Conditions - Silver Flashcards
Cellulitis
Noncontagious bacterial skin infection occurring in the dermal and subcutaneous layers.
When there is compromise of skin barrier, bacteria can cause infection and spread to adjacent tissues and systematically through bloodstream and lymph system.
Recurrences common among patients with comorbidities that increase risk of infection (diabetes).
Visible signs of inflammation including localized redness, warmth, tenderness, and edema that progressively worsens. Red streaks leading away from primary site, weeping, and serious drainage. Systemic signs include fever, aches, chills, and swollen or tender lymph nodes.
PT can help with wound care, rest, and elevation, and palliative treatment.
Usually resolves within a few days with antibiotic intervention.
Chronic Fatigue Syndrome
Unknown etiology.
Criteria for dx includes hx of at least 6 months of unexplained, prolonged, and severe fatigue not relieved by rest. Accompanied by 4 of 8 symptoms including self reported memory or concentration deficits that interfere with daily activities, persistent or recurrent sore throat, painful or enlarged axillary or cervical lymph nodes, unexplained muscle pain, migrating joint pain without visible inflammation, complaints of malaise lasting more than 24 hours after physical or mental exertion, headache that exhibits changes in pattern or severity.
PT can help with relaxation techniques, energy conservation. Should begin with low-level, short duration exercise sessions with gradual progression. Avoidance of exercise can exacerbate activities.
May experience symptoms from 6 months to years.
Diastasis Recti
Splint in connective tissue (linea alba) between L and R side of rectus abdominis. Most common in pregnant and obese populations. Multiple pregnancies increase risk of development.
Clinical presentation includes abdominal weakness, decreased lumbar stability, and low back pain associated with altered mechanics.
Pt should be positioned in hooklying, ask pt to lift head and shoulders from floor. Palpable separation greater than 2 finger widths indicates presence of diastasis recti.
PT includes abdominal muscle support and corrective exercise intervention. Rehab may begin within 24 hours of delivery with diastasis that occurs during pregnancy. Pt should use towel or hands to facilitate approximation during exercise. Avoid abdominal crunches until separation less than 2 fingers. Rotational exercises should be avoided until no separation. Avoid moving from supine to long sitting (jack knife) and double leg lifts. May recommend abdominal binder. Limit lifting while healing.
Graves’ Disease
Hyperactive thyroid disorder. Unknown etiology but may be associated with stress, smoking, pregnancy, and family of disease. Most prevalent in women over 20 yo.
General complaints include heat intolerance, increased appetite, increased sweating, frequent bowel movements, physical fatigue, weakness, tremor, weight loss, and insomnia. Dyspnea with exertion, palpitations, tachycardia, and arrhythmias. Visual impairments. Increased anxiety, mental fatigue, and difficulty with concentration.
