Other Systems Flashcards
Polymyalgia rheumatica vs RA
RA- smaller distal joints
Polymyalgia rheumatics - larger proximal joints (hips, shoulder)
When monofilament testing, how should you talk to patient when performing the test
Ask the patient to say “yes” when they sense contact with the monofilament
Calcium alginate vs silver alginate
silver - used for infections and antimicrobial properties
charcoal or calcium - managing odor
What type of drugs are contraindicated for Graves disease
iodine - plays a role in thyroid production
What types of activities should be avoided for someone with pregnancy related SI laxity or SI pathology
single limb standing - creates shearing
Do perforated ulcers heal themselves
sometimes
What does wound desiccation mean
desiccation - extreme dryness
this impedes healing of a wound - fix with hydrogel
How long are pressure garments normally worn after a burn?
12-18 months to help with scar remodeling
Most common cause of hypovolemia
volemia = vomiting
diarrhea, sweating, severe burns, diuretics
decreased plasma volume of blood
Purpose of pancreas for digestion
secretes enzymes which help with breakdowns of fats proteins and carbs
Purpose of gallbladder for digestion
releases bile to aid in digestion
Elbow contracture position with burns
flexion and pronation
this means positioning should be in extension and supination
Medical management of lupus
corticosteroids supress the abnormal immune response and reduce inflammation
Long term effects of corticosteroid use
glaucoma
cushings
hyperglycemia
Most common cause of hypervolemia
hypervolemia = excess plasma volume
caused by excessive fluid intake or retention of fluid such as CHF, IV transfusion, kidney disease
Polycythemia
too many RBC - thickens blood = increased clotting
When to schedule PT with someone with dialysis
before dialysis - patient will be fatigued after dialysis
think about at MCH - therapy was meek with patients on dialysis days
Normal fasting blood glucose
less than 100
greater than 126 is positive test
Number for diabetes with fasting blood glucose
126 or greater
Normal oral glucose test
taken 2 hours after sugar drink
less than 140 normal
greater than 200 is diabetes
Fasting blood glucose test
taken 8 hours no food no drink
normal is 100 or less
126+ = diabetes
Symptoms of hypoglycemia
hunger
sweating
shaking
dizziness
clamminess
headache
Symptoms of hyperglycemia
polydipsia/dry mouth
polyuria
fruity breath
n/v
Bradycardia, cold intolerance, weight gain, constipation, hair thinning, brittle nails, dry skin
hypothyroidism
Increased DTR, diarrhea, face flush, increase BP, wight loss, heat intolerance
Hyperthyroidism
Hypoparathyroidism results in
decreased calcium (hypocalcemia)
elevated serum phosphate
Elevated serum phosphate
hypoparathyroidism
Sulfonuryeas
diabetes med lowers blood sugar
Name some Anti hypergylcemic drugs
they reach peak effect in … hours
diabenese
sulfonureas
lukonase
diabeta
metformin
2-4
Diabetes is highly coorelated to what two other comorbidites
blindness
kidney disease
Type 1 diabetes is sudden or gradual onset
sudden (1-3 weeks)
Cushings is also associated commonly with what two other diagnoises
diabetes
RA
Why is cushings prevalent in people with RA
chronic corticosteroid use
Most common cause of cushings
pituitary tumor causing increase in adrenocorticotropic horome (ACTH)
Cushing syndrome population
mostly women 25-40
Patient has insulin level of 45 what do you do
EMS
Patient has insulin level of 75 what do you do
hypo - give glucose (OJ)
Patient has insulin level of 120 what do you do
monitor
normal level 80-120
Patient has insulin level of 172 what do you do
monitor
Patient has insulin level of 257 what do you do
no exercise 250-300
if patient has a hypogylcemic attack in clinic what are sequence of events
administer OJ or glucose
monitor levels
no more exercise - send home once stable - exercise within 1 hour can alter glucose levels
Testing diabetes in clinic should be at what intervals
before tx
during tx every 30 mins
15 min after
Short acting vs long acting insulin
short: peak activity 2-4 hours
long: 12-18 hours
For patient with DVT started on anticoagulant what is best treatment
mobility coupled with mechanical compression (graded compression stockings)
Reactive arthritis (rieters syndrome) is commonly associated with what comorbidity
Crohns
Bicycle test (Vangeldrens test)
differentiates between vascular claudication or spinal stenosis
sit up tall on upright bike - pedal until symptoms begin
have patient lean forward - if symptoms reduce = spinal stenosis; do not reduce = vascular insuffieciency
Lupus age of onset
15-40 female
Pleurisy
inflammation of pleura of lungs - sharp pain when breathing
common with lupus
