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Phys Dys > Deformities/ Disease/Syndrome > Flashcards

Deformities/ Disease/Syndrome Flashcards

0
Q

2nd degree burns aka…

A

Superficial partial thickness

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1
Q

Healing time for 1st degree burns

A

3-7days

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2
Q

Full thickness burn aka…

Symptoms

A

3rd degree
White waxy leathery
Pain free
Requires skin graft

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3
Q

For deep partial thickness burns, what position do we want to prevent?

A

Positions of comfort- nonfunctional n results in contractures

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4
Q

What is the desired position for burns

A

Anti deformity

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5
Q

Multiple sclerosis

A

Slowly progressive CNS demyelination

Symptoms: Clumsiness, vertigo, bladder dysfunction, inattention, paresthesia, fatigue, slurred speech, ED

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6
Q

Guillane barre

A

Motor neurons become scar tissue which leads to muscle atrophy.
Rapid progression of PNS demyelination
Distal sensory loss
Recovery is 2-4weeks

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7
Q

Duchennes muscular dystrophy

A

Leg muscles go first
Weakness of proximal joints
Gowers sign “she twerking”
Rarely survive pass 20s due to respiratory n cardiac problems

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8
Q

Limb girdle

A

Slow progression

Pelvic and shoulder proximal muscles are first

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9
Q

Arthrogryposis multiplex congenita

A

Weakness deformities contractures

Hol up dance

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10
Q

Fascioscapulohumeral

A

Early adolescence
Mask like appearance
Face upper arm and scapula affected

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11
Q

Difference between myopathy and dystrophy

A

Myopathy- abnormal muscle function, progress slowly

Dystrophies- muscle weakness, fast progression

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12
Q

Myasthenia gravis

A

Episodic muscle weakness
Cranial nerves affected
ACH receptors blocked so nerve and muscles disrupted
Ptosis

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13
Q

Flexor tendon repair: kleinert protocal

A

Passive flexion using rubber band traction and active extension

0-4weeks: dorsal block splint
4-7weeks: dorsal splint, wrist neutral
6-8weeks: AROM, no splint, tend glidin
8-12weeks: strengthen, leisure

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14
Q

Flexor tendon repair: duran protocol

A

Passive flexion n extension of digit

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15
Q

Difference between dupuytrens and trigger finger

A

Dup- contracted fascia

Trigg- thickening of tendon

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16
Q

CTS vs pronator teres syndrome

A

Cts- median nerve at wrist

Pts- median nerve at forearm

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17
Q

Guyons canal vs cubital tunnel syndrome

A

Guyons- ulnar nerve at wrist

Cubital- ulnar nerve at elbow

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18
Q

Is median nerve laceration ape or claw hand?

A

Ape

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19
Q

Is radial nerve laceration claw hand or wrist drop?

A

Wrist drop

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20
Q

Parkinsons symptoms

A 
Tremor pill rolling
Rigidity
Akinesia
Decreased posture
Mask Like facial expression
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21
Q

Werdnig hoffman

A

Infant spinal muscle atrophy

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22
Q

Charcot marie tooth

A

Progressive peripheral nerve weakness, primarily distal legs

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23
Q

Huntington’s symptoms

A

Chorea
Progressive intellectual deterioration
Psych disturbances

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24
Q

Friedrich’s ataxia

A

Unsteady gait, dysarthria, loss of large sensory fibers, scoliosis and cardiomyopathy are common

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25
Q

ALS

A

Progressive degeneration of CST and anterior horn cells
More prevalent in men; Death usually occurs
Muscle atrophy, begins distally
Dysarthria and dysphagia

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26
Q

What is the purpose of baclofen?

A

Counteract spasticity

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27
Q

CRPS 1 symptoms

AKA

A

Causalgia- burning pain, hypersensitive to light touch, sweating
Reflex Sympathetic Dystrophy

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28
Q

HERPES ZOSTER

AKA

A

Inflammation of posterior root ganglion

Shingles

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29
Q

Tonic clonic seizure

Aka

A

Grand mal

Most common, aura, tonic phase then clonic phase

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30
Q

Absence seizure

A

Brief loss of consciousness

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31
Q

Decorticate rigidity

A

UE- spastic flexed, internal rotation, ADduction

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32
Q

Decerebrate rigidity

A

UE AND LE- spastic extension, ADduction, internal rotation

33
Q

Name 2 types of dementia

A

Alzheimers
Vascular
Frontotemporal
Lew bodies

34
Q

Radial tunnel syndrome

A

Radial nerve Compression at proximal forearm felt along lateral forearm

35
Q

Pronator syndrome

A

Medial nerve compression along medial aspect of forearm

36
Q

What stage of Alzheimers requires physical and verbal assist to complete ADLs?

A

3

37
Q

At what Alzheimer’s stage are one step commands needed?

