General Medical Conditions - CH.29 Flashcards

1
Q

3 responses of the immune system when foreign bodies are present in the body

A

1) T cells released in response to antigens in the system
2) B cells create antibodies “humeral immune response”
3) inflammation “non-specific response”

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2
Q

S/S of rhinovirus

A

scratchy, sore throat
watery eyes
fever
sinusitis

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3
Q

S/S of influenza & typical incubation period

A
fever
cough 
headache 
chills
light sensitivity 

48 hrs

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4
Q

Why avoid using aspirin below the age of 18? What does this condition mean?

A

Avoiding Reye’s syndrome

Swelling of liver and brain in children recovering from viral infections

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5
Q

Timeline of S/S of infectious mononucleosis (mono) - aka what?

A

aka “kissing disease” - only transmitted through saliva

day 3-5:
headache, fatigue, loss of appetite

d 5-15:
fever, swollen lymph, sore throat

2nd wk:
50-70% has enlarged spleen (more likely for splenic ruptures)

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6
Q

RTP policy for someone recovering from MONO?

A

can return after 3 weeks after onset of exposure

Criteria:

1) spleen isn’t enlarged
2) afebrile - no fever
3) liver function is good
4) pharyngitis and any other s/s are resolved

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7
Q

S/S of rubella - how long does it last?

A

incre. temp
sore throat
swollen lymph nodes
rash - begins at face/forehead - makes its way to the trunk

typically - 3 days

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8
Q

management of rubella

A

no aspirin with kids below age 18

early vaccination

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9
Q

S/S of rubeola

A

happens in childhood

nasal congestion
sneezing
light sensitivity
rash - lasts 5 days ish

no cure - let it run its course

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10
Q

S/S parotitis

A

inflammation of salivary glands and parotid

flu-like symptoms
fever
pain and stiffness in neck

lasts for 7 days

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11
Q

S/s varicella (chicken pox) & mng?

A

fever
rash

kids / adolescents - 96hrs after exposure (vaccine)

adults - 24 hrs after exposure (vaccine)

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12
Q

S/S of hay fever (pollinosis)

A

itchy, redness of eyes and nose
watery eyes
sneeze
sinus congestion

mng: use antihistamines (be careful as they are slt. sedative)

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13
Q

S/s of bronchitis

what to avoid?

A

cough:
starts off as dry - progresses to yellowish discharge (lasts up to 2-3 wks)

avoid: exercising in cold/dry weather OR sleeping in cold environment

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14
Q

def’n of pneumonia?

A

infection of alveoli and bronchioles

rapid onset if bacterial induced

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15
Q

time of admin. of albuterol before exercise?

A

15 min before

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16
Q

time of admin of salmeterol before ex

A

30-60 min

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17
Q

time of admin of cromolyn sodium before ex

A

30 min before

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18
Q

Mngmnt of athlete with cystic fibrosis

A

frequent drainage , proper fluid intake, enough rest during practice

19
Q

Explain Duchenne muscular dystrophy?

S/S?

MNG?

A

degeneration of skeletal muscle –> turns to fat and connective tissue (onset in children: hereditary)

s/s:
starts with difficulty walking
affects hips, legs, abdomen and rest of body
atrophy and scoliosis, postural deviations

mng: consistent exercise to delay atrophy

20
Q

Explain myasthenia.

S/s?

MNG?

A

antibodies attack synaptic junction between nn & mm. decre. of acetlycholine (neurotransmitter)

s/s:
drooping of eyelids & diplopia
general decrease in m endurance

mng: drugs that add additional acetylcholine to delay condition

21
Q

S/s of meningitis & mng?

A
s/s: 
bacterial influence will cause swelling of the brain 
contagious for 24 hrs 
high fever
stiff neck
coma 
nausea 

mng: 24 hrs isolation & use of antibiotics

22
Q

explain multiple sclerosis.

s/s
mng?

A

autoimmune disease where the attack is at the myeline sheath of any nn.

s/s: depend on nn affected
mng: no cure - have a regular exercise routine to delay onset

23
Q

explain amyotrophic lateral sclerosis

A

degen. of motor nerve to muscle - weakness or cessation of function of accompanying motor neuron and mm

upper and lower: upper is worse (lose ability to speak, swallow, use hands) - lower doesn’t have that

24
Q

explain complex regional pain syndrome

A

excessive sympathetic tone - increase sensitivity to touch, atrophy

mng: mng P and take away distressful stimuli

25
recommended daily intake of iron for F and M
F: 15mg/day M: 10 mg/day
26
sickle cell anemia s/s? mng?
abnormal shape of red blood cell - shorter life span than regular RBC can lead to a thrombis - can cause ischemia or a clot = possible death s/s: diminished performance and less endurance mng: avoid hot and humid environments and high altitudes
27
what to do with an athlete/patient with hemophilia?
decrease in clotting ability - leads to excessive bleeding mng: careful for collision sports or contact sports - refer immediately
28
normal reading of plasma glucose what's considered "diabetic"?
60-109 mg/dl > 126 mg/dl
29
s/s of diabetic coma
``` fruity breath thirst nausea vomiting unconsciousness ```
30
s/s of insulin shock
N/T in hands physical weakness mng: proper nutrition before events
31
stages of hypertension
normal: below 120/80 pre-hypertensive: 120-129/80-89 stage 1: 140-159/90-99 stage 2: 160/100
32
red flag of cancer
sore throat that never heals changes in bladder and bowels unusual bleeding or discharge thickening of lump
33
s/s of chlamydia
painful discharge - vaginal painful at pelvis can also be asymptomatic mng: bacterial exam
34
s/s of trichomoniasis
vaginal discharge thats "green and yellow" p.ful urination mng: refer to physician no sex
35
s/s of genital candidiasis
vulva irritation mng: no sex , antifungal cream
36
s/s of condyloma
warts on genitals nodules are swollen and can have a white middle mng: freeze dry warts 20-25% pedophylin solution (moist warts)
37
s/s gonorrhea
affects: urethra, cervix, rectum N/t of urethra -- followed by 2-3 hrs of greenish yellow discharge p.ful urination
38
s/s of syphillis
ulcerations forms on genitals - swelling/rash mild flu-like symptoms mng: tx with penicillin - refer to MD
39
def'n of "delayed menarche"
no period at all after the age of 16 no dev of sex characteristics by 14
40
def'n of oligomenorrhea
less than 6 cycles/year
41
def'n of amenorrhea - aka secondary amenorrhea
cessation of period after getting it - can last a couple months
42
def'n of dysmenorrhea
p.ful menstruation refer to MD
43
s/s of possible ovarian cyst
referred pain in lowerback or pelvis problems passing urine completely refer to MD
44
what consists of the female triad?
1. amenorrhea 2. eating disorder 3. osteoporosis