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Phys Dis > Amps & Burns > Flashcards

Amps & Burns Flashcards

1
Q

Forequater Amp

A

Loss of clavicle, scap and entire UE

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2
Q

Shoulder Disarticulation

A

Loss of entire UE

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3
Q

Elbow Disarticulation

A

Amp of UE distal to elbow joint

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4
Q

Wrist Disarticulation

A

Amp distal to wrist joint - loss og hand

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5
Q

Hemipelvectomy

A

Amp of 1/2 pelvis and entire LE

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6
Q

Transfemoral

A

Above-knee - at any level on thigh

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7
Q

Transtibial

A

Amp below knee at any level on calf - most common

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8
Q

Complete Tarsal

A

Ankle amp

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9
Q

Partial Tarsal

A

Amp of metatarsals/phalanges

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10
Q

Terminal Devices

A

Function to grasp; 2 main types are hook/hand. VO- Vol open means hook remains closed vs VC- Vol close means hook remains open

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11
Q

Neuromas

A

Complications w amps; nerve endings adhered to scar tissue - can be painful/hypersensitive

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12
Q

Pre-prosthetic Tx

A

Change of dominance acts if needed, ROM of uninvolved joints, prosthesis prep, desensitization, wrapping dist to prox to shape/shrink residual limb, ADL/skin care edu, counseling > phys/psych adjustment

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13
Q

Prosthetic Tx

A

Fx’al training with prosthesis, donning/doffing, increase wearing AT, phys/psych adjustment

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14
Q

Tx for LE Amp

A

Wrapping to shape/decrease swell of residual limb, desensitization, strengthening UE w triceps focus, transfer training>stand pivot, ADL training/LE dress, standing tolerance & w/c mobility

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15
Q

Superficial (1st degree) burn

A

Involves only epi; min pain/edema w no blisters, healing= 3-7days

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16
Q

Superficial Partial Thickness (2nd degree) Burn

A

Involves epi and upper portion of dermis (sunburn); appears red, blistering and wet; painful but heals on own in 7-21days

17
Q

Deep Partial Thickness (2nd degree) Burn

A

Involves epi and deep portion of dermis (hair follicles/sweat glands); appears red, white & elastic, sensation may be impaired; potential to become full thickness w infection; healing time 21-35days

18
Q

Full Thickness (3rd degree) Burn

A

Involves epi, dermis, hair follicles, sweat glands & nerve endings; appears white, waxy, leatherly & non-elastic; sensation absent/req skin graft; hypertrophic scar; healing can take months

19
Q

4th Degree Burn

A

Involves fat, muscle & bone; Electrical burn- destruction of nerve along pathway

20
Q

Method for assessing burn wound size

A

Rule of 9’s

21
Q

Superficial Partial Thickness (2nd degree) Burn Tx

A

Assess ROM 72hrs post-op & sensation/strength when wounds are healed. Wound care/sterile whirlpool, gentle AROM/PROM AT, edema control, splint if necessary, ADL/role acts

22
Q

Deep Partial Thickness (2nd degree) Burn Tx

A

Assess ROM 72hrs post-op & sensation/strength when wounds are healed. Wound care/sterile whirlpool, gentle AROM/PROM AT, edema control, splint if necessary, ADL/role acts &strengthening when wounds are healed

23
Q

Full Thickness (3rd degree) Burn

A

Assess ROM 5-7days post-op & sensation/strength when wounds are healed. 72hr= dress change/splint at all times; 5-7days= AROM, light ADL/occ & sterile whirlpool; Over 7days= PROM AT, ADL/occ; when wounds heal= massage, compression garments, otoform/elsatomer inserts & strengthening

24
Q

Ant neck burn anti-contracture positioning of neck flex

A

Remove pillows, half-mattress to extend neck, neck exten in splint or collar

25
Q

Axilla burn anti-contracture positioning of adduction

A

120 degrees aBduction w slight ex rot, axilla splint/positioning wedges, watch for signs of brachial plex strain

26
Q

Ant elbow burn anti-contracture positioning of flex

A

Elbow ex splint 5-10 degrees of flex

27
Q

Dorsal wrist burn anti-contracture positioning of wrist extension

A

Wrist support in neutral

28
Q

Volar wrist burn anti-contracture positioning of wrist flex

A

Wrist cock-up splint w 5-10 degrees of flex

29
Q

Dorsal hand burn anti-contracture positioning of claw hand deformity

A

Fx’al hand splint w MCP joints 70-90; IPs fully extended - 1st web open/thumb opposition

30
Q

Volar hand burn anti-contracture positioning of palmar contracture

A

Palm extension splint

31
Q

Volar hand burn anti-contracture positioning of cupping of hand

A

Myofascial pain syndrom in slight hyper extension

32
Q

Ant hip burn anti-contracture positioning of hip flex

A

Prone positioning; weights on thighs in supine; knee immoblizers

33
Q

Knee burn anti-contracture positioning of knee flex

A

Knee exten positioning and/or splints; prevent ex rot

34
Q

Foot burn anti-contracture positioning of foot drop

A

Ankle at 90 w foot board/splint - watch for heel ulcer

35
Q

Splint for burn to the hands

A

Wrist in 20-30 exten, MCP in 70 flex, IP in full exten & thumb abducted/extended

36
Q

Palmar exten splint

A

Used if burns to volar surface of hand develop flex contractures: Wrist in 0-30 exten, MCP in neutral to slight ex and abducted, IP in full exten, thumb abducted/extended

37
Q

Web-space burn

38
Q

Hypertrophic Scar

A

Deposits of excessive amounts of collagen which gives rise to a raised scar - most common w 2/3 degree; Appears 6-8wks after wound closure > comp garment 24hrs for 1-2yrs

Phys Dis (15 decks)

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