A

4

38
Q

Glaucoma

A

Peripheral vision loss

39
Q

Stress loading programs are primarily used for what diagnosis?

A

CRPS

40
Q

For crps would we use Arom or Prom?

A

AROM

41
Q

Dupuytrens Tx

A 
Wound care
Edema control
Extension splint
ROM then strengthening 
Scar management
42
Q

What is injured in skiers thumb

A

Ulnar collateral ligament at mcp of thumb

43
Q

CRPS Symptoms

A 
Pain
Vasomotor changes
Discoloration 
Edema
OA
Temp changes
44
Q

CRPS Tx name3

A 
Pams
AROM
Edema management 
Pain free ADLs
Stress loading/ joint distraction 
Splint
45
Q

What is a boxers fracture and what splint to use?

A

5th metacarpal

Ulnar gutter splint

46
Q

Name 3 types of fractures

A 
Colles
Smiths
Comminuted
Greenstick
Impacted
Transverse
Oblique
Spiral
47
Q

When evaluating a fracture how do we assess ROM

A

AROM. Don’t do PROM or strength until doctor orders

Except humerus fractures

48
Q

What does finkelsteins test for

A

Dequervains

Pain and swelling over radial styloid

49
Q

Dequervains Tx

A

Thumb spica, IP free
Activity modification
Ice massage
Gentle AROM

50
Q

What injuries do you use kleinart and duran protocol for?

A

Flexor tendon repairs

51
Q

Kleinart protocal progression

A

Dorsal block splint
Place hold and tendon gliding exercise
D/c splint
Strengthening

52
Q

What causes wrist drop?

Benediction sign?

A

Radial nerve laceration

High median nerve injury

53
Q

What causes claw hand?

Ape hand?

A

Ulnar nerve laceration

Distal median nerve injury

54
Q

Frozen shoulder aka..

A

Adhesive capsulitis

55
Q

Hip precautions

A 
Do not
Flex pass 90
Adduct or cross legs
Internal rotate
Pivot hip

Use raised seats

56
Q

Name 3 pre prosthetic treatments for amputations

A 
Change dominance
Desensitization
Wrapping
Counseling
Educate in skin care
57
Q

Name 3 Tx for pain

A 
Pams
Massage
Proper positioning
Splint
ROM
Relaxation techniques 
Body mechanics
Correct posture
Modify activity
Exercise program
58
Q

An injury to a spinal or peripheral nerve can result in motor or sensory impairment or both?

A

Both

59
Q

Colles n smiths fracture

A

Colles dorsal displacement

Smiths palmar displacement

60
Q

Name 4 cumulative trauma disorders

A 
Tendonitis
Nerve root impingement 
OA
Thoracic outlet syndrome
Rotator cuff
Bursitis
Epicondylitis 
Cubital tunnel
Carpal tunnel
Dequervain
61
Q

What is meant by no mans land and what zone is it in?

A

Difficult for tendon gliding without scarring

2

62
Q

Why is pregnancy a cause for CTS ?

A

Fluid retention endocrine malfunction

63
Q

What is the 1st wound healing phase?

A

Inflammatory

64
Q

Which wounds heal the slowest?

A

Circular

65
Q

What are factors that slow down wound healing process?

A 
Necrotic tissue
Infection
DM
HIV
Old age
Meds
Atherosclerosis
66
Q

Name 4 OT oncology Tx’s

A 
Energy conservation
I in ADLs
Adaptive equipment
Psychosocial support
Caregiver training
Sensory education
Scar management
WC education
Lymphedema management 
PAMs
67
Q

Whats the opposite of froments sign?

A

Jeannes sign- hyperextension of thumb ip when pinching

68
Q

Which hepatitis are healthcare workers most susceptible to?

A

B

69
Q

Flail arm splint
Vs
Elbow lock splint

A

Fas- stables the shoulder n elbow

Els- stables the elbow

70
Q

Festinating gait

A

Small rapid steps, forward tilted head and trunk

71
Q

Describe postural instability seen in Parkinsons

A

Stooped, no arm swing during mobility, loss of postural reflexes,

72
Q

What is the anti deformity position for the elbow?

A

Elbow extension

Forearm neutral

73
Q

When is total immobilization needed in post burn management?

A

Initial post skin grafting

74
Q

Central then peripheral loss

Clouding

A

Cataracts

75
Q

Peripheral loss

Intraocular pressure

A

Glaucoma

76
Q

Central vision loss

A

Macular degeneration

77
Q

Growth of abnormal blood vessels and hemorrhage in the retina
Impaired central vision

A

Diabetic retinopathy

78
Q

Immobility of staples

Conductive hearing loss

A

Otosclerosis

79
Q

Menieres disease

A

Episodic tinnitus dizziness

Hearing loss

80
Q

Which form of dementia has visual hallucinations and parkinson like motor symptoms?

A

Lewy bodies

Phys Dys (7 decks)

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