DAY10 Flashcards
normal hip flexion using passive ROM…
measured by goniometer.. 120 degrees
normal shoulder flexion using passive ROM..
180 degrees…
restricted knee flexion using passive ROM..
this means less than normal … which is 120 degrees..
arm is abducted (away from body) to shoulder height and the elbow is flexed.. ROM for internal rotation of the shoulder…
90 degrees..
normal forearm supination and pronation using active ROM..
important to know where neutral is… 90 degrees from neutral..
loose connective tissue with elastic and adipose tissue.. lubricate joint cavities..
synovial membrane..
serous membrane - closed body cavities..
mucous membrane - linings to cavities that are open to the exterior
cutaneous membrane - covers outside of body
serous membrane..
pericaridal, peritoneal, pleural.. closed body cavities..
skull xray evaluates..
skull bones and paranasal sinuses.. bone is white and space is black..
low blood chloride levels are due to..
severe vomiting and diarrhea.. this causes electrolyte embalances
alpha beta blocker that is used to treat severe hypertension…
trandate labetalol…
beta blocker - olol
excess triglycerides are deposited in..
fatty tissues…
excess triglycerides are seen as fatty deposits under the skin called xanthoma…normal triglyceride levels are 150 or lower..
connect one bone to another bone..
ligaments..
bone to muscle.. tendons
muscle to muscle.. fasciae
injury of muscle or tendon..
strain… bone to muscle is tendon..
joint out of position and rupture of supporting ligament
sprain… (ligament is bone to bone)
grade II ankle sprain.. (ligament)
larger but incomplete tear..
I. stretching small tear
III. complete tear
most common injured ligament in the fooot..
Anterior Talofibular ligament (Always Tears)…outside of the ankle..
inside of foot.. tibiocalcaneal ligament..
test for urolithiasis..
urinalysis.. renal CT.. renal ultrasonography.. best test is CT.. MRI is NOT USED for stones
which drug slows down RA progression..
- nsaids
- chochicine
- allopurinol
- DMARD
DMARD is Disease Modifying Anti Rheumatic Drug..
others are for Gout..acute and chronic
heberdens node..
Heberedens in DIP joints…
Bouchards in PIP joints… HD and BP..
patient with ulnar deviation of the metacarpophalangeal joints..
RA
hyperextension of PIP joints with flexion of DIP joints..
swan neck deformity..
flexed PIP joints and extended DIP joints..
boutonniere deformity..
joint pain worse with activity and weight bearing but imporve with rest, stiff joints, restricted joint motion, crepitus, herbeden and bouchard nodes..
osteoarthritis
symmetric joint swelling morning stiffness>1 hour, pain in wrist, MCP and PIP joints, boutonniers and swan neck deformtiy
RA
swollen tender and warm joints with sudden onset, podagra in 1st MTP joint, Tophi
gout
hip pain, lower back pain that worsens with inactivity and in the morning, radiography shows fused sacroiliac joint with BAMBOO spines
ankylosing spondylitis
WBC very high over 80,000…
septic arthritis..
hormone secreted by the kidneys that increases the rate of production of RED BLOOD CELLS in response to falling levels of oxygen in the tissues..
- cholecystokinin
- gastrin
- erythropoietin
- human chorionic gonadotropin
- ERYTHROpoietin
gastrin stimulate secreting pepsinogen
CHOLEcystokinin stimulate emptying of the bile
Human Chorionic Gonadotropin is produced by the embryo following implantation
produced by the placenta to help feed the growing baby
hCG
treatment for infectious mononucleosis (result of EBV)
rest during the acute phase.. there is no real treatment..
menstrual cramps are a result of …
prostaglandins.. which is why NSAIDs help.. that stop the production
COX-2 inhibitors reduce inflammation… but they also..
reduce COX-1 which is GI protection so a side effect is GI bleeding…
COX 2 inhibitors..
celebrex (celcoxib), VIOXX (fofecoxib), Bextra (Valdecoxib)
federal program that covers people over 65..
medicare.. medicaid is a state and federal…
afer you treat a refered patient your responsibility..
send a report expaong your AOM evaluation and treatment to the referring physician..
bone, cartilage, blood, adipose tissue…
connective tissue..
miosis.. (excessive constriction of the pupil)..
heroin.. opioids..
dilation of pupils..
amphetamines, cocaine, LSD
Schedule II drugs…
accepted medical use with SEVERE restrictions with high potential for abuse..(aderol, rialyn)
Schedule 1.. NO ACCEPTED MEDICAL USE, high potential for abuse.. (marijuana falls into this category Federally)
Schedule 3. accepted medical use with MODERATE to low potential for abuse (codeine percoset)
Schedule 4. accepted medical use with POTENTIAL for abuse, but less than 3
Schedule 5. Accepted medical use with low potential for abuse. (antitussive, anti diarrheal).. in TX anti tussive are now Schedule 3.