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General Info
General
Question | Answer |
---|---|
pneumonic to read X-ray? | A: alignment b: bone density C: cartilage space |
what color is Air on an Xray? | black |
what color is bone on X-ray? | light gray |
what color is metal on X-ray? | white |
Objects with decreased radio density will be what color? vs Increasing radio density? | v black ^ white |
MRI or CT better for soft tissue? | MRI |
Bone scans/Bone scintigraphy is good for? | bone metabolic activity stress fx tumors |
Angiogram looks at? | blood vessels live w X-ray, CT< or MRI |
What is the gold standard for bone mineral density? | DEXA (dual energy X-ray absorptiometry) |
Positron emission tomography (PET) is good for seing? | non perfused areas of heart dementia, stroke, seizures, tumors |
Ventilation perfusion (V/Q) is good for seeing? | pulmonary emboli |
Fluroscopy is good for seeing? | Diaphragmatic excursion |
OM for Concussion? | SCAT 5 |
OM for vestibular? | CTSIB |
OM for Cervical? | NDI |
OM for shoulder? | DASH SPADI |
OM for elbow and hand? | DASH |
OM for LBP? | Oswestry |
OM for Hip pain? | HOOS |
OM for knee? | KOOS |
OM for Ankle? | FAAM |
OM for TBI? | rancho cog log glascow coma |
OM for coordination? | SARA 9 hole peg |
OM for muscle performance? | 5x sit to stand |
OM for standing balance? Cut off? | BERG ( 45/56) mCTSIB DGI (< 19 community dweller) minibest |
OM for sitting balance? | FIST |
OM for SCI? | ASIA |
OM for PD? W/C level? | UPDRS Modified Hohn Yahr (5) |
OM for Stroke? Cut off | Fugel meyer > 19/66 |
OM for AMpuation? Cut off? | TUG (13.5 sec) AMPPRO PEQ |
CP5-12 yo OM? | GMFM |
OM for motor coordination and balance of 4-21 yo? | Bruininks Oseretsky test of motor proficiency |
Kids birth to 72 months OM? | Peabody Developmental motor scale |
Kids birth to 42 months OM? | Bayley |
Depression OM? cut off? | beck depression inventory (17 med help) Geriatric depression scale PHQ9 |
Cognition OM? | Cog log mini mental MoCA |
Mobility OM? Cut off? | 5x STS > 15 sec faller |
Fear OM? | FABQ |
Functional reach cut off? | 7 in |
Canadian Cspine rule for needing X-rays? | glascocoma 15 stale condition > = 65 yo dangerous MOI parathesias |
safe assessment for ROM and no need for X-ray if? | sipel MVA no contact w oncoming trafic hit by similar vehicle no roll over sit upright in ER walk in delayed on set of neck pn no acute neck pain no mid spinous process tenderness Cspine ROT 45 deg B |
CPR for cervical Radic? | + ULLT + spurlings + compression < 60 deg c rot |
Frozen shoulder CPR? | age 45-60 PROM ER loss > 50% 90-90 los 30% at side |
Shoulder impincement CPR | neers + Hawkin kennedy + Painful arc _ lat cap slide test + instability + |
AC dysfunction CPR? | horizontal Add resisted horicontal ext test obrien test compression TTP |
Carpal Tunnel CPR | hand shaking Wrist ration > 0.67 symptom severity score > 1.9 v median sensory of 1st ray age > 45 |
SI dysfunction CPR? | distraction thigh thrust gaenslens test sacral thrust compression |
ottawa knee rule CPR for xray? | > 55 isolated patella tenderness without boney tenderness tenderness of rib head inability to flex 90 deg inability to bear wt immediately after or 4 steps at eval |
meniscus pathology CPR | Hx catching jintline tenderness bounce test pn max knee flexion AROM + mcmurrays tet |
Ottawa ankle rule for X-ray? | pn in B malleoli on at base of 5th pn at navicular pn in midfoot inability to wt bear immediately after injury unable to take 4 steps during eval |
Cervical thrust manip CPR? | < 38 days pn + belief it will help difference in c rot of > 10 deg pn w PA spring testing of mid Cspine |
