Lower Extremity Conditions Week 9 + Diabetes

Question 1

What causes 5th metatarsal fractures avulsion/jones/stress?

Answer 1

inversion sprain (fibularis brevis avulsion) or repetitive stress of walking, running, or jumping (jones fx)

Question 2

Apophysitis of the calcaneus, irregularity of the secondary ossification center of the calcaneus and to care for it as an insertional tendonitis (achilles)

Answer 2

severes disease

Question 3

What causes severes disease?

Answer 3

occurs during a growth spurt as you have repetitive micro traumas due to tightening of the gastrocnemius and soleus tendon, weak dorsiflexors from repetitive plantarflexion and abnormal foot biomechanics

Question 4

What are the symptoms for severes disease?

Answer 4

pain in the heel that gets worse with running

Question 5

Acute rapidly progressive and potentially fatal form of polyneuritis which causes muscle weakness and mild distal sensory loss

Answer 5

guillian barre syndrome

Question 6

What are the symptoms for guillian barre syndrome?

Answer 6

symmetrical muscle weakness usually appears in the legs first and then extends to the arms and facial nerves 24-72 hours laters

Question 7

What is the difference between myofascial pain syndrome and fibromyalgia?

Answer 7

myofascial pain syndrome involves mainly muscular pain whereas fibromyalgia includes widespread body pain like headaches and bowel problems

Question 8

Chronic pain disorder that when pressure is placed on sensitive point in muscles (trigger points), pain is felt in the muscle

Answer 8

myofascial pain syndrome

Question 9

What causes myofascial pain syndrome?

Answer 9

injury, overuse, and stress related muscle tension

Question 10

Lateral neck whiplash, stretch injury to the brachial plexus, may be severe enough to rear the plexus nerves and separate the nerve roots from spinal cord

Answer 10

burner stinger

Question 11

What causes burner stinger?

Answer 11

lateral flexion injury of head and neck

Question 12

Too much caffeine can cause what?

Answer 12

cystitis (breast pain)

Question 13

90-95% of diabetics in the US are type 1 or 2?

Answer 13

type 2

Question 14

What vit deficiency is associated with type 2 diabetes?

Answer 14

vit D

Question 15

Where does diabetic neuropathy begin?

Answer 15

feet and legs

Question 16

What are the 4 poly’s of diabetes?

Answer 16

1) diabetic polyneuropathy
2) polyuria
3) polydipsia
4) polyphagia

Question 17

During ___________, insulin need is diminished, This is due to enhanced insulin binding at receptor sites so that glucose uptake is increased without an increase in insulin

Answer 17

exercise

Question 18

How does high blood glucose damage capillaries?

Answer 18

atherosclerosis + high BP = rupture