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shmvii
on FreezingBlue Flashcards.
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what does sulfamylon do?
- antibacterial agent
- penetrates thru eschar
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silver nitrate and nitrofurazon in wound care?
- superficial agents that attack surface organisms
- so, no good if there's thick eschar
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panafil does what in wound care?
it's a keratolytic enzyme used for selective debridement
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how do symptoms present in cataracts vs glaucoma
- cataracts: central vision loss, then peripheral
- glaucoma: peripheral first, then central
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allen's test
- put pressure on ulnar and radial arteries and have pt open and close hand 10x
- release one of the arteries and see if color returns to hand
- should in <5 sec
- repeat and this time release the other artery while holding the first one
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muscle test for upper trap
shoulder shrug
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muscle test of ant deltoid
arms in front in neutral (not in pronation and IR)
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muscle test for supraspinatus
arms in scaption in full pronation and IR
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hemiballismus
sudden jerky forceful flailing invol mvmnts on one side of the body
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name a shoulder injury likely to damage the axillary nerve
antero-inferior dislocation
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where is the dorsal scapular nerve rel to the shoulder joint?
medial and posterior
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L hemiplegia (R CVA) typically has what kind of perceptual deficits
- visuospatial
- so using demos and gestures won't work so well
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McMurry test -- for what structure?
meniscus
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McMurry's -- how?
- start in max hip and knee flexion
- do valgus w ER and extend the knee & palpate lat joint line -- for lat meniscus
- repeat w varus and IR & palpate med joint line - for med meniscus
- pos: click, thud, pain
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if tidal volume decreases, how will RR change?
increase
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formula for minute ventilation
RR x tidal volume
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symptoms of LMN lesions
- muscle weakness
- fasciculations
- hypotonia or flacidity
- absent reflexes
- neurogenic atrophy
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increased tone, hyperreflexia, pos Babinski, muscle spasms, dyssynergia, timing deficits -- all are symptoms of what?
UMN lesion
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hyperthyroidism and heart disease??
in elderly pts there's increased risk of aggravating preexisting heart disease (a-fib, angina, MI)
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when can a kid sit indep and pull to stand?
- 6 months
- walking at 10-15
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in chronic conditions, what's preferable, modalities to reduce pain or soft tissue mobilization?
soft tissue mobs
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expected therapy duration at a Rehab Hospital
- 3 hours
- so if the pt's not up to that, send to SNF or elsewhere
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thiazide drugs
- diuretics
- help with mild to mod HTN
- side effects: orthostatic hypotension, dizziness, drowsiness, lethargy, weakness
- hypokalemia, muscle cramps, premature ventricular contractions (PVCs)
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ovarian cyst refers pain to where?
- SI region
- constant pain that doesn't vary w activity
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how to test for hemianopsia or other visual field concerns
- visual confrontation test
- pt looks at PT's nose while PT moves a finger from L to R
- pt says when it's in/out of field of vision
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how to test distance acuity vision
Snellen eye chart at 20 feet
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how to test ocular pursuit
move a pen light in an H pattern to extremities of gaze
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how to test convergence
see how close pt can view a pen light in focus
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2 tests ofr meniscus
- McMurray's
- Apley's (grind and distraction)
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what kind of quad work to reduce recurvatum?
eccentric (closed-chain)
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best way to reduce lumbar spine compression forces when sitting
- back-rest angle at 90-110,
- armrests for support
- lumbar support
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lyrica (pregabalin) - treats what?
diabetic neuropathy
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lyrica (pregabalin) side effects
heart failure, difficulty walking long distances, lymphedema
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drop arm test primary intent
see if rotator cuff is intact
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yergeson test assesses what
transverse humeral ligament
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yergason test how
- humerus neutral, elbow bent to 90, pronation
- pt tries to supinate against PT resistance at the wrist
- pos: pain in bicipital groove
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clunk test - for what
glenoid labrum
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how to do clunk test
- supine
- hand on post hum head and on distal hum
- PT passively does abd and ER, then adds an ant force
- pos: clunk or grinding sound
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