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Flashcards in Quiz 2 Deck (46)
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1

This article deals specifically with pathologies related to the _ and accompanying _ _ system and the _.

Pathologies related to HEART and accompanying PERIPHERAL VASCULAR system and the LUNGS

2

Due to the serious nature of many of these illness it is _ _ _ that the physical therapist would be _ by trunk or neck pain. However it _ the importance of _ _ so that appropriate _ _ can be initiated.

Due to serious nature of many of these illness it is NOT AS LIKELY that the PT would be FOOLED by trunk and neck pain.

However it MAGNIFIES the importance of EARLY DETECTION so that appropriate MEDICAL TREATMENT can be initiated.

3

The heart is a common cause of _, _ and _ pain, but can also refer pain to the _, _ _ and _. In the Upper extremity the pain may be _ or _, but is classically found in the _ _ and is most commonly _ _.

The heart is a common cause of CHEST, NECK AND ARM pain, but can also refer pain to the JAW, POSTERIOR THORAX AND EPIGASTRIUM.

In the upper extremity the pain may be UNILATERAL or BILATERAL, but is classically found in the C8 DISTRIBUTION and is most commonly LEFT SIDED.

4

Pain is usually described as a _ or _ _ but can manifest itself as a more common complaint of _ _ or _ _ dysfunction of the _ _ including the _ and _ regions.

Usually described as TIGHTNESS OR PRESSURE but can manifest itself as a more common complaint of GASTROINTESTINAL ILLNESS or MUSCULOSKELETAL SYSTEM dysfunction of the UPPER QUARTER including the FACIAL and CRANIAL regions

5

With angina: onset of pain is usually associated with _, typically lasts _ _ _ _ and is relieved by _. However it may occur at _ or when _ and can last _-_ minutes.

Onset of pain is usually associated with ACTIVITY, typically lasts LESS THAN 5 MINUTES and is relieved by REST.

However it may occur at REST or when SLEEPING and can last 20-30 minutes.

6

Other symptoms of cardiovascular disease include _ of _ including both _ on exertion and _ _ _ (which can be relieved by _ _ in bed, and sleeping _ _ or with the _ _ by _).

Other symptoms include SHORTNESS OF BREATH, including both DYSPNEA on exertion and PAROXYSMAL NOCTURNAL DYSPNEA ( which may be relieved by SITTING UP in bed, and sleeping SITTING UP or with the HEAD ELEVATED by PILLOWS).

7

With cardiovascular disease patient may also present with _ _, easy _, _, and _ of _.

May also present with ANKLE EDEMA, easy FATIGUABILITY, PALPATIONS and LOSS OF CONSCIOUSNESS

8

During a physical exam, a resting pulse of greater than _ or lower than _ beats per minute is considered abnormal. Also a BP of greater than _/_ that is consistent on _ _ _, is also a reason for further medical evaluation.

A resting pulse of greater than 100 or lower than 50 beats per minute is considered abnormal.

Also a BP of greater than 160/90 that is consistent on SEVERAL CONSECUTIVE READINGS is also a reason for further medical evaluation

9

Coronary artery disease occurs more commonly in _ over _ years old, and in individuals who _, are _, or are _. What other condition is often present in these patients?

Occurs more commonly in MEN over 40 years old, and in individuals who SMOKE, are OBESE, or are HYPERRLIPIDEMIC.

Peripheral vascular disease is often present

10

Coronary artery disease manifests as _, _ _, heart _ and sudden _. Because _ often precedes an _, _ _ is critical.

Manifests as ANGINA, MYOCARDIAL INFARCTION, heart FAILURE, and sudden DEATH.

Because ANGINA often precedes an MI, EARLY DIAGNOSIS is critical.

11

Any neck, chest or arm pain associated with _ or _ is potentially critical and should _ the _ of the presence of _ _.

Associated with DYSPNEA OR SWEATING is potentially critical and should RAISE THE SUSPICION of the presence of SERIOUS DISEASE.

12

_ _ _ may also manifest as angina, especially _ _ and _ _ _ _ which is a common cause of sudden death in young athletes. It occurs in all _ _ without _ _.

VALVULAR HEART DISEASE may also manifest as angina especially AORTIC STENOSIS and IDIOPATHIC HYPERTROPHIC SUB-AORTIC STENOSIS which is a common cause of sudden death in young athletes.

It occurs in all AGE RANGES without SEXUAL PREDILECTION.

13

With valvular heart disease there may be a history of _ _ or _ _.

There may be a history of RHEUMATIC FEVER or HEART MURMUR.

14

_ _ _ is common disease in young women. Symptoms include prolonged _ _ pain, _ and _.

MITRAL VALVE PROLAPSE is common is disease in young women.

Symptoms include prolonged NONSPECIFIC CHEST pain, PALAPITATIONS, and LIGHTHEADEDNESS

15

_ is inflammation of the sac surrounding the heart, and usually causes a _ _ pain in the chest or left shoulder pain. Pain may be aggravated by _ or _ in _ _ and may be relieved by _ _.

PERICARDITIS is inflammation of the sac surrounding the heart, and usually causes a SHARP BURNING pain in the chest or left shoulder pain.

