random bits sheet 3 Flashcards
stage 1 pressure ulcer
intact skin
stage 2 pressure ulcer
partial thickness, shallow ulcer, red/pink wound, could be blister
stage 3 pressure ulcer
full thickness, can be deep with tunneling or undermining, slough can be present, no exposed mm/bone
stage 4 pressure ulcer
exposed mm/tendon/bone
bone density -2.5 to -1 SD below norm
osteopenia
bone density lower than -2.5 below norm
osteoporosis
hypothyroid
depression, fatigue, slowed mentation, cold intolerance, dyspnea, bradycardia, anorexia, constipation, weight gain, decreased absorptions of nutrients, infertility, changes in period
hyper thyroid
weakness, atrophy, tremors, inc DTR, anxiety, tachy, palpitations, increased RR, increased BP, increased appetite, increased peristalsis, nausea, vomiting, diahrrea, dysphagia, polyuria, heat intolerance, hair loss, flushed skin, loss of period
hypothalamus fxn
ANS regulation
thyroid
metabolism
parathyroid
PTH results in reabsorption of Ca and phosphates
adrenal
medulla: epinephrine and norepinephrine
cortex: corticosteroids
pancreas
endocrine: blood sugar regulation
alpha cells: glucagon
beta cells: insulin
exocrine: excretes bicarb and digestive enzymes to duodenum
hypoparathyroid
hypocalcemia, seizures, cognitive defecits, short stature, mm pain, cramps, comprimised breathing, arrhythmias
hyperparathyroid
renal stones/kidney damage, depression, memory loss, mm wasting, bone deformity, myopathy, osteopenia
duodenum
neutralizes acid, mixes in secretions from pancreas
jejunum
absorbs water, electrolytes, nutrients
ilium
absorbs bile, intrinsic factors for recycling
large intestine
absorbs H2O, and electrlytes, eliminates waste as poop
large intestine parts
ascending-transverse-descending-sigmoid
gall bladder
stores and releases bile into duodenum
liver
produces bile, RBC, vit K, regulates serum levels of CHO, fats, proteins
stomach
grinds food, secretes HCl,, hormones that release digestive enzymes from other organs
Vitamin D food source
milk, fish oil, salmon
Vitamin A food source
green, orange, yellow vegetables, liver
Vitamin K food source
dark leafy greens, cheese, yolk
Vitamin C food source
citrus, cantelope, tomato
Vitamin B12 food source
meat, eggs
Vitamin E food source
vegetable oil, nuts, fish
Calcium fxn
mm fxn, bone health, coagulation
Chloride fxn
acid-base balance
Magnesium fxn
bones, activates enzymes, regular heart beat
Phosphorus fxn
bones, oxidation of fat and CHO, acid-base balance
Potassium fxn
acid base balance, fluid,
Na fxn
acid/base, n impulses, control mm contractions
Iron fxn
O2 transport, oxidation
Zn fxn
immune fxn
Copper fxn
facilitates Hb synthesis, lipid metabolism
Max BERG score
56
POMA/tinneti
28 max, has gait components
miniBEST
28 max
HiMAT
high level balance, max 54
DGI
max 24
FIM
1-7
1=total assist
7=independent
FABQ
max 96, high fear
ODI
0-100% disability
functional reach
20-40 14.6 f, 16.7 m
40-70 13.9 f, 14.9 m
70-87 10.5 f, 13.2 m
FGA
max 30
TUG
11-20s = normal for frail elderly
>30 s = bad
good reliability
> .75
R sided CHF
por pulmonale, fatigue inc peripheral venous presure ascites enlarged liver and spleen secondary pulmonary problems distended jugular weight gain anorexia and GI probs dependent edema
L sided CHF
nocturnal dyspnea incd pulm cap wedge pressure cough crackles, wheezes bloody sputum cyanosis tachypnea restlessness confusion exertional dyspnea fatigue
VA being compressed with testing
contralat side to head motions
obturator sign
hip IR –> acute appendicitis
Lhermittes sign
slump with electric like shocks - MS
long sit
Kernigs sign
slump in supine, electric like shocks c hip flexion and knee ext - meningeal irritation
Brudzinskis sign
flexing neck causes flexing in knees and hips - meningeal irritation
Head jolt test
moving head side to side 2-3x - meningeal irritation
noble compression
ITB, knee and hip flexion to 90, pressure to lat fem condyle in supine
Elys
rec fem mm length, prone, knee flexion
Stutter
pica condition, weird patella mvmt with knee ext
Obrian
AC joint
components of subtalar pronation
eversion and abd
components of subtalar supination
inversion and add
spondylolisthesis
ant slippage of top vertebrae, bilat pars defecits
boutinnere deformity
button hole appearance, volar slippage of lat bands, flex in middle IP joint, DIP ext, PIP flex
normal Q angle
13deg male, 18deg female i
> Q angle
valgus
< Q angle
varus
Quad:HS torque
~3:2
pes cavus
high arch
pes planus
flat arch
pes valgus
flat foot
gallstones
from bad diet, RUQ pain, R scap pain
pancreatitis
epigastric pain, worse supine, really sick
R scoliosis
R rib hump, R high shoulder, L protruding hip
HO
caused by forceful PROMw ith spasticity, hard end feel
angles for cervical traction of C1-C2
0 degrees flexion
angle for C traction C3-C4
10-20 degrees
C5-C7 traction angle
20-30deg