traction for neck pn CPR | 55 yo or older peripheralization of pn w C4-7 mobility assessment + shoulder ABD test + ULLT + distraction test |
lumbar stabilization will be unsuccessful CPR? | > 50% on oswestry < 40 yo SLR > 91% aberrant motions present + prone instability |
Lumbar stabilization will be successful CPR? | < 50% on ODI 9 pt higher on FABQ no aberrant movments no lumbar hypermobility - prone instability |
Fat solubel Vitamins and where stored? | ADEK liver and fat |
Water Soluble vitamins? | B,C, |
vit A for? | eyes |
Vit D for? | increase blood flow |
Vit E for? | antioxidants |
Vit K for? | synthesis clotting |
B2 riboflavin or? | dissolve macros |
B6 Niacin for? | metabolism |
B12 vit for? | cell and hemoglobin synthesis |
Vit C for? | fight infections and facilitate wound healing |
magnesium helps w? | strong bones, teeth Heart beat |
Copper helps w? | Lipid motabolism |
Iron helps w? | o2 transport |
Zinc aids in? | immune function and cell division |
DMARDs increase pt risk of___? | infection |
Beta 1 drugs act on? Beta 2 drugs act on ? | heart Lungs |
Beta drugs change what w exercise? | Decrease HR |
calcium channel blockers cause? | Bradycardia peripheral vasodilation |
alpha 1 blockers can cause? | syncope headache palpatations sedation depression |
after _____nitrates given for angina call EMS? | 3 |
on Digoxin need to check pulse where? | apical |
warfin and heparin are? | antigoagulants |
on Anticoagulants and thrombolytics pt at risk of? | hemorage |
On statins for?? what problems can occur? | cholesterol manage NMR weakness, GI upset |
Tricyclics for antidepressants need to watch? | orthostatic hypotension |
Anti anxiety drugs? | benzodiazapines antianxiety |
what is rebound effect of psych drugs? | insomnia and increased anxiety |
Bioavailability? | % of meds that reach the systemic circulation |
to cross blood brain barrier meds need? | high lipid soluble |
Prodrugs are? ex? | inactive when administered and converted to active by the liver crotisone njection |
half life? a | mount of time it takes plasma concentrate to drop 50% |
antagonist drugs? | block receptors |
anticholinergic drugs have characteristic of? | no sweating, palpitations, mental status changes, dry skin |
Drugs that affect pulmonary system? | opiates (depression) non specific Beta blockers (broncho spasm) chemo (pulm infiltrates) |
Cellulitis vs Dermitis? | Derm: oozing, crusting, scaling, itching c: "orange skin" |
how high should the foot of the bed be elevated w DVT? | 6 in |
What is hemophilia? | inherited blood clotting disorder |
Dermitis vs Psoriasis? | D: inflammatory red, edema, oozing, crusting, scaling, itching P: chronic skin disease (silver, scales, plaques) |
What is scleroderma? characteristics? | chronci difusse disease of connective tissue Fibrotic and contractors of everything |
acute healing phase lasts? Focus? | 0-3 days v swelling and pain PRICE MEM |
Inflammatory phase lasts how long? Focus? | v swelling and pain |
how do u know injury has moved into inflammatory stage? | decreased swelling & discoloration |
Proliferation/Fibroblastic Repair stage length? focus | 4-10 days v pain, muscle pump, ^ circulation faciliate lymohatic flow |
Maturation remodeling phase is from? focus | day 7 to recovery v pain, ^ circulation, lymph flow |
Lumbar stenosis CPR: | B S&S leg pin > back pain pn increases with walking and standing pain decreases w sitting age > 48 |
Ankylosis Spondylosis CPR? | pan dec w exercise wake 1/3 of night due to pain am stiffness > 30 min buttock pain |