Medical Considerations Flashcards
A complete or partial decrease in the secretion of insulin from the pancreas results in _________________.
Diabetes mellitus
If diabetes is not properly managed or if too little insulin is produced, the diabetic can develop __________.
Acidosis
An acute bout of acidosis is also referred to as_______________________.
Diabetic coma
A distinct sign of ketoacidosis is ____________________________.
Fruity-smelling breath
Early detection of __________________________ is essential to prevent life-threatening events.
Ketoacidosis
Insulin shock occurs when __________________________________.
The body has produced too much insulin and too little blood sugar
Insulin shock is also referred to as _________________________________.
Hypoglycemia
After a cerebral injury, an athlete must be free of all signs and symptoms for ________________ before returning to competition
24 hours
Acceleration/deceleration forces and rotational forces cause shaking of the _____________________.
Brain within the skull
Shearing forces acting on the brain can disrupt axonal connects that run __________________________________.
Between the cortex and the midbrain
The three major types of intracranial hematoma are _________________________________________________.
Intracerebral, Epidural, Subdural
Second-Impact Syndrome is potentially fatal because
Rapid intracranial swelling and herniation of the brain occurs
Intracranial bleeding requires
Hospitalization with a CT scan or MRI
Sudden cardiac death is caused by
Heart defects, Marfan’s Syndrome, and hypertrophic cardiomyopathy
Determining existing cardiac pathology is often obtained by:
resting/exercise electrocardiograms or echocardiograms
A murmur that exists is the absence of any organic disease is known as a ____________________.
Functional murmur
Contusions to the kidneys and/or bladder cause __________________________.
Hematuria
Athletic heart syndrome is essentially___________________________.
Asymptomatic
Signs of athletic heart syndrome include:
Bradycardia, systolic murmur, extra heart sounds
Athletic heart syndrome is determined through
ECG abnormalities
Sickle-Cell Disease before age 40 in the immediate family history may indicate:
congenital heart defects
Sickle-cell trait is an inherent risk factor of___________________________.
Rhabdomyolysis
A confounding symptom of sickle-cell anemia is _________________________.
Leg pain
What is the treatment for exertional hyponatremia
Do not try to rehydrate, transport to medical facility, sodium levels must be increased and fluid levels decreased
What is exertional hyponatremia
Fluid/electrolyte disorder resulting in low concentration of sodium in the blood
What must the injured patient take responsibility for during healing
The progress of injury and doing the necessary rehabilitation
At what mg/dL does the blood glucose become excessively high and goes into the urinalysis?
> 250mg/dL
When glucose level is below 70 mg per dL what condition does it represent?
Hypoglycemia
Which of these ranges is the normal before meal blood sugar value according to American Diabetes Association (ADA)? 50 to 120mg/dL, 70 to 180mg/dL, 90 to 130mg/dL, 105 to 155mg/dL, 40 to 180mg/dL
90 to 130mg/dL
Which type of measles is also known as German measles?
Rubella
How is rubeola spread?
Mouth to mouth (direct/indirect) and airborne droplets
Which hepatitis types are considered sexual transmitted diseases?
A and B
What complication may arise in the first trimester of a pregnant women exposed to rubella?
Miscarriage or birth defects
How do you administer an EpiPen?
1) remove EpiPen from case 2) form fist around EpiPen, black tip pointing downward 3) using your other hand, pull off the gray safety release 4) swing (at 90 degree angle) and jab firmly into outer thigh for appx. 10 seconds 5) remove EpiPen from thigh and massage injection area for 10 seconds 6) carefully place the used EpiPen (without bending the needle), needle end first into the storage tube.
Etiology of Sickle cell trait?
Genetic and 8-10% African American carry sickle cell trait
What is sickle cell anemia? Who does it affect and what is the percentage?
Inherited blood disorder associated with crescent shaped red blood cell and reduced levels of hemoglobin. If you inherit 1 sickle cell gene you have the sickle cell trait. If you inherit 2 sickle cell genes, you have the sickle cell disease. 1% of African American develops sickle cell anemia.
Paroxysmal contractions are characterized by what disorder?
Epilepsy
What are Non-epileptic seizures?
Non-epilepsy seizures are not caused by abnormal electrical activity in the brain. They may be associated with psychological conditions or other physical problems. Non-epileptic are common. Some are caused by conditions such as hypoglycemia or a temporary change to the way the heart is working, etc.
What Is Epilepsy?
Epilepsy is characterized by unpredictable seizures. Epilepsy is the fourth most common neurological disorder and affects people of all ages. A person is diagnosed with epilepsy if they have had at least two seizures that were not caused by some known and reversible medical condition like alcohol withdrawal or extremely low blood sugar. The seizures in epilepsy may be related to a brain injury or a family tendency, but often the cause is completely unknown.
Can people with non-epileptic seizures also have epilepsy?
Yes, some people experience more than one type of seizure activity. For example, around 15 in every 100 people with non-epileptic seizures (NES) also have epilepsy. Epileptic and non-epileptic seizures can look the same and have the same features but difference between the two is their cause.
What noticeable symptom does a person have when experiencing extreme hyperglycemia or DKA?
Ketones are responsible for the fruity odor on the breath of the person.
