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mobilization to increase ER at hip
mobilization to increase IR at hip?
amb expectations for a child with thoracic, L1-2, L3-4, L4-5 myelomeningocele
- thoracic - use parapodium
- L1-2 - KAFO for home amb
- L3-4 - KAFO for home and school
- L4-5 - AFO home and school
renal failure gives what appearance to fingernails?
- short transverse lines (Mees lines)
- brownish distal 1/3
liver dysfunction does what to fingernail appearance?
- transverse depressions (Beau lines)
- or -- white nailbed for 2/3 of nail (Terry nails)
vitamin D is key for
bone quality -- can have decalcification if it's low
usual word for describing vascular pain
usual word for describing musculoskeletal pain
usual word for describing neurogenic pain
signs of tethered cord in myelomeningocele
changes in bowel and bladder function, increased spasticity, back pain, etc., but not irritability, lethargy, and vomiting
which nerve root does sensation over plantar foot
which nerve root does sensation over dorsal foot
what is methotrexate
a disease-modifying antirheumatic drug and has effects to counter impairments associated with rheumatoid arthritis (pain, swelling, loss of range of motion)
- TPs C1-4 --> sup med scap
- elevate scap, downward rotation
- C3-4, dorsal scapula (C5)
limitation in a muscle when it's stretched over 2 joints (can't do SLR w knee straight bc of passive insuff of hamstrings)
muscle gets weak when shortened over 2 joints
stasis dermatitis is 2/2
- benign skin tumor
- associated with hormonal therapy or inflam dermatosis
psorias and arthitis?
10% of pts with psorias develop arthritis
- a common skin condition that causes skin redness and irritation.
- Most people with psoriasis have thick, red skin with flaky, silver-white patches called scales
hiatal hernia refers pain where?
femoral hernia --> pain where
latereral pelvic wall
inguinal hernia causes pain where
- this hernia is above the inguinal lig, so it's higher than the femoral hernia
umbilical hernia --> pain where?
umbilical ring in mid-low abdomen
kidney disease and aquatic PT?
severe kidney disease is an absolute contraind
halux does ext while the other toes to PF and splay
blurred vision is a symptom of which of the following: Cushing's, DM, liver disease, hypothyroidism
tarsal tunnel syndrome
- tibial nerve is compressed
- pain/numbness in the medial ankle radiating into the plantar aspect of the foot only
plantar faschiitis symptoms
pain and tenderness located on the medial calcaneal tubercle
insufficient socket flexion in a transfemoral prosthetic -->
excessive lordosis during push-off
every second heartbeat is a PVC
>3 PVCs in a row
resistance varies but the velocity stays the same
treatment for unilat peripheral vestib loss?
platform perturbations are for who?
- pts who need somatosensory retraining
- this produces ankle responses
anterior interosseous nerve
- a branch of the median nerve
- innervates the flexor pollicis longus, pronator quadratus, and half of the flexor digitorum profundus
- if impaired: difficulty with pinching and pronation
myocardial demand is best represented by what equation?
- HRxSBP aka double product
- this is a better way to check out myocardial O2 demand than looking at SaO2
what is it
how to eval it
- a tear of the ulnar collateral ligament of the first MCP jt,
- apply a valgus stress to the thumb
sharpened Romberg test
Observe the patient standing with one foot in front of the other with eyes open, then with eyes closed.
3 side effects of glucocorticosteroids (there are more)
- increased risk of infections
functional incontinence is due to...
- mobility, dexterity, or cognitive deficits
- pt will have difficulty reaching toilet in time
overflow incontinance is caused by...
- a neurological condition that results in disruption of the activity of the detrusor muscle
- this is a LMN problem
- char by frequent urination or constant dribbling
urge incontinence is char by
- increased frequency or desire to void with a decrease in volume
- detrusor spasms
arterial vs venous ulcers
- arterial: deep, no decreased sensation, dorsum of foot or toes, lat malleolus --- sharp borders
- venous: shallow, no decreased sensation, med malleolus tho can be anywhere-- surrounding tissues: edematous or w pigment changes
drainage from wound
- dark red -- venous, inflammation
- bright red -- arterial, inflammation
- viscous yellow -- infection
- serosanguinous -- in small to med amounts, it's a sign of healing
bronchospasm -- side effect of what heart med?
pain, redness, tenderness, edema, and at times, fever, chills, tachycardia, headache, and hypotension
papules, vesicles, blisters, or ulcerations
hyperhidrosis is seen with what heart issue?