pregnancy / Child development/Old age 2 Flashcards

1
Q

Write short notes on TWO of the following.

a) A 70 year old patient mentions a recent fall. Explain briefly three possible causes of falls in the elderly and rank them for severity of concern.

A

balance problems and muscle weakness.

poor vision.

a long-term health condition, such as heart disease, dementia or low blood pressure (hypotension), which can lead to dizziness and a brief loss of consciousness.

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2
Q

b) Elderly patients sometimes complain of difficulty swallowing. Explain the NMS changes in the elderly that may account for this.

A

Dysphagia is a prevalent difficulty among aging adults. … Among elderly diseases and health complications, stroke and dementia reflect high rates of dysphagia.

When the swallow response is initiated, this center causes messages to be sent to the glossopharyngeal, the vagus, and the hypoglossal nerves.

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3
Q

c) Your 70 year old female patient presents with sudden onset posterior rib pain. List and explain three concerns with respect to her presentation.

A

Rib fracture

Pulmonary embolism

Lung cancer

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4
Q

List and explain the common effects of social isolation on the elderly.

A

lack of social relationships is as strong a risk factor for mortality as are smoking, obesity or lack of physical activity. Similarly, older adults who are lonely have an increased risk of dying sooner and are more likely to experience a decline in their mobility, compared to those who are not lonely.

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5
Q

Using your understanding of structure/function explain how a sedentary occupation impedes the way a body should change during pregnancy.

A

sedentary behaviour was significantly associated with higher levels of C Reactive Protein and LDL Cholesterol, and a larger newborn abdominal circumference.

gestational weight gain, hypertensive disorders, and birth weight.

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6
Q

What is enuresis, and how could you, as an osteopath, help a child presenting with it?

A

involuntary urination, especially by children at night.

If the cause is anxiety, by reduction of this.

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7
Q
  1. Discuss how an understanding of the normal physiological functions of the ribs and diaphragm are important for the osteopath who treats pregnant patients.
A

The fetus will expand to the chest area

C3 4 5 compression

Uterus Growth

Ribs more sensitive

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