Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

PCE - Multisystem conditions > Multisystem conditions cont. > Flashcards

Multisystem conditions cont. Flashcards

1
Q

In what trimester of pregnancy does carpal tunnel and/or de quervains normally develop? What causes this?

A

2nd trimester

D/T increased fluid & pressure, hormone changes, poor lifting/carrying technique of toddler or newborn

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Carpal tunnel syndrome and de quervains Rx in pregnancy

A
  • education (what to avoid, ergonomics, movements strategies)
  • ice, electrotherapy, stretching
  • good prognosis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Varicose veins S&S

A
  • 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)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Varicose veins Rx

A
  • posture, positioning elevation, limit cross legged time

- pressure graded stockings/tights/underwear, circulatory exercises

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What causes incontinence

A
  • injury to connective tissue
  • damage to pelvic nerves and muscles
  • direct injury to urinary tract
  • changes in pelvic floor anatomy
  • urethral weakness
  • vaginal relaxation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Incontinence Rx

A
  • 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)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is gestational diabetes, when does it occur?

What is the risk of

A

Abnormal blood sugar reading 1st seen during pregnancy

undetected or mismanaged can lead to very high risk to baby and to mom

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Things to avoid during pregnancy

A

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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are 3 red flags for reproductive problems

A
  • 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)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is the herniation of bladder into vagina called

A

cystocele

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the herniation of the rectum into vagina called

A

rectocele

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the bulge of uterus into vagina called

A

Uterine prolapse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

S&S of a prolapse or herniation

A
  • Increase with activity/at end of day
  • Pelvic pain
  • Urinary incontinence
  • pain with sexual intercourse
  • Heaviness in saddle region,
  • incomplete B&B emptying
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

PT Rx for prolapse or organ herniation via pelvic floor

A

if unresolved in 6 weeks

PT= pelvic floor mm ex, postural re-education, pessary, surgery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is preeclampsia

A

pregnancy induced, acute HTN after 24wks gestation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Preeclampsia S&S

A

HTN, edema, headache, visual disturbance, hyperreflexia  PT to AX

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

PT Rx following C-section

A
  • TENS for incision pain
  • breathing ex
  • gentle ab ex
  • pelvic floor ex
  • postural ex, ambulation
  • prevent incisional adhesions (scar massage)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Thickness = Appearance of a 1st degree burn

A

Superficial, erythema appearance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Thickness = Appearance of a 2nd degree burn

A

Partial Thickness, blistering appearance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Thickness = Appearance of a 3rd degree burn

A

Full thickness, necrosis (black, part of skin falling off)

21
Q

What is the rule of 9s used to determine - include the areas/scoring

A 
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
22
Q

What is the rule of 9s in kids

A

same torso and same arms but head = 18, each leg = 14

23
Q

With what type of burn is there scaring

A

those with significant damage to dermis - 3rd degree

24
Q

What is occurring during the inflammatory stage for burn healing

A

vascular and cellular effects to eliminate the necrotic tissue and deliver materials for healing

25
Q

What is occurring during the proliferative stage for burn healing

A

rebuild the dermis and epidermis, fibroplasias and neovascularization that produce granulation tissue (early angiogenesis)

26
Q

What is occurring during the remodelling stage for burn healing

A

wound contracts and increases strength, scar

27
Q

What are 3 descriptors used to classify wound healing

A
  • acute vs chronic
  • partial vs full thickness
  • primary (closed by surgery) vs secondary intention healing (wound left to heal on own)
28
Q

What are 3 zones used in wound healing

A

Zone of coagulation
ZOne of stasis
Zone of hyperemia

29
Q

What is the zone of coagulation

A

point of maximum damage, irreversible tissue loss

30
Q

What is the zone of stasis

A

Decreased tissue perfusion, potentially salvageable

31
Q

What is the zone of hyperemia

A

Increased perfusion perfusion, will recover unless sepsis occurs

32
Q

What is the effect of burns on the CV system

A
  • Increased capillary permeability: interstitial edema
  • peripheral vasoconstriction
  • hypovolemia
  • myocardial depression : hypotension and decreased organ perfusion
  • Decreased cardiac output
33
Q

What is the effect of burns on the Resp system

A
  • bronchoconstriction
  • ARDS
  • carbon monoxide (dec O2 carrying capacity of blood)
34
Q

What is the effect of burns on the metabolic system

A

increased 3x

35
Q

What is the effect of burns on the immune system

A

immunocompromised

36
Q

What is the effect of burns on the renal system

A

b/c of loss of fluids: vasoconstriction, decreased GFR, increased myoglobin gets processed by kidneys and can block tubules

37
Q

What are signs of an inhalation injury

A

singed eyebrows/nasal hairs/burnt face, black oral/nasal discharge, swollen lips, hoarse voice, abnormal oxygenation, history of being enclosed in closed room

38
Q

What is the inhalation injury process

A

w/in 24hrs upper airway obstruction/pulmonary edema

- 24-48 just pulmonary edema; 48 hrs plus bronchiolitis, alveolitis, pneumonia, ARDS

39
Q

What is the management for an inhalation injury

A

early mobilization, breathing ex’s, post drainage

40
Q

PT Burn Rx

A
  • keep wound moist, electrotherapy (HVPC), good health (diet, exercise (for circulation)
  • debride wounds (whirlpool), pain management,
  • first 2-3 weeks AROM and PROM to maintain range, positioning, edema management, encourage ambulation
  • scar management BECAUSE as early as 1-4 days can get a scar tissue contracture
41
Q

Contraindications to exercise with burn patients

A

exposed joint, fresh skin graft, DVT, compartment syndrome

42
Q

2 types of skin graft

A

Split thickness and full thickness

43
Q

What is a split thickness skin graft

A

uses skin graft, stitched, glued or sutured in place; immobile for 5 days

44
Q

What is a full thickness skin graft

A

Skin transplant

45
Q

Skin graft Rx

A
  • scar massage, sun protection, ROM, pressure garments

- strengthening can begin in 3-4 weeks

46
Q

What are the 3 stages of scars from burns and their type periods

A
  • 0-4 weeks fibroblastic/proliferative
  • 4-12 weeks early remodeling
  • 12-40 weeks late remodeling/maturation
47
Q

4 factors that influence scars from burns

A
  • age
  • smoking
  • type of tissue
  • nutrition
48
Q

Therapeutic management of scars from burns

A

pressure garments
massage
moisture

PCE - Multisystem conditions (12 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions