Level 2 Flashcards
Noncontagious bacterial skin infection causing signs of inflammation, redness, warmth, tenderness, edema. If left untreated will lead to systemic signs including fever chills aches and fetal septicemia
Cellulitis
Management of cellulitis includes
Antibiotics and primarily palliative care to assist with improving comfort and function during recovery
6 months of unexplained prolonged and severe fatigue not relieved with rest.
Chronic fatigue syndrome- diagnosed by ruling out procedures which frequently cause fatigue- hypothyroidism, MS, cancer, mononucleosis
Gold standard for getting the most accurate info on both the location and severity of CAD
Cardiac catheterization with coronary angiography introduces contrast dye via small catheter into the coronary arteries for X-ray imaging
Type II DM symptoms
Polydipsia, polyuria, blurred vision, delayed healing and frequent infection
Diagnosis of type II DM resting and random glucose
Fasting-125 or greater
Random- 200 or higher
Type II DM management
Agree management , exercise, oral insulin, diet, skin checks
Diastasis recti MOI
Sustained anteriorly directed force on the linea alba
Diastasis recti diagnosis
Pt positioned in hook lying, asked to lift head and shoulders from the supportive surface. While in this position, a palpable separation of GREATER than 2 fingers widths is considers positive
When can gentle progression of corrective abdominal exercises may begin ?
Within 24 hrs of delivery - pt should use their hands or a towel wrapped around the abdominals to facilitate approximation of the muscles during exercise
Abdominal crunches should be avoided for diastasis recti until
Healing has reduced the separation to less that two finger widths
Rotational exercises should be avoided until
there is no separation
While healing diastasis recti what two motions should pts avoid
Supine to long sit and double leg lifts to avoid further injury to the rectus abdominis. Also should limit lifting activities.
Prior to reduction of an anteriorly dislocated GH joint the affected limb will be positioned in
Slight abd, ER, and pt will be unable to touch the opposite shoulder. Once reduced, most severe pain symptoms will typically resolve
Most common form of hyperactive thyroid disorder and is the result of an autoimmune attack on the thyroid gland causing over production of the hormone thyroxin
Graves’ disease
6 general complaints for Graves’ disease
Fatigue, weight loss, weakness, increased appetite, increased sweating, heat intolerance
Visual complaints of Graves’ disease
Excessive tear production, Diplopia, light sensitivity, eye irritation
CP complaints of Graves’ disease
Dyspnea with exertion, palpitations, tachycardia, and arrhythmias
Cognitive changes c Graves’ disease may include increased
Anxiety , mental fatigue, diff c concentration
Cardiovascular stress and exercise in a hour environment may lead to secondary complications for pt with?
Graves’ disease
Osgood schlatter disease refers to _____ occurring at the tibial tuberosity
Traction apophysis
Stretching with osgood-schlatter disease
Gentle of the Quads
Piriformis Symptoms are typically exacerbated by
Prolonged sitting and activities that combine medial rotation and addiction plus flexion
What should be done to further enhance relaxation of Piriformis
Soft tissue massage , muscle energy, contract relax, modalities ..as symptoms deceased gradual strengthening of Piriformis should be added
What diagnostic test should be used for spinal stenosis
MRI due to its ability to differentiate soft tissue pathologies such as disk damage or neural compression
Acute trauma (ie contusion) or cumulative trauma associated with running are etiologies of
Trochanteric bursitis
Pain location Of Trochanteric bursitis
Lateral hip pain which may radiate to the lateral aspect of the thigh. Point tenderness and reproduction of pain c palpating. Symptoms exaggerated with palpation. Passive ER and abd, and resisted flexion and abd will reproduce symptoms
What muscles should be emphasized to stretch with Trochanteric bursitis
It band, tensor fascia latae, hip ER, Quads, and hip flexors. Modalities, massage, ionto , phono, tens, on going strengthening and stretching
An autoimmune condition of adrenal insufficiency that occurs due to dysfunction of adrenal cortex
Addison’s disease
Addison’s disease decreased production of?
Glucocorticoid (cortisol ) and mineralcorticoid (aldosterone)
What is typically the first symptom of Addison’s disease
Hyperpigmentation of the skin and mucous membranes.. Weakness, fatigue, myalgias, weight loss, water-electrolytes imbalance, low blood pressure, dizziness, fainting, sweating
How to definitely diagnose Addison’s disease
Rapid adrenocorticotropic hormone test ACTH
Pain most commonly reported initially as umbilical or gastric pain that migrates to RLQ
Appendicitis
Untreated venous hypertension and statis related to Chronic venous insufficiency will cause a
Brawny skin discoloration and hyperkeratosis. Inflammation wounds
A transverse fracture of the distal humerus causing a dorsal displacement of the distal radius, carpals, and hand in relation to the forearm
Colles fracture
Typically Results from a chronic condition resulting from long-term hypertension and deoxygenated blood in the pulmonary arteries(ie COPD)
Cor pulmonale- can also occur from PE or ARDS- either way the r ventricles ability to pump blood significantly limited
Initial symptoms of for pulmonale?
Pulmonary distress symptoms like cough, tachypnea, inc cheat diameter, hyperresonance with chest percussion, dyspnea with excursion .. As the condition advances, pitting edema and jugular distention
Inflammation of lining on GI tract causing abdominal pain, crampin, diarrhea, blood in stool, ulcers, weight loss
Chrons disease
Disease caused by hypercortisolism from a pituitary or adrenal gland tumor
Cushing’s syndrome
8 signs of Cushing’s syndrome
Weight gain, purple striae, ruddy complexion, moon face, buffalo hump, central obesity, hypertension, and proximal muscle weakness
Tenosynovitis of which tendons for de quervains tenosynovitis
APL and EPB, pain in the anatomical snuff box
A weak or abnormally functioning lower esophageal sphincter causing persistent reflux
GERD- best position L side lying
A condition characterized by increased uric acid levels around joints, needle-like crystals to form and accumulate causing inflammation and joint swelling ( arthritis)
Gout- diagnosed via synovial biopsy for uric acid crystals
Gout most commonly occurs in
Males in the great toes, knees and ankles
Infection attacking nerve fibers while moving along the nerve towards the skins surface. Once reaches skin, blistered rash will appear
Herpres zoster shingles
Symptoms of herpes zoster
Unilateral painful itching burning sensation, numbness along nerve distribution
Mole or freckle that begins to look asymmetrical, irregular borders, discoloration, inc diameter
Malignant melanoma
Osteomyelitis is an infection within the bone that commonly occurs secondary to a staphylococcus aureus microbe. How is is diagnosed
Bone biopsy
What are the two most prevent etiologies linked to peptic ulcers
H pylori and use of high dose NSAIDs
What occurs when the balance between protective and erosive factors is disrupted to such an extent that epithelial injury occurs and subsequent erosion extends to the muscularis mucosa
Peptic ulcers
What are symptoms of peptic ulcers
Gnawing or burning epigastric pain, pt will typically report pain shortly after eating (gastric ulcer) or several hours after eating (duodenal ulcer)
Pressure or demyelination injury producing a chronic pain condition which may impact the entire trigeminal cranial nerve distribution
Trigeminal neuralgia
UTI symptoms
Persistent urge to urinate, burning while urinating, cloudy and smelly urine, fever. Cognitive impairment can be caused in elderly
Chads equina syndrome is self limiting and will present as diminished sensation in the
Saddle area, bowel and bladder dysfunction (retention or incontinence), sexual dysfunction, severe back pain, decreased strength
