Conditions Chap 7 SM
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show | When the ligament is completely or partially torn from their attachment to a bone
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show | Closed sacs or cavities filled with synovial fluid & lined with a synovial membrane
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Crepitation (Crepitus) | show 🗑
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show | Specialized flat band of tissue just below the skin that covers & separates underlying tissues (muscle commonly)
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Meniscus | show 🗑
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Metatarsophalangeal (MTPJ) | show 🗑
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Metacarpophalangeal (MCPJ) | show 🗑
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Synovial | show 🗑
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show | Exaggerated inward curvature of the spine in the Lordotic region (Lower T/L spine)Protruding Abs & butt
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show | Excessive Abdominal weight gain/tumors; pregnancy; high heels; pre-pub~rapid bone growth; Osteoporsis in elders
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show | Degenerative & Congenital spinal diseases, Spondylitis (inflammation), conditions involving kidneys,prostate gland, aorta,& pancreas
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What TXs are used for Lordosis | show 🗑
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Importance of OT for Lordosis | show 🗑
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show | Exaggerated outward curvature of the spine in the Upper Kyphotic region (upper T spine)Rounded shoulders & head protrudes forward
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T/F-Patients suffering from Kyphosis will know at or soon after onset? | show 🗑
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What symptoms accompany Kyphosis | show 🗑
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Who should be screened for Kyphosis | show 🗑
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Etiology of Kyphosis | show 🗑
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show | Xray, bone scans/density tests, visual inspection
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show | general~Core exercises (back muscles/lig's), back braces;If resp/cardia inv~spinal fusion/temp immobiliz; severe=vertebroplasty
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what is vertebroplasty | show 🗑
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Importance of OT to Kyphosis | show 🗑
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What may a Pt w/kyphosis be lacking nutritionally | show 🗑
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show | lateral curvature of the spine
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Who might be a typical scoliosis pt. | show 🗑
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Symptoms of scoliosis | show 🗑
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Etiology of Scoliosis | show 🗑
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What are other suggested causes of scoliosis | show 🗑
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How is Scoliosis DX | show 🗑
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show | mild <40=exercise along w/bracing for adolescent. severe >40=surgical intervention to decrease curve, realign/stabilize; fusion; internal fixation (rods,wires,plates, screws)
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show | Posture training, bracing, instr to avoid stressing affect spine. KIDS W/SIGNIFICANT SHOULD AVOID AGGRESSIVE CONTACT SPORTS
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Osteoarthritis DJD | show 🗑
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show | Large weight bearing joints esp knees/hips, & PIPs
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show | No it is insidious
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Where does osteoarthritis normally occur | show 🗑
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Is the onset of osteoarthritis noticeable | show 🗑
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show | joint soreness, aching, stiffness esp a.m./weather, edema, dull pain, deformity, crepitus
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Etiology of osteoarthritis | show 🗑
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show | Eval to exclude 100+ other arthritis then-Xray, CT, MRI
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How is osteoarthritis TX | show 🗑
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Is osteoarthritis curable | show 🗑
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Is osteoarthritis curable | show 🗑
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show | PT & Drug Ther, nutrition, SX (severe)
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Is osteoarthritis curable | show 🗑
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How is osteoarthritis TX | show 🗑
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Importance of OT to osteoarthritis | show 🗑
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show | Diet, supplements, meds, exercise
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Bursitis | show 🗑
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show | tenderness when moving part, flexion/extension limitation, edema at site.
