Other Systems Flashcards
Addison’s Disese
adrenal dysfunction = hypofunction = decreased cortisol and aldosterone; metabolic dysfunction including hypotension, weakness, anorexia
Cushing’s Disese
adrenal dysfunction = HYPERfunction = increased cortisol; hyperglycemia, growth failure, truncal obesity, moon shaped face, poor concentration/memory loss
hypothyroidism can result in what symptoms
proximal muscle weakness and myalgia (muscle pain), joint stiffness, and increased DTR
what symptoms are related to a cystocele? (prolapsed uterus)
urinary incontience, pain relieved by lying down, and increased pain with prolonged standing
extra articular symptoms of psoriatic arthritis
psoriatic skin and nail changes with conjunctivities/iritis
extra articular symptoms of RA
vasculitis
Ratio of GH to scapular mobility
2:1 ratio
when naming a scoliosis, which side is it named to? what will this side get?
the convex side; increased aeration, increased lateral costal expansion
when getting someone out of a synergy you want to…
put them in the opposite position
when treating someone with a new amputation whats always your number one concern
wound healing
if a patient asks to see their notes (in disneyland) you…
just show them
what interventions would you use to assist in controlling a patient with ateletasis?
want to encourage pain management and deep breathing - incentive spirometry etc. NOT paced breathing because that doesnt look at the depth
after a flexor tendon repair, what is protocol?
passive flexion with active extension for the first 3 weeks
if the TMJ is stuck closed, what glide do you do?
inferior
metabolic issues with adrenal insufficiency?
=not enough cortisol = hyponatremia, hyperkalemic, and hypoglycemic
what would you call a low frequency sound during diastole? what about a swishing sound?
low frequency = S3; swishing = murmur
for osteoporosis, what’s the best type of exercise?
anything with weight bearing
during cervical testing for veterbral artery, what side is being tested in comparison to the lateral side bending?
contralateral (it’s being stretched/compressed)
for GERD which positions are aggrevating?
supine, bridging, prone; go for sitting if you can
pro-tip
when a motion is excessive and you’re thinking what is overly lengthening, simply think what motion is it excessively going into, and which muscle does the opposite of that motion
reliability coefficient numbers
> 0.75 = good, 0.5-0.75 = moderate, <0.50 = poor
what should you always test before standing a person up for balance testing
cognition, sensation
boutonniere deformity
MCP extension DIP and PIP flexion; rutpure with volar slippage of lateral bands
reasons for circumduction with a prothestic
long prosthesis, locked knee unit, loose knee friction, inadequate suspension, small or loose socket, plantar flexed foot
what is lhermitte’s sign
electric shocks when the head is flexed forward - occurs in MS and compression disorders of the spine
during acute respiratory issues with CF, what should happen to the frequency of airway clearance?
increase to at least every 2 hours
spastic bladder
UMN contracts reflexively in response to filling pressure; tapping to empty
flaccid bladder
LMN; does not have reflex action, requires increased intra-abdominal pressure /timed voiding program to empty
what is used to measure the exercise intensity of an individual limited by claudication?
the claudication scale
pancreatitis - where does pain occur?
just below the xiphoid process, refers to mid or lower back
small intestine referral
midabdominal, level of umbilicius refers to back if intense
large intestine/colon referral
IBS; poorly localized to midabodminal area and can refer to sacrum
appendiceal pain
R lower quadrant, referred to periumbilical area or right hip
what sneaky muscle can work through reverse action with BUE stabilized to assist with expiration?
latsissimus dorsi
what is the normal hemodynamic response to exercise?
rise during exercise, and fall below resting once exercise has ceased
whats the minimal recommend work interval for aerobic exercise?
10min
what type of sugars should be given to a diabetic post exercise?
slowly absorbed: ie. crackers/bread NOT candy or fruit juice
when does reciprocal climbing occur
2yo
where does foot pronation/supination stem from?
position of the subtalar joint - valgus for pronation, varus for supination
best position for lumbar traction for posteriorly herniated disc?
prone without pillow
