A 36-year-old reports pain and weakness in the elbow. MRI reveals inflammation of the tendon and the presence of microtears where it attaches to bone. This condition is called:
a. periostitis.
b. muscle strain.
c. bursitis.
d. epicondylopathy.
ANS: D
When force is sufficient to cause microscopic tears (microtears) in tissue, the result is known as epicondylopathy. Such an injury is not referred to as periostitis which involves the presence of inflammation. Muscle strain is local muscle damage that occurs when the muscle is stretched be-yond capacity. Bursitis is inflammation of the bursae.
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You have been called for a "drunk" male patient at a halfway house known to provide living quarters to persons with drug and alcohol problems. Residents tell you that the patient is a heavy drinker and must have had too much last night. This morning he was found "passed out" with alcohol on his breath. Quick assessment of the scene reveals the patient to be prone on a dirty bed in a room littered with liquor containers. Aside from the alcohol, which of these observations would be most significant to the EMT?
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