DISH - AAA Flashcards
(41 cards)
How is diffuse idiopathic skeletal hyperostosis (DISH) different from ankylosing spondylitis (AS)?
older ages
minimal to no SI jt involvement
no age related joint or disc changes
ossifications on ALL
no HLA rheumatic factor
relatively P!less or mild symptoms
incidental discover
what is the 2nd most common arthritis to OA?
DISH
DISH most commonly affects what parts of the body?
spine
right side of thoracic region
lumbar region
who is more susceptible to DISH?
people with Type II diabetes
males 50-70 years old
what is the cause of DISH?
unknown
how does DISH develop?
ossification or bony outgrowths at entheses, particularly in spine, but NOT bridging joints
S&S of DISH
may be asymptomatic and discovered incidentally from x rays
back P! and stiffness, esp w prolonged positions or repetitive motions
age appropriate spinal mobility
possible neuro symptoms if stenosis
what kind of referral is DISH?
urgent MD referral
what may show up and what won’t show up on imaging for DISH?
ossifications along anterolateral aspect in at least 4 successive vertebral bodies
no disc or joint degeneration like with age related changes
no fusion at facets or SI jt
no osteoporosis
what two systems are affected by prostate cancer?
urinary
reproductive
* prostate is a reproductive gland below the bladder that aids sperm function
what is the cause of prostate cancer?
unknown
what are risk factors for prostate cancer?
age and ethnicity
genetics
chemical exposure
high fat, red meat diet
obesity
alcohol consumption
who is more at risk for getting prostate cancer?
only males typically > 65 years old
2nd most common cancer and death in American men
African Americans > European Americans
pathogenesis of prostate cancer:
disorganized gland cells infiltrate the prostate
S&S of prostate cancer:
cancer S&S
often asymptomatic and variable in early stages
lumbopelvic P!
primary tumor
– bladder and/or sexual dysfunction
– more common metastatic tumor
what are things you can do to possibly detect early prostate cancer?
check bowel and bladder status
inquire about Prostate Specific Antigen (PSA) screening yearly after 55 years old
pelvic floor muscle training has an overall benefit for bladder dysfunction
what kind of referral is prostate cancer?
urgent MD referral
what structures and functions are affected by nephrolithiasis (kidney stones)
kidneys, ureters, bladder, urethra
urinary system functions
– filter fluid from renal blood flow (remove waste, retain essential substances for fluid and contents balance)
– stimulates RBC production
– blood pressure regulation
– coverts vitamin D to its active form
what are causes / risk factors of nephrolithiasis?
disorders that lead to hyperexcretion of calcium (hypercalciuria, hyperthyroidism)
not primarily drinking water
obesity
high animal protein
what is the 3rd most common urinary tract disorder behind infections and prostate conditions?
nephrolithiasis
what are the 3 locations where stones can form?
kidney/ureteropelvic junction
iliac vessels
bladder/ureterovesical junction
pathogenesis of nephrolithiasis
hard mass of salts composed of calcium > uric acid and other minerals
S&S of nephrolithiasis
referred P! into T10-L1 dermatomes
– begin w intermittent unilateral LBP
– progress to acute/severe back, flank, possibly abdominal P!
radiating P! to groin and perianal regions
bladder dysfunction
eventually unrelenting P!
N&V due to P! severity
infection (kidney or urinary tract) –> so infection S&S
how would a PT determine the referral for nephrolithiasis?
*Urgent but possibly emergent referral depending on P, severity
w/ Murphy percussion test over kidney
– one firm and closed fisted percussion over 12th costovertebral angle
– WNL = painless
P! may be present with bladder palpation/percussion
