5.3 - PEAT Exam 1 (Section 3) Flashcards
Week 5, Wednesday
What does femoral antetorsion (anteversion) result in?
Increased IR ROM & decreased ER ROM
What is normal fasting blood glucose?
<100 mg/dL
What is an insulin pump?
A wearable device that supplies a continuous flow of rapid-acting insulin
Act as an alternative to multiple daily injections
Patient with an insulin pump is beginning an aerobic conditioning session. Patient’s current blood glucose level is 95 mg/dL. What should the therapist / patient do?
Reduce the insulin infusion dose
Insulin pump provides a continuous supply of insulin.
Normal fasting BG = <100 mg/dL
If patient continues at current rate, his BG would drop too low
Describe the function of the anterior band of the inferior GH ligament
Resists anterior translation in ER & >90 deg abd position
Describe how thoracic scoliosis can cause respiratory dysfunctions
R scoliosis –> inhalation restriction of the L ribs & compression of the L lung
R scolisois –> compression of the ribs on the side of the concavity & shortening of the intercostal muscles –> inhalation dysfunction (ribs don’t elevate during inhalation)
L lung would be compressed, decreasing lung volume
Which side does vertebral rotation occur with scoliosis?
Vertebral rotation towards the convex side
R scoliosis –> R rotation –> R rib hump
A patient with a hypertonic piriformis will also MOST likely have:
SI joint dysfunction
Limited hip extension
Anterior thigh paresthesia
Gluteus maximus weakness
SI Joint Dysfunction
- Tightness or spasm of the piriformis –> may have significant influence on the SI joint
Glute max weakness - not the MOST likely event. But is one of the classic finding in piriformis syndrome
Describe the clinical presentation of GBS
Symmetric paralysis & paresthesia
Sx begin distally & quickly progress proximally (over hours to days)
Severe pain
Fatigue
Autonomic dysfunction can occur - cardiac arrhythmias, HTN, Gi dysmotility, urinary retention
Involvement of respiratory muscles may require artificial ventilation
ALS
What is it?
Clinical Presentation
Diagnosis
Prognosis
A progressive neurodegenerative disease that affects UPPER & LOWER MOTOR NEURONS
Clinical Presentation:
- Present w/ both UMN & LMN degeneration / signs
- UMN signs - hyperreflexia, spasticity, weakness
- LMN signs - atrophy, hyporeflexia, weakness, fasciculations
- Sx begin distally in extremities & progress proximally
Diagnosis
- A dx of exclusion
Prognosis:
- Eventually leads to paralysis & death
- Mean survival is 2-5 years
Describe the “bulbar” variant of ALS
- UMN or LMN signs of the corticobulbar tract
Present predominantly with difficulty swallowing & speech
A patient has sensory deficits to pin-prick and muscle weakness in the median nerve distribution. Based on these findings, what should be expected with testing of median N conduction velocity and latency?
Increased latency
Decreased nerve conduction velocity
Ball tossed to a child for standing balance. Is this reactive or anticipatory postural control?
Anticipatory postural control
Patient is counteracting a predicted or anticipated postural disturbance
Fetal Alcohol Syndrome
Describe the clinical presentation
Common impairments / deficits
Clinical Presentation:
- Craniofacial abnormalities - small eye slits, flat midface, short nose, indistinct philtrum, thin upper lip
- Prenatal & postnatal growth retardation
- Intellectual disabilities
Common impairments / deficits:
- Balance deficits
- Fine motor dysfunction
- Visuomotor deficits
- Weak grasp
What is a “stocking-glove” numbness pattern indicative of?
diabetic neuropathy
