Week 4 Terms: Endocrine Disorders Flashcards

1
Q

Ketoacidosis (DKA)

A

Results from a shortage of insulin

In response the body switches to burning fatty acids and producing acidic ketone bodies that can cause vomiting, dehydration, deep gasping breathing, confusion and occasionally a coma

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2
Q

What are some things that neuropathy impacts with functional deficits?

A

Gait Abnormalities
Assistance with Essential ADLs & IADLs
Impact on Valued Occupations

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3
Q

What are some motor deficits of peripheral neuropathy?

A

Muscle Wasting
Loss of Fine Motor Ability

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4
Q

Type I Diabetes affects what age group?

A

Children

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5
Q

Who are mostly affected by Graves’ Disease?

A. Mostly women ages 30-50

B. Mostly men ages 30-50

C. Men and women ages 30-50

D. None of the above; Affects children

A

A. Mostly Women Ages 30-50

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6
Q

Rates of diabetes are increasing in part due to…

A

Obesity
Urbanization
Aging Populations
Sedentary Lifestyles

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7
Q

Hyperglycemia

A

High Blood Sugar

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8
Q

True/False

Type I Diabetes is an insulin dependent diabetes mellitus.

A

True

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9
Q

What are sensations that can be tested?

A

Protection
Sharp/Dull
Hot/Cold
Light Touch
Proprioception

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10
Q

8 Signs and Symptoms of Diabetes

A

Type I- Weight Loss

Type II- Weight Gain

Fluid Loss

Polyuria (urinary frequency)

Thirst

Fatigue

Increased Appetite

Ketoacidosis (if untreated)

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11
Q

Glucocorticoids

A

Essential steroid hormones secreted from the adrenal glands and are important in the regulation of adaptation

a steroid hormone that is widely used for the treatment of inflammation, autoimmune diseases, and cancer

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12
Q

Diabetes Mellitus

A

A group of metabolic disorders characterized by hyperglycemia resulting from defects in insulin secretion, insulin action, or both

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13
Q

Type I Diabetes

A

Body doesn’t produce insulin

10% of Cases

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14
Q

What are some exercise treatments for neuropathy?

A

Strength
Endurance
Coordination
Sensory Integration
ROM- Joint Integrity

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15
Q

Nephropathy

A

Disease of the Kidney

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16
Q

What are some things that neuropathy impacts with balance?

A

Sensory- Where body is in space, vestibular, visual, proprioception/kinesthesia
Motor- Apply sensory info to movement

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17
Q

What is diabetes mellitus caused by?

A

A deficit of insulin secretion

or

A lack of response by cells to insulin (insulin resistance)

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18
Q

True/False

Type II Diabetes is non-insulin dependent diabetes mellitus.

A

True

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19
Q

Thyroid Disease

A

Thyroid disorders may result from either pituitary OR thyroid gland dysfunction

Goiter
Graves’ Disease
Hypothyroidism

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20
Q

On a physical examination, how would peripheral neuropathy be shown?

A. Auditory Deficit
B. Sensory Deficits
C. Motor Deficits
D. A & B
E. B & C

A

E. B & C.

On a physical examination peripheral neuropathy would be shown in sensory and/or motor deficits.

21
Q

Neuropathy

A

Disease of the nerves

22
Q

What is peripheral neuropathy caused by?

A

Diabetes
Nerve Root Compression
Trauma
Toxins
Infections
Neoplasms
Vascular Disorders
Congenital Malformations

23
Q

What are some adaptation treatments for neuropathy?

A

Adaptive Devices: high/low tech
Adaptive Techniques
Environmental modifications
Service Animals

24
Q

What are sensibilities that can be tested?

(think sensation)

A

Discrimination: being able to discriminate between two different sensations
Cross Haptic Processing: ability to determine if sensory information is important
Vibratory Sense
Moving Two Point Sensation: discriminate between two sensations

25
Q

Cretinism

A

Condition of congenital hypothyroidism in children that results in a lack of mental development and dwarfed physical stature; the thyroid gland is either congenitally absent or imperfectly developed

26
Q

Hashimoto’s Disease

A

An autoimmune disease in which the body’s own antibodies attack and destroy the cells of the thyroid gland

27
Q

What are some things that neuropathy impacts with communication by touch?

A

Social Interactions
Impact on Roles
Intimacy

28
Q

What are some safety training treatments for neuropathy?

A

Compensatory Strategies
Environmental Safety Assessment
Safe Use of Equipment

29
Q

Type II Diabetes

A

Body doesn’t produce insulin or doesn’t use insulin properly, leading to hyperglycemia

90% of cases

30
Q

What are some sensory deficits of peripheral neuropathy?

A

Pain/Temperature
Moving 2 point sensation
Protective Sensation

31
Q

True/False
Neuropathy is something we can fix with treatment.

A

False

Neuropathy is not something we can fix with treatment. Typically a diagnosis that a client will need adaptive techniques to manage.

32
Q

Peripheral Neuropathy

A

Lesions of the lower motor neuron system
Disrupted messages between periphery and brain

33
Q

Without treatment Graves’ Disease can lead to what three things?

A

Irregular Heartbeat

Ophthalmopathy

Osteoporosis

34
Q

What are some things that neuropathy impacts with functional coordination?

A

Gross Grasp
Grip and Pinch
Rotating
Adjusting

35
Q

Myxedema

A

Caused by extreme deficiency of thyroid secretion; also known as adult hypothyroidism

36
Q

What are some pain management treatments for neuropathy?

A

Compression
Vibration
Desensitization
E-Stim

37
Q

How is diabetes diagnosed?

A

Fasting Blood Glucose Level

Glucose Tolerance Test

Hemoglobin HBA1C Test

38
Q

Sensibility

A

Higher level sensory processing

39
Q

Assessments of Neuropathy

A

Ask about functional ability
Valued Occupations- Occupational Performance Measure
Hand Function Tests
ADL/Functional Performance Measures

40
Q

What are some things that neuropathy impacts with Psychosocial Impact?

A

Loss of work/income
Role Loss
Low Self-Esteem
Spiritual Impact

41
Q

Retinopathy

A

Disease of the retina

42
Q

Endocrine Glands

A

Produce and release their chemical products directly into the blood stream

43
Q

What is the impact of neuropathy?

A

Functional Coordination
Communication by touch
Balance
Functional Deficits
Psychosocial Impact

44
Q

Insulin

A

Hormone produced by pancreas, helps regulate blood glucose levels and transport glucose from blood into cells

45
Q

Goiter

A

Enlargement of the thyroid gland

46
Q

Hypoglycemia

A

Low blood sugar

47
Q

Treatment Approaches for Neuropathy

A

Pain Management
Exercise
Adaptation
Safety Training

48
Q

Glycated Hemoglobin (A1c)

A

Blood test measuring the amount of glucose bound to hemoglobin in the blood; provides an indication of blood sugar level over the past three months, covering the 120-day lifespan of the red blood cell

49
Q

Graves’ Disease (Hyperthyroidism)

A

Related to an autoimmune factor where thyroid produces more hormone than the body needs