Multisystem conditions cont. Flashcards
In what trimester of pregnancy does carpal tunnel and/or de quervains normally develop? What causes this?
2nd trimester
D/T increased fluid & pressure, hormone changes, poor lifting/carrying technique of toddler or newborn
Carpal tunnel syndrome and de quervains Rx in pregnancy
- education (what to avoid, ergonomics, movements strategies)
- ice, electrotherapy, stretching
- good prognosis
Varicose veins S&S
- heaviness, dull pain/ache in legs with standing and walking, may be incapacitating pain
- apparent vein distension, reported tenderness, usually in lower legs (can be uvular)
Varicose veins Rx
- posture, positioning elevation, limit cross legged time
- pressure graded stockings/tights/underwear, circulatory exercises
What causes incontinence
- injury to connective tissue
- damage to pelvic nerves and muscles
- direct injury to urinary tract
- changes in pelvic floor anatomy
- urethral weakness
- vaginal relaxation
Incontinence Rx
- PF exercises (10 second holds, 10 contractions, 2-3x per week) incorporate w/ functional tasks
- co-contraction of TA and PF
- posture and body mechanics (poor lifting technique)
- urgency techniques (perch, PF contractions, walk to bathroom)
- diet changes (coffee intake, water, gradually increase time between urination from 2-4 hrs)
What is gestational diabetes, when does it occur?
What is the risk of
Abnormal blood sugar reading 1st seen during pregnancy
undetected or mismanaged can lead to very high risk to baby and to mom
Things to avoid during pregnancy
OVERALL RX- things to avoid:
- Valsalva, exercise techniques that stress the PF and abdominals
- rapid uncontrolled movements
- positions of inversion
- Deep heat modalities or electrical stimulation
- manual therapy (or take care with end feels)
- positioning: supine is not contraindicated for short periods of time, prone is not well tolerated
- give posture tips in lying, standing, sitting, lifting/carrying
- glut strategy for rolling and sit to stands
What are 3 red flags for reproductive problems
- change in B&B function, sexual function, often, not always at condition onset
- non mechanical low back pain
- suprapubic or groin pain (may or may not occur with the above)
What is the herniation of bladder into vagina called
cystocele
What is the herniation of the rectum into vagina called
rectocele
What is the bulge of uterus into vagina called
Uterine prolapse
S&S of a prolapse or herniation
- Increase with activity/at end of day
- Pelvic pain
- Urinary incontinence
- pain with sexual intercourse
- Heaviness in saddle region,
- incomplete B&B emptying
PT Rx for prolapse or organ herniation via pelvic floor
if unresolved in 6 weeks
PT= pelvic floor mm ex, postural re-education, pessary, surgery
What is preeclampsia
pregnancy induced, acute HTN after 24wks gestation
Preeclampsia S&S
HTN, edema, headache, visual disturbance, hyperreflexia PT to AX
PT Rx following C-section
- TENS for incision pain
- breathing ex
- gentle ab ex
- pelvic floor ex
- postural ex, ambulation
- prevent incisional adhesions (scar massage)
Thickness = Appearance of a 1st degree burn
Superficial, erythema appearance
Thickness = Appearance of a 2nd degree burn
Partial Thickness, blistering appearance
Thickness = Appearance of a 3rd degree burn
Full thickness, necrosis (black, part of skin falling off)
What is the rule of 9s used to determine - include the areas/scoring
to determine body surface area involvement (don't include 1st degree burns) head = 9 torso = 36 each arm = 9 each leg = 18 pubic area = 1
What is the rule of 9s in kids
same torso and same arms but head = 18, each leg = 14
With what type of burn is there scaring
those with significant damage to dermis - 3rd degree
What is occurring during the inflammatory stage for burn healing
vascular and cellular effects to eliminate the necrotic tissue and deliver materials for healing