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most common bursitis sites | show 🗑
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show | calcifications and/or adhesions
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how is bursitis DX | show 🗑
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show | Acute-moist heat, immobilize, aspirin, antiinflam's (nonsteroid), corticoids. Drainage, antibiotics if needed. Ice for chronic
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Is bursitis curable | show 🗑
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Importance of OT to bursitis | show 🗑
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show | serious infection of the bone requiring aggressive antibiotic TX
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Symptoms of Osteomyelitis | show 🗑
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Osteomyelitis | show 🗑
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Symptoms of Osteomyelitis | show 🗑
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Most common bones involved in osteomyelitis | show 🗑
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how does osteomyelitis usually begin | show 🗑
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How is osteomyelitis DX | show 🗑
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show | as an acute infection (bacteria 90% staph/ strep next largest)
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What are some pre-disposing factors for people | show 🗑
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show | aspiration & culture , WBC, ESR,MRI, CT, bone scans
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What are some pre-disposing factors for people | show 🗑
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show | long term parenterel antibiotics, vit ABC for cell regen, bed rest, control of chronic cond's, immobilization, drainage of purulent material (bone abcess)
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show | yes
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Importance of osteomyelitis to OT | show 🗑
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How is osteomyelitis TX | show 🗑
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is osteomyelitis preventable | show 🗑
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How is osteomyelitis TX | show 🗑
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Importance of osteomyelitis to OT | show 🗑
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show | yes
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is osteomyelitis preventable | show 🗑
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Importance of osteomyelitis to OT | show 🗑
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Gout | show 🗑
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symptoms of gout | show 🗑
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show | mostly men after puberty, some women after menopause
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show | severe acute joint pain, mild systemic symptoms
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show | Inherited abnormal metabolic condition; lack of enzyme(uricase) . renal gout=kidney disf. predisp fx= excessive wt.gain, leukemias, lymphomas, diuretics & TB meds
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show | Eval'd to exclude many other arthr's--R/A, spondylitis, reactive arth, joint infect; xray to assess damage to joints, aspirate synovial fluid to see uric acid deposits
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tophi | show 🗑
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show | Bed rest, ice packs, immobilization, Nsaids, corticoids, low-purine diet, fluids, dairy prod's, meds, wt. loss
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Is gout curable | show 🗑
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Osteoporosis | show 🗑
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symptoms of osteoporosis | show 🗑
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who is most likely to get osteoporosis | show 🗑
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Etiology of osteoporosis | show 🗑
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how is osteoporosis DX | show 🗑
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How is Osteoporosis TX | show 🗑
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Importance of OT to Osteoporosis | show 🗑
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Osteomalacia/Ricketts | show 🗑
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show | general fatigue, progressive stiffness, tender painful bones, backaches, muscle twitches/cramps, difficulty standing up. progressively fx's, bowing legs, chest deformity, spine shortening
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Etiology of osteomalacia | show 🗑
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How is osteomalacia DX | show 🗑
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show | Vit D supp's with Ca, Calcitonin, sunlight exposure, TX underlying disorders
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show | Encourage good health, Adaptations/equipment, parental educ for ped's
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show | chip in bone
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FX-closed | show 🗑
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show | open--skin broken. more severe--infection risk (osteomyelitis)
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show | length of bone--usually long bone (along diaphysis)--like hairline crack
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FX-Transverse | show 🗑
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FX-oblique | show 🗑
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FX-greenstick | show 🗑
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FX-comminuted | show 🗑
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show | compresses bones into each other--shortens (spine, hip, shoulder)
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FX-pathologic | show 🗑
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FX- non-displaced | show 🗑
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FX- displaced | show 🗑
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show | bone FX caused by a twisting force. common in sports, abuse, water skiing
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show | an injury to the bone in the area where a tendon or ligament attaches to the skeleton. common to the 3rd phalanx on the palmar side of the hand
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FX-Depression | show 🗑
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show | Distal Radial head fX --common to breaking a fall (cast)
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FX- Humeral | show 🗑
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show | ORIF-open reduction internal fixation=glue, wires, sutures, pins, plates, screws, SX
Bedrest, immobilize/traction. usually due to severe trauma/accident, sometimes pathology
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FX-HIP | show 🗑
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FX-Femoral | show 🗑
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FX-Tibial | show 🗑
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show | C-spine=Accelerate/decelerate (whiplash); immobilize: T/L spine-immobilize: SX repair & hardware-rods/plates
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show | for Hand/wrist--
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Adhesive Capsulitis | show 🗑
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show | inflammation of periostium, extensor muscles in lower leg & surrounding tissues. overuse/overpronation. ice/nsaids
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show | plantar fasciitis. inflammatory response @ bottom of calcaneus. occurs when inflexible fascia is repeatedly under tension (running/heels/age/family/toe running/shoes)
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show | usually sports related from sudden twisting or external rotation of leg while knee is flexed
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