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what does sulfamylon do?
- antibacterial agent
- penetrates thru eschar
silver nitrate and nitrofurazon in wound care?
- superficial agents that attack surface organisms
- so, no good if there's thick eschar
panafil does what in wound care?
it's a keratolytic enzyme used for selective debridement
how do symptoms present in cataracts vs glaucoma
- cataracts: central vision loss, then peripheral
- glaucoma: peripheral first, then central
- 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
muscle test for upper trap
muscle test of ant deltoid
arms in front in neutral (not in pronation and IR)
muscle test for supraspinatus
arms in scaption in full pronation and IR
sudden jerky forceful flailing invol mvmnts on one side of the body
name a shoulder injury likely to damage the axillary nerve
where is the dorsal scapular nerve rel to the shoulder joint?
medial and posterior
L hemiplegia (R CVA) typically has what kind of perceptual deficits
- so using demos and gestures won't work so well
McMurry test -- for what structure?
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
if tidal volume decreases, how will RR change?
formula for minute ventilation
RR x tidal volume
symptoms of LMN lesions
- muscle weakness
- hypotonia or flacidity
- absent reflexes
- neurogenic atrophy
increased tone, hyperreflexia, pos Babinski, muscle spasms, dyssynergia, timing deficits -- all are symptoms of what?
hyperthyroidism and heart disease??
in elderly pts there's increased risk of aggravating preexisting heart disease (a-fib, angina, MI)
when can a kid sit indep and pull to stand?
- 6 months
- walking at 10-15
in chronic conditions, what's preferable, modalities to reduce pain or soft tissue mobilization?
soft tissue mobs
expected therapy duration at a Rehab Hospital
- 3 hours
- so if the pt's not up to that, send to SNF or elsewhere
- help with mild to mod HTN
- side effects: orthostatic hypotension, dizziness, drowsiness, lethargy, weakness
- hypokalemia, muscle cramps, premature ventricular contractions (PVCs)
ovarian cyst refers pain to where?
- SI region
- constant pain that doesn't vary w activity
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
how to test distance acuity vision
Snellen eye chart at 20 feet
how to test ocular pursuit
move a pen light in an H pattern to extremities of gaze
how to test convergence
see how close pt can view a pen light in focus
2 tests ofr meniscus
- Apley's (grind and distraction)
what kind of quad work to reduce recurvatum?
best way to reduce lumbar spine compression forces when sitting
- back-rest angle at 90-110,
- armrests for support
- lumbar support
lyrica (pregabalin) - treats what?
lyrica (pregabalin) side effects
heart failure, difficulty walking long distances, lymphedema
drop arm test primary intent
see if rotator cuff is intact
yergeson test assesses what
transverse humeral ligament
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
clunk test - for what
how to do clunk test
- 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