special topics: counseling, medical, cranofacial &geneticsz. medically fragile Flashcards Preview

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Flashcards in special topics: counseling, medical, cranofacial &geneticsz. medically fragile Deck (25):
1

hard palate fusion

in utero between the developmental ages of 8-9 weeks gestation

2

williams syndrome

rare genetic disorder impacting 1/20,000,
caused by abnormality on C7,
including gene that makes protein elastic,

3

williams syndrome characteristics

small for age,
elfin-like appearance characterized by:
small chin,
turned-up nose,
puffiness around the eyes,
long upper lip,
wide mouth,
with small, widely-spaced teeth

4

williams syndrome intervention goal

increasing overall expressive & receptive language
bc 50-70 IQ

5

submucous or
occult cleft palate

surface tissues of soft or hard palate fuse
but underlying muscle or bone do not

6

client-centered counseling approach

respond with acceptance & empathetic listening
to both the content & the feeling of what the client is saying

7

PET scan

(positron emission tomography)
uses emission-computed tomography
that allows imaging of metabolic activity
through measurements of radioactivity
in the section of the body being viewed

8

von Langenbeck surgical method

surgical method of cleft palate repair,
involves raising 2 bipedicled flaps of mucoperiosteum,
bringing them back together,
& attaching them to close the cleft

9

hurlers syndrome

caused by autosomal recessive deficiency of X-L iduronidase

10

oral manometry

obtains a ratio by comparing pressures achieved in the nostrils-occluded & the nostrils-open conditions,
ratio below .89 is especially indicative or problems,
needs referral for possible further surgery or pharyngeal flap

11

eustachian tube dysfunction

related to the lack of contraction of the
tensor veli palatini muscle
in cleft palates

12

HIV & AIDS

use universal precautions,
almost always attacks nervous system,
almost 100% of manifestations are at the level of the head & neck

13

adult AIDS

experience auditory dysfunction
which can stem from opportunistic infections
as well as drug treatments that are potentially ototoxic

14

childhood AIDS

may manifest language delays,
elective mutism,
& hysterical aphonia

15

moebius syndrome

delayed language,
articulation disorder,
bilabial paresis
& weak tongue control for
lateralization, elevation, depression, & protrusion,
mask-like face,
history of feeding problems,
uni/bilateral paralysis of the abductors of the eye

16

nasopharyngoscopy

passes through the middle meatus & back area of velopharyngeal closure,
enables observation of:
the posterior & lateral pharyngeal walls,
as well as the nasal aspects of velum & the adenoid pad
while sentences are produced

17

CAT scan

(computerized axial tomography)
radiographic imaging procedure
where x-rays beams circle through segments of the brain
& pass through tissue,
camera takes pics of sections of the structure,
scanner detects density differences,
computer analyzes images generated by scan
& produce pics of the scanned structures,
can be used to diagnose neuropathology associated with strokes

18

counseling approaches

client-centered,
behavioral,
cognitive-behavioral,
psychodynamic,
eclectic

19

embryonic growth

4. stomodeum
5. frontonasal process
6. maxillary processes
7. upper lip & primary palate
8. mandibular processes

20

surgical management for clefts

primary,
secondary,
lip surgery,
palatal surgery,
V-Y retro position,
von Langenbeck,
delayed hard palate closure,
pharyngeal flap,
pharyngoplasty

21

premature birth issues

feeding & oral motor development,
hearing convo & aural habilitation,
infant development & behavior,
caregiver-child communication

22

counseling special issues

culture,
gender,
ages,
time,
emotional reactions,
defense mechanisms

23

medical interdisciplinary teams

medical interdisciplinary teams dieticians,
infectious disease specialists,
neurosurgeons,
nurses,
OTs,
ENTs,
head or neck surgeons,
pediatricians,
pharmacists,
PTs,
plastic surgeons,
prosthodontists,
psychiatrists,
pulmonary specialists,
radiologists,
social workers

24

infectious disease

can be transmitted through bodily fluids of:
blood,
cerumen,
mucous,
saliva

25

imaging techniques

computerized axial tomography,
electroencephalography,
fluoroscopy,
magnetic resonance imaging,
positron emission tomography