-
mobilization to increase ER at hip
ant glide
-
mobilization to increase IR at hip?
post glide
-
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
throbbing
-
usual word for describing musculoskeletal pain
aching
-
usual word for describing neurogenic pain
burning
-
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
S1
-
which nerve root does sensation over dorsal foot
L5
-
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)
-
levator scapula
attachments
actions
nerve
- TPs C1-4 --> sup med scap
- elevate scap, downward rotation
- C3-4, dorsal scapula (C5)
-
passive insufficiency
limitation in a muscle when it's stretched over 2 joints (can't do SLR w knee straight bc of passive insuff of hamstrings)
-
active insuf
muscle gets weak when shortened over 2 joints
-
stasis dermatitis is 2/2
venous insuff
-
seborrheic keratosis
- benign skin tumor
- associated with hormonal therapy or inflam dermatosis
-
psorias and arthitis?
10% of pts with psorias develop arthritis
-
psoriasis
- 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?
shoulder
-
femoral hernia --> pain where
latereral pelvic wall
-
inguinal hernia causes pain where
- groin
- 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
-
pos Babinski
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
DM only
-
tarsal tunnel syndrome
describe
symptoms
- 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
-
bigeminy
every second heartbeat is a PVC
-
ventricular tachycardia
>3 PVCs in a row
-
isokinetic contraction
resistance varies but the velocity stays the same
-
treatment for unilat peripheral vestib loss?
habituation exercises
-
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
-
Gamekeeper's thumb
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)
- hyperglycemia
- HTN
- 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
depth
sensation
location
- 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
colors, indication
- 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?
beta blockers
-
cellulitis symptoms
pain, redness, tenderness, edema, and at times, fever, chills, tachycardia, headache, and hypotension
-
dermatitis appearance
papules, vesicles, blisters, or ulcerations
-
keratitis
corneal inflammation
-
hyperhidrosis is seen with what heart issue?
MI
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