Pathologies Related to the Pelvis and Hip II Flashcards

(67 cards)

1
Q

With colorectal cancer:

Colon
- _____ food and form it into _______

  • ________ feed on waste and _____ it down further
A

Dehydrate; stool

Bacteria; break

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2
Q

With colorectal cancer, the ______ is where the stool is stored prior to a bowel movement

A

rectum

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3
Q

With colorectal cancer it is the ____ MOST common cancer

A

3rd

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4
Q

Colorectal cancer is the _____ leading cause of cancer death

A

2nd

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5
Q

Colorectal cancer MOST commonly metastasizes to the _______

A

thorax

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6
Q

What is the etiology of colorectal cancer?

A

unknown

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7
Q

Risk factors for colorectal cancer:

> ____ years of age
_______ hx
Biological ______
________ ________ syndrome
________
_________/_______ use
Diets low in _______ and high in ______ and _______ fats- SAD diet

A

50
family
male
irritable bowel
obesity
smoking; alcohol
veggies; sugar; animal

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8
Q

Pathogenesis of colorectal cancer:

malignant _______ that develops in the ______ intestines

A

neoplasm
large

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9
Q

Colorectal cancer S&S:

Hx
Cancer S&S

Possible _______ P! that is _____ and diffuse to the left lower quadrant in ___-____ distribution

Change in _____ function, even obstruction

A

referred; dull; T10-S2

bowel

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10
Q

With colorectal cancer, what is the hallmark sign?

A

bloody or black stools

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11
Q

With colorectal cancer, what would you observe?

A

wavelike motion in lower left quadrant if obstruction

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12
Q

Palpation of lymph nodes with colorectal cancer:

Abnormal
> __ cm, ____, and ______

Non-______ due to limited ________ with a typical _____ growth of MOST cancer

A

2; firm; immobile

tender; inflammation; slow

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13
Q

With colorectal cancer, there is P! with palpation and percussion in lower ______ quadrant with _______

A

left; inflammation

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14
Q

With colorectal cancer and vital signs, it will indicate a…?

A

fever

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15
Q

With colorectal cancer, as PT’s we should ensure routine screening such as a ________ beginning at the age of _____ years old

A

colonoscopy
45

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16
Q

With colorectal cancer, exercise helps ______ function and ______ time

A

bowel
transit

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17
Q

Colorectal cancer is a _____ referral to MD

A

Urgent

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18
Q

With cervical cancer:

Cervix function
- ____ _____ motility
- Protection from ______ and ______ objects
- Path for ______

A

sex cell

bacteria; foreign

birthing

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19
Q

Cervical cancer is _______ preventable

A

largely

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20
Q

What is the PRIMARY risk factor for cervical cancer?

A

Human papillomavirus (HPV)

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21
Q

Risk factors and etiology for cervical cancer:

_____ and ______ use that inhibits judgement

> _____ sexual partners

A

drug; alcohol

5

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22
Q

Cervical cancer incidence/prevalence:

_____ MOST common biological female cancer behind breast and colorectal

_______ in younger biological females

A

3rd

increasing

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23
Q

Pathogenesis of Cervical Cancer: HPV limits _______ suppresors in the ____ and allows _______ neoplasms to develop

A

neoplasm
cervix
malignant

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24
Q

Cervical Cancer S&S:

Hx
Cancer S&S
Pelvic or _____
Excessive and untimely _____
____/______/and or _____ dysfunction due to pressure from enlarged cervix

