1/18 Flashcards
what term?
Irregular respiration pattern characterized by a period of apnea followed by gradually increasing depth of respirations
- common with depression of the cerebral hemisphere (e.g., coma), basal ganglia disease, occasionally with congestive heart failure.
Cheyne-Stokes respiratory pattern
what term?
Irregular respiration pattern characterized by highly variable respiratory depth and intermittent periods of apnea
Biot respirations
acute exercise, pt has COPD
what do you expect with incremental exercise?
elevated heart rates and blood pressures with incremental exercise
- increased hypoxemia
- compensatory response, and exercise can continue as prescribed with continued monitoring of vital signs.
what test for function of the patient’s longus colli and longus capitis?
craniocervical flexion test or the deep neck flexor endurance test
+ FADIR indicates?
hip anterior acetabular labral tears
- may also have groin pain
- MOI: rotational injury.
- painful clicking
what motions aggravate transient synovitis of hip?
IR and abduction
- also have active antalgic gait
what motions aggravate trochanteric bursitis?
- passive hip adduction
- resisted ER, abduction, extension (glutes)
- sidelying on involved side
trochanteric bursitis pop
age 40-60
removal of chest tube may result in what condition?
how to rule out condition prior to mobilization?
pneumothorax- collapsed lung, when air leaks into the space between your lung and chest wall
radiograph
what term?
heart rate reserve) x (%intensity) + (resting heart rate
karvonen formula, heart rate reserve HRR fomula
how to calculate HR max?
220-age
treatment for whiplash injury
- acute
- subacute
- long term
acute- modalities, stretch, pain management
subacute - cervical proprioception exercises, deep neck flexor strengthening
long term- change movement patterns with active exercise, increase the endurance of the type I fibers, improve cervical proprioception
what happens to muscle fibers after whiplash injury?
change in muscle fiber type from type I slow-twitch to type II fast-twitch in the deep cervical flexors
ultrasound which frequency has higher max temp
- 3 or 1 MHz?
- higher or lower intensity?
3MHz, less depth
higher intensity
what level SCI injury?
- dependent in bed mobility and transfers
- use a power wheelchair independently as the primary means of mobility
C1-4
what level SCI injury?
- able transfers and bed mobility with assistance OR dependent
- Power wheelchair mobility is the recommended mode of mobility, with modified independence as the highest level.
C5
what level SCI injury?
- transfers with some assistance
- likely to be able to perform bed mobility independently with assistance needed only for leg management at times.
- Manual wheelchair mobility will be possible over level surfaces, but assistance will be required over unlevel surfaces such as rough terrain and curbs.
C6
what level SCI injury?
- perform transfers with modified independence and may not need a transfer board.
- able to perform bed mobility without assistance
- wheelchair mobility over most surfaces, including ramps and rough terrain
C7-8
why perform valgus/varus stress test in 20deg knee flexion
isolate MCL or LCL
full extension would involve other ligaments
pathology? anterior shoulder pain \+ clunk test repetitive overhead throwing diagnosis?
SLAP lesion, labral lesion
magnetic resonance arthrogram
adhesive capsulitis - how to diagnose?
contrast arthrography radiograph
what pathology? diagnose with
anterior-posterior bilateral radiograph with weights
AC injury
characteristics of arterial wound
- wound on dorsum of the foot, lateral leg, or toes
- minimal edema initially, only if limb is held in a dependent position
- minimal exudate
- severe pain
- deep, punched out
- involving even tendon and bone.
characteristics of neuropathic ulcer?
- forefoot area, specifically on the metatarsal heads, toes, or over an area of increased weight-bearing that may be present because of a foot deformity.
- typically not found on the leg
characteristics of pressure injury
- over a bony prominence, such as the lateral malleolus or calcaneus.
- taut, shiny, hardened skin around the wound
- edema limited to that area.
characteristics of Venous wound
- irregularly shaped, large
- medial leg
- moderate-severe edema
- aching pain that worsens when the leg is in a dependent position and decreases when the leg is elevated
lesion of what CN
- diplopia
- compensate for the diplopia by tilting the head anteriorly and laterally toward the side of the normal eye
- cannot look down and in
- lead to torticollis
Trochlear CN 4, superior oblique muscle
lesion of what CN
- loss of taste
- paralysis of the muscles of facial expression
- loss of salivation and tear production
CN7 bells palsy
lesion of what CN
- hearing loss and vestibular symptoms,
- loss of balance,
- vertigo, nystagmus
- impaired ability to maintain gaze.
CN 8 vestibulocochlear nerve
lesion of what CN
- deviation of the tongue to weak side during protrusion of the tongue.
CN 12 hypoglossal nerve
what stage lymphedema?
- pitting edema
- edema reduced w elevation
- able to pinch skin on dorsum foot (- stemmers sign)
Stage 1 (reversible) lymphedema
what stage lymphedema?
+ stemmers sign
Stage 2 (spontaneously irreversible) or Stage 3 (lymphostatic elephantiasis) - inability to pinch a fold of skin over the dorsum of the foot
surgeries that are contraindications for postural drainage
spinal fusions
eye surgeries.
what MMT?
prone
glenohumeral joint at 90° of abduction and laterally (externally) rotated
apply resistance anteriorly
middle trapezius muscle
what MMT?
prone position with the shoulder extended, adducted, and medially (internally) rotated
latissimus dorsi
what MMT?
prone
arm at 90° of abduction and medial (internal) rotation of glenohumeral joint
resistance applied anterior
rhomboid major
what MMT?
prone position with the arm extended diagonally overhead and the shoulder is medially (externally) rotated
Lower trapezius
what diagnosis?
- child
- typically affects the T7–T10 region
- pain is worse with prolonged standing or sitting.
- posture is characterized by excessive thoracic kyphosis and lumbar lordosis
- active rotation in sitting position is painful
Scheuermann disease, Scheuermann’s kyphosis
- condition in which a child has too much curvature (or kyphosis) in the middle of the back.
- Kyphosis typically occurs during periods of accelerated growth.
major risk factor for compression fracture
osteoporosis, decreased bone mineral density
what region of spine does spondylolisthesis and disc issues occur?
lumbar
what are pros of Sensory-level electrical stimulation?
- can cover a large area
- effective for treating chronic pain
what dressing appropriate for a granular wound that is draining?
foam
collagen
calcium alginate
- all highly absorbent, good for granular wound
triceps innervation
nerve?
spinal nerves?
radial nerve (C7–C8)
deltoid and brachialis nerve innervation
nerve?
spinal nerves?
axillary nerve (C5–C6) musculocutaneous nerve (C5–C6)
supinatorinnervation
nerve?
spinal nerves?
radial nerve from the C6
Chorea-type movements are related to pathological condition of what part of brain?
basal ganglia
what devices can you PWB?
crutches
walker
- prefer least restrictive
intervention for Atelectasis
Deep breathing (diaphragmatic breathing) - common after abdominal surgery