Pain may be aggravated by COUGHING OR CHANGE IN BODY POSITION and may be relieved by LEANING FORWARD

16

_ has many causes including infection, trauma, cancer, collagen vascular disease, irriadiation, and infarction. _ _ often occurs in apparently healthy people after a _ _.

PERICARDITIS has many causes . . .

POST-INFECTIOUS PERICARDITIS often occurs in apparently healthy people after a PRECEDING INFECTION.

17

_ are potentially dangerous arterial conditions, especially when the _ _ is involved.

ANEURYSMS are potentially dangerous arterial conditions, especially when the AORTIC ARTERY is involved.

18

Aortic aneurysms may be caused by _ of the _ _ of the middle layer of the aortic wall, or a tear in the _ _ of the aorta, thus widening it.

May be caused by DESTRUCTION of the ELASTIC FIBERS of the middle layer of the aortic wall, or a tear in the INNER LINING of the aorta, thus widening it.

19

Most aortic aneurysms occur just _ to the _ _ and are _, but are found with palpation to the _ _ region. Produces a _ that is more prominent, broader and distinct.

Most aortic aneurysms occur just CAUDAL to the RENAL ARTERIES and are ASYMPTOMATIC, but are found with palpation to the MID ABDOMINAL region.

Produces a PULSATION that is more prominent, broader and distinct.

20

The palpable pulse is approximately _ _ _ or _ and should raise suspicion in the therapist's mind of the presence of an aneurysm. Overly aggressive _ or _ _ _ in abdominal region could potentially worsen the aneurysm.

Palpable pulse is approximately TWO INCHES WIDE OR GREATER and should raise suspicion. . . .

Overly aggressive PALPATION OR SOFT TISSUE MOBILIZATION in the abdominal region could potentially worsen the aneurysm

21

Symptomatic aortic aneurysm may be manifested solely by a _, _, _ or _ mid back, chest, left shoulder or abdominal pain.

Manifested by a DEEP, DIFFUSE, THROBBING OR ACHING mid back, chest, left shoulder or abdominal pain.

22

Symptoms of abdominal aneurysm may be associated with _ _ and relieved by _. Because of the anatomical location of aorta, it may result in a multitude of other _ _ _ including the _ nerves, the _ and the _.

May be associated with INCREASED ACTIVITY and relieved by REST.

Because of the anatomical location of aorta, it may result in the multitude of other SEEMINGLY UNRELATED SYMPTOMS including the SPINAL nerves, the ESOPHAGUS, and the BRONCHI.

23

Complaints associated with abdominal aneurysm include difficulty with _ or _. Generally occur in the _ and _ _ over a period of many years, but once ruptured are _ _.

Include difficulty with SWALLOWING OR BREATHING

Generally occur in the ELDERLY and SLOWLY ENLARGE over a period of many years, but once ruptured are RAPIDLY FATAL.

24

_ _ of the _ is a common problem in the elderly and in smokers. The classic symptom is _ or _ most often felt in the _, _ or _ associated with physical activity and relieved by rest.

OCCLUSIVE DISEASE of the ARTERIES is a common problem in the elderly and in smokers.

Classic symptom is CLAUDICATION OR PAIN is most often felt in the BUTTOCKS, THIGHS, OR CALVES associated with physical activity and relieved by rest.

25

With occlusive disease there is often a consistent relationship between the _ or _ of _ activity and the onset of pain.

Consistent relationship between the DURATION OR INTENSITY OF MUSCLE activity and the onset of pain.

26

_ lower extremity symptoms may occur with involvement of the _. Where as _ lower extremity symptoms can be related to _ of _ _ such as the _ or _ arteries.

BILATERAL LE symptoms may occur with involvement of the AORTA. Whereas UNILATERAL LE symptoms can be related to OCCULUSION of PERIPHERAL VESSELS such as the ILIAC or FEMORAL arteries.

27

Bilateral and unilateral LE symptoms can easily be confused with those of _ _, _ _ disease, or _ _ disease.

Can easily be confused with those of SPINAL STENOSIS, HERNIATED DISC disease or DEGENERATIVE JOINT disease.

28

Besides the symptom of intermittent claudication, diminished or absent _, _ over the _, _ nails, skin _, and _ loss of the distal extremity all suggest involvement of the _ _ system.

Diminished or absent PULSES, BRUITS over the PULSES, DYSTROPHIC nails, skin ULCERS, and HAIR LOSS of the distal extremity all suggest involvement of the PERIPHERAL VASCULAR system.

29

Areritis, or inflammation of the arteries, occurs in many diseases including _ _ no _ _ _. Usually accompanied by obvious systemic disorders such as _ and _ diseases.

Occurs in many diseases including RHEUMATOID ARTHRITIS AND SYSTEMIC LUPUS ERYTHMATOSUS.

Usually accompanied by obvious systemic disorders such as RENAL AND SKIN diseases.

30

_ _ is a vasculitic condition that primarily causes aching and stiffness in numerous regions including the neck, shoulders, trunk and hips.

Polymyalgia rheumatica is a vasculitic condition . . . .