Exam 3 Flashcards
What are primary, secondary, and tertiary care?
Primary: preventing disease through promotion; primary doctor
Secondary: disease duration of illness, severity; PT
Tertiary: limiting degree of disability and promoting rehab with chronic/irreversible diseases
ICF
International classification functioning
What is the occurrence rate or frequency of a disease known as?
Incidence
What is the proportion of population within a certain condition/disease known as?
Prevalence
What is known as a communicable disease in a large number of people within a population?
Epidemic
What is known as a communicable disease within a particular area or population?
Endemic
What is known as a multi-continent epidemic?
Pandemic
What is the study of cause and distribution of diseases?
Epidemiology
What is the study of cause of disease?
Etiology
How is a disease classified that is a medical error?
Latrogenic Disorder
How do you classify a disease that was developed during a stay at a hospital/clinic?
Nosocomial
What are two theories of aging?
- Genetically programmed-biological timeline
2. Damage of error from insults-environmental assaults
How much CD4 T-cells does a person with HIV have?
<200 Tcells
What are three disease preventing measures?
- Immunization
- Handwashing
- Antibacterial gels
What are the modes of transmission for communicable disease?
Contact Enteric Airborne Vector/intermediary Blood borne
What is difference between bacteria vs virus?
Bacteria:
- cell wall
- may/may not require host
- most require O2, some need specific pH
Virus:
- no cell wall
- require host
What treatment inhibits cell wall synthesis or metabolism to destroy bacteria or limit growth?
Antibiotics
How is bacteria classified?
Shape, stain, culture
Bacteria or Virus: MRSA Flu Polio Cellulitis HIV Herpes
Bacteria Virus Virus Bacteria Virus Virus
What is a bacterial skin infection that is commonly found in the lower leg?
Cellulitis
How do you fight viral infections?
- Anti-viral agents
- prevention is key (vaccines)
What causes the highest number of STDs in the USA?
Chlamydia
What disease has a parasite burrow under upper layer of skin and causes itching and rash?
Scabies
What are the treatments for scabies?
- avoid contact with infected
- launder all clothing with hot water
- scabicide ointment
What are the deadliest types of HAI?
HAI: health-care associated infection
- Central line associated
- Surgical sites
- Ventilator and tracheostomy
- In-dwelling catheter
What is the most common but less deadly healthcare-associated infection?
Clostridium difficile (cdiff)
What are the factors affecting tissue healing?
- Vascular insufficiency
- comorbidities
- decreased O2 perfusion
- tabacco
- nutrition
Inappropriate immune response
Allergy
Inadequate immune response
Immunodeficiency
Immune response is misdirected to own body
Autoimmunity
What food should people with celiac disease avoid the most?
Gluten
Can someone with HIV exercise?
Yes, but at low intensities
Can someone acquire an allergy to latex if exposed to it often?
Yes
HIV
Human Immunodeficiency virus
How is HIV treated?
Antiretroviral therapy
What stage is HIV most contagious?
Stage 1
AIDS
Acquired immunodeficiency syndrome
What muscular system disease can cause pain, weakness and paralysis?
Myopathy
What characteristics are these all a part of?
›Strains, tendonitis,
› Genetic
› Cancer
› Diseases of the nerves that affect muscles
› Infections
› Medication related
Myopathy (causes)
How is myopathy diagnosed? (5)
- Muscle and reflex testing
- EMG
- MRI
- Biopsy
- Genetic testing
How is myopathy treated? (4)
- Medication
- Botox
- Physical Therapy
- Diet and exercise
What disease is infection in the muscle that presents as... › Acute, subacute or chronic › Single or muscle groups › Proximal muscles are predominant How is it contracted?
Myostitis
- Viral (HIV-1, Human T Lymphotrophic, Influenza)
- Bacterial (Pyomyositis – myositis tropicans: infections that causes abcesses, *not to be confused with associated polymyositis) (Lyme Borreliosis )
- Parasitic Agents *least common (American Trypanosomiasis – protozoan – parasitic
)(Cysticercosis – larval stage of intestinal tapeworm
from under cooked pork )
What are the most common musculoskeletal system disorders?
Fracture • Dislocation • Subluxation • Contusion • Hematoma • Repetitive overuse (microtrauma)• Strain, sprain • Degenerative disease
More than what percentage of injuries occur to the musculoskeletal system in the U.S. ? Which injuries occur for nearly half of all musculoskeletal injuries?
50%
- Fractures
- Sprains/Strains
- Dislocations
What disease is inflammation of muscle fibers that presents with weakness in shoulders and hips. Pain, difficulty swallowing, SOB. What may it be caused by?
Polymyositis
- autoimmune or infection
Polymyositis occurs mostly in ___m/f____ age _______, with __ in _ people dying every ____ years.
Women; 50-70; 1 in 5; 5
How is polymyositis treated?
- Corticosteroids and Immunosuppressants
Muscle pain and weakness in anyone at risk for myositis and especially for individuals taking lipid-lowering statins should be a what to a PTA?