What is ketoacidosis (DKA)?
When the body is unable to move glucose from the blood to the cell to be used as an energy source, the body breaks down fats for fuel producing ketones in the blood. High levels of ketones causes the blood to become acidoitic.
Snacks for diabetic athletes should range from__1_ to __2_g of carbohydrates?
30 to 40grams of carbohydrate
If an baseline was been taken,___1___ can be used to allow the athlete to return to competition after an asthma attack.
1) peak flow meter
Peak flow meter measurement has three levels- green, yellow and red. What does each corresponding color represent?
Green- PEF> 80%: -person clear to work out without limitations
Yellow- 50%< 80%: -person should take medication to raise PEF; work outs might need to be altered, person should be monitored closely.
Red- PEF<50%- the person should be transported for emergency medical care
How would you assist an athlete in using a metered dose inhaler?
1) Remove cap. 2) shake inhaler 3) completely exhale through mouth 4) position inhaler in mouth so that it is upright and the lips create a good seal 5) press down on inhaler while slowly breathing in, deep inhalation 6) hold breath for about 10 seconds before exhaling 7) remove inhaler from mouth 8) repeat dose as directed by physician but wait about 1 minute before next dose
What medication should an asthmatic athlete have with them during practice in case of an asthma attack?
Albuterol
What is the etiology of rhabdomyolysis?
medications, supplements, trauma, toxins and other disease states or genetic condition
What are the characteristics of rhabdomyolysis?
Characteristics- hyperkalemia, dark urine, cramping, cardiac arrhythmias, acute renal failure and clotting cascade failure.
What can increase the risk of exertional rhabdomyolysis?
Sickle cell anemia
Non-epileptic seizures (NES) can be divided into two types. What are those two divisions?
Organic non-epileptic is caused by a physiological condition such as diabetes and may be relatively easy to diagnose.
Psychogenic: is caused by psychological factors such as subconscious thoughts, stress, and emotions. These type of seizures include dissociative seizures, panic attacks, factitious seizures.
When a person with sickle cell trait is exercising, there is the potential for the sickle cells to create a “log jam” in blood vessels and stop the blood flow. This can cause rapid muscle breakdown and potentially overwhelm the kidneys. What is this called?
Exertional sickling
With a patient with seizures when should a physician referral be given
A first seizure or a seizure lasting more than 5 minutes
What happens to a patient with cystic fibrosis
Thick secretions of the exocrine gland block the airway, which tends to become infected
What is the most common type or Cerebral Palsy
Spastic, demonstrating hypertonicity (constant spasm)
Hyperglycemia happens when the blood glucose is over what number
300mg/dl
Hypoglycemia happens when the blood glucose is under what number
70mg/dl
What is the cardinal sign of diabetic ketoacidosis
Fruity odor on the breath
What is the absence of menses called
Amenorrhea
What are the two phases of menstruation called
Follicular and luteal
What is hypertension defined as
Resting blood pressure greater than 140/90 on three consecutive occasions
What are signs of hypertension
Most are asymptomatic hower, headaches and epistaxis can happen
What is the primary risk of anemia
Malnutrition and chronic disease
What happens to the red blood cells with Sickle Cell Amenia
The RBCs become sickle shaped and inhibit binding of oxygen
What is rhabdomyolysis
The sudden catabolic destruction of the skeletal muscle
Hepatitis A virus is transmitted through _________ or __________
Close personal contact (oral-oral), contaminated food (oral-fecal)
What are the signs and symptoms of exertional sickling
Fever, severe fatigue, pallor skin, muscle weakness, and severe pain in the limbs and abdomen
When can an athlete return to play after suffering from exertional sickling?
After all symptoms have gone away
Signs and symptoms of rhabdomyolosis?
Muscle weakness, swelling, darkened urine and renal dysfunction
How does an athlete get rhabdomyolosis?
During intense exercise in extremely hot and humid environments
If internal hemorrhage is suspected ______ ________ should be closely monitored
Blood pressure
Signs and symptoms for ketoacidosis?
Fruity breath, feeling thirsty and urinating a lot, flushed, hot, dry skin
_______ is high blood pressure and ________ is low blood pressure
More than 140/90, less than 90/70
Hyperglycemia has a blood glucose level of above __________. Hypoglycemia has a blood glucose level of below
300 mg/dl, 70 mg/dl
_______ and ______ can cause exertional sickling
Increased muscle heat, low blood oxygen levels, high altitudes
What are some signs and symptoms of hyponatremia?
Progressively worsening headache, nausea and vomiting, swelling of hands and feet, lethargy, apathy, low blood sodium
Referred pain in the left shoulder due to spleen trauma is known as ______
Kehr’s Sign
Referred pain in the right arm can lead to a possible systemic pathology of __________, __________, and __________.
Liver injury, gallbladder disorder, lung cancer
What are the signs and symptoms of someone with psychosis?
Loss of contact with reality, having delusions and hallucinations, degeneration in personality
What does AVPU stand for when dealing with levels of consciousness?
Alert, Verbal, Pain, Unresponsive
A blunt blow to the anterior aspect of the eye can produce a ___________
Hyphema
Psychogenic shock is a temporary ____ of _______ ________
Dilation, blood vessels