treatments Flashcards

(286 cards)

1
Q

what is periostitis?

A

inflammation of the periosteum
occurs at the site of insertion

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2
Q

what occurs from untreated periostitis?

A

stress fracture

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3
Q

what are shin splints?

A

pain on the medial border or lateral tibia

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4
Q

what activity is common to develop shin splints?

A

running

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5
Q

what some causes of shin splints?

A

overuse
tight calf mms
predisposing tramua

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6
Q

what are some common symptoms of shin splints / periostitis?

A

flat feet
inflammation
adhesions
achiness in the morning
tight cramp with activity

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7
Q

what is compartment syndrome?

A

increase in pressure within a compartment of the lower leg

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8
Q

where is compartment syndrome most common?

A

anterior

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9
Q

if compartment syndrome is present in the anterior leg, what should you treat?

A

posterior muscles

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10
Q

is compartment syndrome a medical emergency?

A

yes

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11
Q

what is patella femoral syndrome?

A

tracking laterally of the patella

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12
Q

what director does the patella glide during flexion ad extension of the knee?

A

flexion (inferior)
extension (superior)

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13
Q

where is the normal Q angle?

A

ASIS
mid patella
tibial tuberosity

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14
Q

what contributes to patella femoral?

A

abnormal biomechanics
tight lateral thigh
tight ant. or pos. structures
weakness in medial thigh
overuse of knee

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15
Q

what are some signs of patella femoral?

A

difficulty standing and sitting for long times
pain on knee compression
swelling
walking down stairs, squatting or running downhill are painful

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16
Q

what are some postural abnormality with patella femoral?

A

flat feet
valgus knee stress
medial patella
hyperextended knees

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17
Q

what range is most painful for patella femoral?

A

flexion of the knee

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18
Q

what is IT band syndrome?

A

contracture or shortening of the IT band

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19
Q

where is most of the pain with IT band?

A

lateral knee

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20
Q

what TP can contribute to IT band?

A

TFL

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21
Q

what causes IT band?

A

sitting at a desk for long hours
wheelchair users or bed rest clients
running or cycling

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22
Q

what is a common complication of IT band?

A

trochanteric burse

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23
Q

what is hyperlordosis?

A

increase in normal lumbar curve (anterior pelvic tilt increased)

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24
Q

what structures are tight with hyperlordosis?