A

LBP
bleeding
bowel; bladder; sexual

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25
Palpation of lymph nodes with cervical cancer: Abnormal > __ cm, ____, and ______ Non-______ due to limited ________ with a typical _____ growth of MOST cancer
2; firm; immobile tender; inflammation; slow
26
With cervical cancer and vital signs, it will indicate a...?
fever
27
With cervical cancer for PT implications: We should ensure regular ______ visits Encourage HPV vaccine at ___-___ years of age- less effective after any sexual activity
OBGYN 11-12
28
With cervical cancer, _____ decreases estrogen so decreased _____ density may be a side effect
radiation bone
29
Cervical cancer is a _______ referral to MD
Urgent
30
________ is a slow growing malignant neoplasm
chondrosarcoma
31
What is the etiology for chondrosarcoma?
sporadic and unknown
32
Incidence with chondrosarcoma: More common in the ____ and _____ Middle aged biological ______ MOST affected
pelvis; femur males
33
Pathogenesis of chondrosarcoma: ________ abnormalities lead to malignant _____ neoplasm and possible _____ changes
chromosomal cartilage bony
34
Pathogenesis of chondrosarcoma: Thickening of the _______ Destruction of the _____ and ______ bone Soft tissue ______
cortex medullary; cortical mass
35
Chondrosarcoma S&S Hx Progessive and local ______ and pain _______ S&S Possible ______ S&S if advanced
swelling cancer fracture
36
With an Exam involving chondrosarcoma: - Potential ________ symptoms because of _____ occupying potential but it won't match orthopedic conditions - Possible sign of the _______ - Abnormal > __ cm, ____, and ______ Non-______ due to limited ________ with a typical _____ growth of MOST cancer -
mechanical; space buttock 2; firm; immobile tender; inflammation; slow
37
With chondrosarcoma, it is a _______ referral to MD
urgent
38
Appendicitis overview: ______ function Possibly a storehouse of ______ bacteria Others say it is ______
unknown good useless
39
________ is inflammation of the appendix
appendicitis
40
With appendicitis, it is MOST common in _____ _______ Biological ______> Rare in ______ adults but half of all deaths due to ______ are in those > ___ years of age
late adolescence males older rupture 70
41
With appendicitis etiology it is ______ in __% of cases _______ due to neoplasm, infection, foreign body preventing normal drainage
unknown; 50 obstruction
42
_________ pathogenesis: inflammation that can result in infection, necrosis, and rupture
appendicitis
43
Appendicitis S&S Classic Sequence - _________ to right lower quadrant _____ P! - May also have right ____ or _____ P! - Not _______ - Possible _____ or ______ S&S
Periumbilical pelvic hip; groin eating infection; cancer
44
With Appendicitis S&S: It gets worse with increased _______ pressure ______ bending or ____ to ________ _______ maneuver (coughing, laughing, straining etc)
abdominal forward; knee; chest Valsalva
45
Appendicitis S&S: Observation: ________ and _______ with infection ROM- P! and limitation with ____ and ______ flexion at end ranges
redness; swelling hip; trunk
46
Appendicitis S&S: Lymph nodes > 2 cm diameter, firm, and tender if ______ due to acute onset > 2 cm diameter, firm, immobile and non-tender if ______
infection cancer
47
With an appendicitis abdominal quadrant assessment: There will be... ______ or "pinch an inch" at ________ point
tenderness; McBurney
48
What is the MOST accurate predictor of inflammation for appendicitis?
Rebound tenderness
49
With appendicitis, the area will feel ____ and _____ in the ______ lower quadrant Vital signs- ______
hot; swollen right fever
50
Appendicitis is a ______ referral to MD unless ______ P! then that would be _______
urgent severe emergent
51
With _______ _______ overview/pathogenesis: congenital or acquired weakness/tearing in the abdominal organ covering that allows portions of organs to mover out of their boundary or herniate
inguinal hernia
52
What are the 4 etiologies for inguinal hernia?
Age obesity/pregnancy abdominal muscular weakness trauma (surgery or heavy lifting)
53
What is the MOST common type of hernia in 75% of all hernias?
inguinal hernia
54
Inguinal hernias can occur at ______ age
any
55
Inguinal hernia S&S Herniating organ may become ______ and ______ and may develop systemic S&S of the respective organ that is herniated ROM- P! and limitation with _____ and _____ flexion at end ranges Resistance/MMT- P! and limitation with _____ or _____ flexion activation
constricted; dysfunctional hip; trunk adominal; hip
56
With inguinal hernias: There will be P! with ______ and _______ Palpable _____, especially with trunk ______ activity like a crunch, coughing etc
percussion; palpation bulge; flexor
57
An inguinal hernia is an _____ referral to MD
Urgent
58
______ or ________ _______ overview- an active local infection on a weakened or compromised joint at the site of the primary infection
septic or infective arthritis
59
Risk factors/etiology for septic or infective arthritis: _______ trauma- stabbing Total ______ replacement Chronic _____ damage (ex. RA or Age-related joint changes) Diabetes _________supression _______ disease _______ abuse _____ _______ disease _____ failure affects immunity
Penetrating joint joint immuno infectious substance sickle cell renal
60
Septic or infective arthritis is MOST common in the ______ joints, particularly the hip and _______
LE; knee
61
With Septic or infective arthritis ______, children, and _____ adults are at increased risk
infants older
62
Septic or infective arthritis pathogenesis: __________ invasion that could be bacterial, viral, or fungal Multiplies rapidly due to - weakened and ______ joint/health - most nature of ______ fluid in the joint
Microorganism compromised synovial
63
Septic or infective arthritis pathogenesis: Bacteria activates ______ factors that may lead to _______ Massive ______ or pannus erodes ______ cartilage and subchondral bone in a ______ WEEKS
clotting; thrombosis inflammation; articular; FEW
64
Septic or infective arthritis S&S Hx and Observation Acute AND sudden onset of... - ________ - _______ and ________ gait if they can bear weight at all
infection antalgic; asymmetrical
65
Septic or infective arthritis SCAN - Refusal to move or allow affected joint to be moved; so ___, limited ____, and ______ in multiple if not all directions - Possible P! with _____ and relief with _____ depending on whether bone is involved or not - Possible sign of _______
P!; ROM; weaknesses compression; distx buttock
66
Septic or infective arthritis S&S ________ TTP Abnormal Lymph Nodes - > ___ cm diameter - firm - _____ due to rapid onset of inflammation with infection Heat _______
Severe 2 Tender Swelling
67
Septic or infective arthritis is a ______ referral Early dx is critical to avoid permanent _____ and _____ damage Treatment within ___ days of infection can prevent damage
emergent joint; bone 4