Medical Issues Final Flashcards
holistic patient care
care for the whole patient, not just their problem
clinical presentation vs. diagnosis
presentation
-overall “picture” of signs, symptoms, medical history, and clinical exam
diagnosis
-determination of the problem using the clinical presentation
pathology vs. pathogenesis vs. etiology
pathology -science concerned with disease including structural and functional changes pathogenesis -the underlying cause of a disease etiology -study of pathogenesis
clinical decision making
similar to diagnostic reasoning
determines the best course of action
not a final diagnosis
three stages of prevention
primary -analyzing risk factors secondary -early detection teriatry -disease management
six components of a medical history
patient's age and gender patient's chief complaint past medical history current health status family history review of systems
diagnostic imaging and testing
x-ray radionuclide bone scan fluoroscopy -live-image x-ray computed tomography position emession tomography magnetic resonancy imaging diagnostic ultrasound
pharmacology
LECTURE
plaque psoriasis
- common location
- treatment
inflammatory condition where the skin cells overproduce -common -elbows -knees -knuckles common S/S -silvery scales treatment -topical and oral
bacterial skin infections types
impetigo
staph infections
impetigo
- treatment
- RTP
causes blisters
leads to a honey colored crust
treatment
-antibiotic
RTP
-no new skin lesions for at least 48 hours
-completion of a 72-hour course of directed antibiotic therapy
-no further drainage or exudate from the wound
-active infections cannot be covered for competition
MRSA
-S/S
methicillin-resistant Staphylococcus aureus
S/S
-abscess with red streaks - emergency room
-size
-redness extends out from the injury
CA-MRSA
community acquired
- contagious
- common among sports teams
RTP for MRSA
no new lesions for at least 72 hours
completion of a 72-hour course of directed antibiotic therapy
no further drainage or exudate from wound
active infections may not be covered for competition
tinea (fungal infections)
-RTP
tinea pedis (athlete's foot) tinea cruris (jock itch) tinea corporis (ringworm) timea capitis (on head) tinea versicolor (change in skin color) RTP -72 hours -cover lesions
Tinea Capitis RTP
two weeks of anti fungal biotics
Tinea Corporis
circular plaque with clear center
can be covered if in small enough area
Tinea Pedis
-treatment
most common fungal and skin infection treatment -common sense prevention --dry feet after shower --change out of socks after exercise
Tinea Cruris
scaly plaques
viral infections
herpes simplex
herpes simplex
-S/S
very contagious S/S -blisters -fatigue and fever treatment -antiviral
herpes simplex RTP
athlete must be free of systemic symptoms
no new blisters for 72 hours
all lesions must be surmounted by a firm adherent crust
have completed 5 days of antivirals
molluscum contagiosum
lesion with a hard center
main treatment is having them removed
-must be removed for competition
warts
caused by HPV
categorized by location and appearance
treatment
-removal
plantar warts
grow into skin instead of out
parasitic infections
scabies
pediculosis
scabies
itches
most common between fingers
mites that lay eggs and burrow beneath the skin
treated with prescription strength cream
pediculosis
lice
-head, body, and genital lice
cannot compete until treatment is complete
NATA position statement on prevention of skin disease
evidence-based recommendations
- clean environment
- hand hygiene
- overall hygiene
- no sharing
- whirlpools
- report all open wounds and lesions to an ATC
S/S of neurological pathology
syncope coma paresthesia abnormal motor control, coordination, or tone headache changes in senses changes in mental status
ALS
-cause
-S/S
Tx
fatal, progressive neurological disease that slowly attacks neurons responsible for voluntary muscle actions
S/S
-tired or clumsy, often begin in one limb, difficulty with swallowing and speech
-may be spasticity or hyperflexia
-weight loss
Tx
-can be treated with drugs but is not curable
Bell’s Palsy
disease typically affects CN 7 S/S -bilateral or unilateral facial weakness Tx -corticoseroids
epilepsy
> 2 seizures in lifetime
caused by abnormal activity in brain
Tx
-combo of medicine or surgery
multiple sclerosis
neurodegerative lifelong chronic disease
-can lead to permanent disability in affected nerves
S/S
-problems w/ balance and coordination
-spasticity and fatigue, visual problems, dizziness, pain, numbness, bladder + bowel dysfunction
-cognitive and emotional changes
Tx
-relapsing + progressing symptom management w/ medication
vascular headache
caused by spasms of the vellels surrounding the brain
include migraines
S/S: rapid onset, unilateral throbbing pain in frontal or temporal area
-start in morning and peak 2 hrs later (migraine)
-begins with aura and accompanied w/ increased sensitivity to light/sound (migraine)
migraine
type of vascular headache that may present w/ or w/o neurological symptoms
stroke (CVA)
lack of oxygen to the brain - may lead to reversible or irreversible paralysis and other damage
S/S
-numbness or weakness on one side of the body
-confusion, trouble speaking or understanding
-headache, dizziness
Tx
-acute: designed to reverse or lessened the amount of tissue death
-rehab to improve function so that the stroke survivor can continue an independent lifestyle
GBS (Guillain-Barre)
acute demyelinating disorder of the spinal roots and peripheral nerves
S/S
-progressive weakness distal to proximal pain in movement of the affected area and nocturnal muscle cramps
Tx
-no cure
-rehab to make things better and lessen severity of symptoms
bacterial and viral miningitis
inflammation of the meninges by bacteria or viruses
docorticate rigidity
indication of cerebral cortex damage
arms in flexion, legs in extension
decerebrate rigidity
indication of cerebellum damage
arms and legs in extension
meningeal irritation tests
kernig test -patient in supine -passively raising one leg at a time -keep knee fully extended -raise leg until symptoms are felt -flex knee to relieve symptoms -dorsiflex foot -if dorsiflexion recreates symptoms, meningeal irritation is present Brudzinski Test -perform the above test with neck passively or actively flexed
ocular palpation areas
orbital margin
frontal bone
nasal bones
zygomatic bones
pupillary reaction to light
-PEARL
pupils equal and reactive to light
red flags for eye referral
blurred vision diplopia - double foreign object protruding into the eye restricted eye movement distorted pupil hyphema unilateral pupil dilation or constriction large lacerations of the eyelids lacerations that involve the margins of the eyelids persistent floaters
refractive errors
- -cause
- types
caused by length of eye and shape or curvature of cornea
types
-myopia - hard to see distance
-hyperopia - hard to see close up
conjunctivitis
- contagious?
- other S/S
can be contagious
-viral or bacterial
other respiratory problems
conjunctivitis RTP
48-72 hours after starting antibiotic eyedrops
stye
-S/S
inflammation of duct or hair follicle on the eyelid S/S -pain -swelling -redness
glaucoma
increased intraocular pressure
- build up of aqueous humor
- can lead to damage to the optic nerve
eyelid laceration
-question to ask
bleed profusely
can you approximate the wound?
-harder to do over the eyelid
periorbital contusions
- DDx
- RTP
black eye
test the eye early before swelling develops
DDx
-orbital fracture
-concussion
RTP
-as soon as possible if there are not major problems
orbital fracture
-S/S
blow to the eye or the bones around the eye
blowout fracture
-fracture to the walls or floor of the orbit
S/S
-pain with eye movement
-possible inability to look up if bottom is fractured
-pain when blowing nose
-diplopia
refer
dislocated contact lens
evert eyelid
wash with sterile saline solution
locate lens
replace once the lens is clean or with a new one