random bits part 4 Flashcards
end stage renal disease is a common comorbidity of
diabetes
nerve root lats
678
nerve root brachioradialis
56
triceps n roots
6781
supinator n root
567
ECRB n root
678
prostate hyperplasia
difficulty starting stream, urge to urinate frequently, small amounts of urine when voiding, dribbling at end of urination, nocturia
electroimbalance causing increased risk of cardiac arrest
hyperkalemia
if medication has toxicity, choose one with
a short half life, moderate biotransformation (not minimal)
upper extremity spasticity pattern scap
retraction and downward rotation
upper extremity spasticity pattern shoulder
add/IR
upper extremity spasticity pattern elbow
pronation and flexion
upper extremity spasticity pattern wrist
flexion
upper extremity spasticity pattern fingers
flexion, thumb adduction
lower extremity spasticity pattern pelvis/hips
retraction (hiking), add, IR, extension
lower extremity spasticity pattern knees
extension
lower extremity spasticity pattern ankles
PF, inversion
lower extremity spasticity pattern feet
equinovarus, toes claw or curl
trunk spasticity pattern
lateral flexion, concavity rotation
prolonged sitting
COG forward, excess forward flexion, head, hip and knee flexion, sacral sitting
impaired perception
somatosensory cortex involvement
diazepam SE for incd fall risk
for anxiety, sedation
angiotensin
causes vasoconstriction
as pressure ulcers heal, do they change stage?
no
decreased cardiac output would see
increased afterload
afterload
the F the left ventricle must generate during systole, increases with increased resistance from aorta and peripheral arteries, as it increases, SV and CO decrease
burn on ant surface of 1 UE
4.5%
digitalis changes on EKG
lengthened PR interval
dialysis freq/duration
3x/week for 4 hours
most important to determine with romberg test
width of sway during test
reason for reverse TSA over regular
irrepairable RCT
physiologic response of a new heart transplant
because new hearts do not respond normally to sympathetic nervous stimulation, lack of PS innervation.
- increased resting HR,
- decreased HR in response to ex
- decreased peak HR during ex
pain with increased reps of resisted activity
intermittant claudication
atelectysis respiratory assessment
decreased breath sounds increased fremitis
pleural effusion respiratory assessment
decreased breath sounds decreased fremitis
pneumothorax respiratory assessment
decreased breath sounds decreased fremitis
consolidation/pulmonary edema respiratory assessment
decreased breath sounds increased fremitis
C8/T1 N root lesion appearance of hand
atrophy of thenar eminence
radial n lesion appearance of hand
wrist drop
ulnar n lesion appearance of hand
hypothenar atrophy, clawed hand with flex of 4 and 5th digits
spasticity end feel
firm
HO end feel
hard
tenosynovitis
inflammation of tendons
apophysitis of ischial tub
inflammation of an apophisis: natural bone perturburance
could be done from hurdling/excessive pull on HS attachment
power grip mm
relies on both radial and ulnar sides of the hand
decreased foot progression angle
increased IR of the hip, decreased ER
best way to isolate supinator
in terminal elbow flexion
peroneal tenosynovitis causes
excess supination
normal degree of toe out with walking
7 deg
post tib tendon dysfunction results in
forefoot abduction, hindfoot valgus
most common non patellar graft sites for ACL reconstruction
gracillis and semiten
halstead maneuver
vertebral artery testing: sitting, palpate radial pulse, downward traction. then asked to extend head and turn away
+ test absent or diminished pulse
froments sign
test for addPL paralysis: grasp piece of paper between fingers 1 and 2, pull apart
+: hyperflexion of tip of thumb
wright test
VA test: palpate radial pulse while abducting in frontal plane
