medial side of one toe and lateral side of another. Headphones deliver tones at different frequencies and strengths in a sound-proofed room. Pt. indicates when sound appears and disappears. Threshold at different frequencies are plotted to give an audiogram. Flat tympanogram: mid ear fluid or perforation. Auditory stimulus c measurement of elicited brain response by surface electrode. Used for neonatal screening (if otoacoustic emission testing negative)
