Integumentary Part Five Flashcards
cause of arterial insufficiency
arteriosclerosis
talar tilt tests what ligament
CFL
purpose of bounce home test
meniscus tear
what movement should be avoided for urinary incontinence
the valsalva maneuver
how to perform quadrant scouring test
patient in supine
flex and ADD the hip (with knee in max flexion)
compressive force through the shaft of the femur while moving the hip
positive result of quadrant scouring test
grinding, catching, crepitation
what is used during a spinal fusion surgery
bone graft
instrumentation
purpose of dorsal rhizotomy
decrease of afferent drive to the reflex arc in an attempt to balance the elimination of the spasticity and preservation of existing strength
what is a living will
document that a person uses to make their wishes regarding life prolonging medical treatment
is use of pressure scale appropriate for diabetic foot ulcers
no
living will AKA
physician’s directive
for arterial insufficiencies, what can help with treatment externally
wound VAC
what do you always want to do for diabetic foot ulcers
offload ulcer
use total contact case
where are bone grafts most likely taken from for spinal fusions
anterior or posterior parts of iliac crest
what type of instrumentation is used for spinal fusions
pedicle screws
venous insufficiency ulcer causes
venous thrombosis
varicose veins
following a selective dorsal rhizotomy on a seven year old with CP, what should be the primary focus following the surgical procedure
LE strengthening
after the surgery, spasticity would be decreased and tone would be more normal
physicians directive AKA
living will
shoe modification for diabetic ulcer
rocker bottom sole
what two things are vital to the healing of a venous insufficiency ulcer
elevation
compression
how to perform Thessally test
single leg stance
rotate femur on tibia medially and laterally 3x
what is selective dorsal rhizotomy
procedure in which a large percentage of sensory nerve rootlets innervating the LEs are selectively cut
what is durable power of attorney
when the patient can’t make devisions (delegating response to a family member)
stages of burn wounds and what they all mean
coagulation - cells are irreversibly damaged
stasis - injured cells that may die within 24-48 hours without treatment
hyperemia - minimal cell damage and tissues should recover fully in 7 days
an ABI below ___ indicates that the wound won’t heal without medical intervention
0.5
how to perform bounce home test
patient in supine
PT grabs heel and maximally flexes the knee
patient’s knee extends passively
what scale is used for diabetic foot ulcers
Wagner scale
purpose of quadrant scouring test
arthritis
avascular necrosis
osteochondral defect
