Screening for Medical Referral/Wound Care Flashcards
1
Q
Define Charcot foot
A
- Progressive collapse of ligamentous and musculotendinous support structures
- Talar head becomes a WB surface
2
Q
Signs and symptoms of a post-op infection
A
- Systemic (sepsis): constitutional signs
- Local: exudate, erythema, and edema
3
Q
AAA detection on physical exam
A
- Possibly pulsating feeling or persistent back pain
- Rupture severe internal pain (mortality 8/10 die): late presentation
- Sudden onset of searing or deep boring pain
- Changes in vital signs (shock) rapid, shallow breathing and rapid HR, low BP, cool clammy skin, fatigue, dizzy
4
Q
Where would you palpate for an AAA
A
- Palpate L side lateral to midline for pulsation
- Try to locate R side for overall size
- If laterally expansive then auscultate
- Auscultate gently for bruit
5
Q
DDX of level I Cauda Equina Syndrome
A
- Severe LBP
- Motor weakness, sensory loss, or pain in one/more commonly both legs
- Saddle anesthesia (unable to feel anything in the body areas that sit on a saddle)
- Recent onset of bladder dysfunction (such as urinary retention or incontinence)
- Recent onset of bowel incontinence
- Sensory abnormalities in the bladder or rectum
- Recent onset of sexual dysfunction
- A loss of reflexes in the extremities
6
Q
Warning signs of Cauda Equina Syndrome
A
- Loss of feeling/pins & needles b/w your inner thighs or genitals
- Numbness in or around your back passage or buttocks
- Altered feeling when using toilet paper to wipe yourself
- Increasing difficulty when you try to urinate
- Increasing difficulty when you try to stop or control your flow of urine
- Loss of sensation when you pass urine
- Leaking urine or recent need to use pads
- Not knowing when your bladder is either full or empty
- Inability to stop a bowel movement or leaking
- Loss of sensation when you pass a bowel motion
- Change in ability to achieve an erection or ejaculate
- Loss of sensation in genitals during sexual intercourse