Red Flag (exercise may be a problem. Myotoxicity)
Which musculoskeletal disorder breaks down of muscle fiber , releases myoglobin into blood stream, and is harmful to kidneys?
Rhabdomyolysis
What musculoskeletal disorder has associated causes of trauma/crush injuries, drug use, genetic muscle disease, ischemia of muscle tissue, extreme of body temp, severe dehydration, lengthy surgery, severe exertion?
Rhabdomyolysis
What are symptoms of Rhabdomyolysis?
- Dark and decreased urine
- Weakness, stiffness, tenderness, fatigue,
- Pain and Seizures
How is Lyme Disease treated?
Antibiotics
What are the effects of Post Treated Lyme Disease Syndrome?
Chronic with varied symptoms
What musculoskeletal disorder results in 30 different inherited diseases which all result in progressive muscle weakness and loss?
Muscular Dystrophy
What treatment strategies are available for Muscular Dystrophy? What’s unique about it?
Symptom management, Assistive devices, and Therapy
- No Cure
What types of disorders are known to progressively destroy motor neurons and affects the upper or lower motor neurons?
ALS, Post Polio, SMA (Motor Neuron Disorders)
What disorders results in muscle weakness and atrophy, spasticity, overactive reflexes, are I nherited or sporadic, and can occur at any age? Who is it most common in?
Men over 40
Which disorder is associated with weakness increased with activity and improves with rest while also presenting with a large and abnormal thymus gland?
Myasthenia Gravis
Which autoimmune disease results in skeletal muscle weakness
due to a defect in transmission of nerve impulses to muscles at the neuromuscular junction?
Myasthenia Gravis
What disease results in a loss of muscle mass and strength as
related to aging? Why does this happen?
Sarcopenia
- Hormone levels change
- Motor neurons die
- A more sedentary lifestyle
- Change in protein requirements
What is Osteogenesis imperfecta?
Brittle bones
What does Paget’s Disease cause? What type of disease is it?
Weak Bones
- Bone Disease
What are some causes of diseases of the bone?
- Low bone density
- Cancer
- Infection
- Disruption in growth/rebuilding
How is bone disease diagnosed?(6)
- X-rays
- Bone Density Scan
- Biopsy
- Bone markers
- Calcium tests
- Alkaline phosphatase test
What is a disease in which defective metabolism of uric acid causes arthritis, especially in the smaller bones of the feet, deposition of chalkstones, and episodes of acute pain? Who’s it more common in?
Gout
- Men
What should be avoided with Gout?
- Foods high in purine (Seafood/Fatty
- Alcohol
- Caffeine
Who is Paget’s Disease more common in?
White men
What bone disease is associated with symptoms of pain, enlarged bones, fractures, damaged cartilage, and is idiopathic or theorized to be viral?
Paget’s Disease
How is Pagets Disease diagnosed?
- Xray
- Bone scan
- Alkaline phoshatase enzyme test
How is Paget’s Disease treated?
- Bisphosphonates (pain) and Calcitonin
(thyroid hormone)
- Surgery for fractures and deformities
What disease is associated with softening of bones?
› Vitamin D deficiency or malabsorption
› Lack of calcium in bones
Osteomalacia
What can lack of milk in diet, cancer, kidney failure, liver disease, and lack of phosphates in diet cause?
Osteomalacia
What are symptoms of Osteomalacia?
Fracture with no injury, bone pain, and weakness
- Vitamin D
- Calcium and phosphorus supplements
What bone disease is caused by bacterial infection in the bones and can be fungal? How is it treated?
Osteomyelitis
- Antibiotics and/or surgery to remove dead bone
What bacterial bone disease can be spread by blood or from surgery?
Osteomyelitis
What is the most common primary bone cancer where tumors form in bone? Who does it occur in most?
Osteosarcoma
- Males 10-30 years old
What is Chondrosarcoma?
Cancer in cartilage
- Men and Women 20-75 years old
What is also termed Aseptic necrosis, avascular necrosis, ischemic necrosis?
Osteonecrosis
What causes Osteonecrosis?
Reduced blood flow to the bones in the joints
What are risk factors of Osteonecrosis?
Long term steroid use, ETOH abuse (alcohol), injuries, and diseases such as OA and CA
- Limited weight bearing,
- E-stim
- Surgery
What are the 4 main disease related to poor environment?
- Diarrhea
- Lower respiratory infections
- Unintentional injuries
- Malaria
What are reduction measures for diseases related to poor environment?
- safe water sotrage and water resource management
- better hygiene
- cleaner/safer fuels
- manage use of toxic substances
What substance in water helps with teeth?
Flouride
What are symptoms of lead poisoning?
Change in behavior, reduced IQ, kidney damage, headaches, low appetite and energy
What fungal infections are non-threatening?
Yeast infection, athletes foot, nail infection
What gas (builds up in homes, schools) causes lung cancer?
Radon