A

iliopsoas
rectus femoris
QL
piriformis

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25
what structures are lengthed with hyperlordosis?
abdominals hamstrings gluteal max
26
what causes hyperlordosis?
poor posture pregnancy weak abdominals obesity
27
what are some postural findings with hyperlordosis?
plantar flexion hyperextended knees reduces hip extension
28
what is hyperkyphosis?
increase in normal kyphotic cure of the spine with an anterior head carriage
29
What's the difference between functional and structural?
functional (due to poot posture or voluntary changes) structural (due to changes in the body's bone structure)
30
what is common to develop from hyperkyphosis?
TOS frozen shoulder facet joint irretation breathing changes shoulder protraction
31
what is scoliosis named after?
the convexity
32
what test determines if scoliosis is functional or structural?
flex the trunk forward to see if the spine realigns
33
how do you record scoliosis?
span (distance) apex (furthest point from midline) s or c cure (c has one curve s has two) major and minor curve
34
what range of motion is limited with thoracic right-sided scoliosis?
flexion towards the affected side lateral flexion towards the afffected side
35
where does rip humping occur?
on convex side of ribs
36
what direction does the SP point with scoliosis?
towards concave side
37
what direction does the vertebral bodies point with scoliosis?
towards convexity
38
what is counternutation?
anterior pelvic tilt
39
what is nutation?
posterior pelvic tilt
40
what is an upslip?
ASIS and PSIS on one side is higher then the ASIS on the other side
41
what is a torsion of the pelvis?
ASIS is higher then the PSIS on the same side
42
when the trunk flexes forward, in what way does the ASIS move? PSIS? ischium?
asis moves lateral psis moves medial ischium moves lateral opposite directions with extension
43
what are the types of torticollis?
acute congenital spasmodic
44
In what way does the neck rotate with torticollis?
towards the effected side
45
what muscles are mainly involved with torticollis?
extension of the neck (levator scapula) flexion of the neck (scm)
46
when would you test AR range of motion with torticollis?
when the spasm is reduced
47
what is acute acquired torticollis?
a painful unilateral shortening or spasm of the neck muscles resulting in abnormal head positioning
48
what is psuedotoricollis?
when any movement causes pain and all ranges are limited due to idiopathic muscle spasms
49
what is congenital toricollis?
a contracture of one scm muscle present at infancy
50
can congenital torticollis be corrected?
yes with gentle stretching and surgical treatment
51
is pain present with congenital torticollis?
no only decreases movement is present
52
what is spasmodic torticollis?
a localized dystonia resulting in involuntary spasms of the cervical muscles or incontrollable rhythmic spasms of the neck muscles
53
would you stretch SCM if a client is positive for a vertebral artery test?
no its contradincated
54
would you perform a joint play on someone with spasmodic torticollis?m
no its contradincated
55
what are tension headaches?
headaches due to a muscle contraction
56
what type of headache is unilateral and frontal arising form the lateral neck?
cervicogenic headaches
57
what are spinally mediated headaches?
caused by trigger points in the neck or thorax, cervical facet joints, ligaments, or disc of the joints
58
what are chronic daily headaches?
can be daily or near-daily headaches that are constant but fluctuations of pain levels
59
if headaches are new at age _____. client should be referred to a physician.
age 50
60
how are most tension headaches described as?
a rubber band around the forehead
61
what essentail oils are helpful for headaches?
lavender peppermint blue chamomile
62
where does the upper trapezius muscle refer?
above the eye, around the ear and down the lateral neck (question mark)
63
where do occipital muscle refer?
back of the neck
64
where does the SCM muscles refer?
occiput, around eye, into the ear and across the forehead
65
what is the cause of migraines?
unknown genetic trigger factors (stress, hunger, medication, weather, allergies) aggravating factors (movement, TP, postural dysfunctions)
66
what is an aura in relation to migraines?
auras is a set number of signs and symptoms someone feels before having a migraine
67
what is more common mirgaines with an aura or without?
without
68
what are some symptoms of migraines?
mood changes zig zag lines or visual distotrion rumbling noises pins and needle feeling around hands everyone tends to have different side effects
69
what is the most common symptom of child migraines?
stomach pain or nausea
70
what are cluster headaches?
grouping of headaches, often once a day for several weeks
71
how would cluster headaches be described?
unilateral jaw, nose and teeth pain sharp, burning pain exceeds for 12 months
72
what ae drug-associated headaches?
related to medications or drug use
73
what is drug associated headaches most common?
mornings when blood levels of drugs or medication are lowest during withdrawal
74
what kind of headache is common with coccyx trauma or falls on the coccyx?
trauma-related headaches
75
what is resting position for TMJ?
mouth slightly open, lips together, teeth not touching
76
what are the two movements in order of the jaw opening?
rotation the glide
77
what shape is the TMJ joint?
biconcave
78
what three components must be present to have TMJ dysfunction?
predisposition tissue alteration stress
79
what can cause TMJ dysfunction?
muscle imbalances muscle overuse (chewing gym) postural direct tramua whiplash infections
80
what is bruxism?
grinding of the teeth
81
what are some signs of TMJ?
clicking or popping noise headaches decreased jaw depression ear stuffiness TP in muscles of mastication
82
what would cause the jaw to have an s-shaped movement?
muscle source
83
what would cause the jaw to have a c-shaped movement?
capsular source (open towards effected side)
84
what movement would be present with an anterior disc displacement?
towards opposite side during opening of the jaw
85
what movement would be present with edema in the joint of the jaw?
towards the unaffected side when closed and towards effected side when opening
86
what are the types of whiplash?
hyperextension (head on) hyperflexion (back on) mixed (side impact)
87
what are the grades of whiplash?
grade 0: no complaints of pain or physical symptoms grade 1: neck pain and tenderness but no physical symptoms grade 2: neck pain and musculoskeletal injury grade 3: neck pain, musculoskeletal and neurological injury grade 4: neck pain, musculoskeletal nad neurological and fracture or dislocation
88
what phases of a car accident would you get TMJ?
phase two
89
what vertebral levels are mostly effected by car accidents?
C5-C6
90
what are some factors in a car accident?
head position seatbelt headrest seatback stature
91
how long after an accident should you not feel pain?
before the 24hr mark
92
should you decrease a muscle spasm in the acute stage of healing?
no
93
should you passively stretch a spasmodic muscle?
no
94
should you relax muscles surrounding a hypermobile joint?
no
95
what is the difference between a dislocation and a subluxation?
dislocation is a complete dissociation of the joint subluxation is a partial dissociation of the joint
96
what is the most common joint to disslocate?
GH
97
what position would cause an anterior dislocation?
abduction external rotation
98
what position would cause a posteriorodislocation?
adduction medial rotation
99
what would cause a lunate dislocation?
fall on outstretched hand
100
what is common to see with an elbow dislocation?
fracture
101
should AF range of motion be pain-free in the acute phase?
yes
102
is distal circulation CI in acute and early subacute stages of healing?
yes to prevent congestion
103
should range of motion or strength come first?
range of motion
104
(q)what is the main goal for a client with early ankylosing spondylitis?
maintain thoracolumbar mobility
105
(q)what benefits are a client with lupus going to experience with massage?
relieving joint pain which is a common symptom
106
(q)ankylosing spondylitis lead to what kind of fusion?
spinal fusion from ossification of the intervertebral discs and ligaments
107
(q)what deformity of the hands is common with RA?
ulnar deviation of wrist and fingers
108
(q)during an acute flare-up of RA, what hydro is best to use?
submerge hands or feet in cool water NOT cold
109
(q)what is RA?
chronic systemic inflammatory disease with acute flare-ups
110
(q)what condition begins at the sacroiliac region and is known as the bamboo spine?
ankylosing spondylitits
111
(q)what condition causes degenerative changes in the joint in a later stage?
RA
112
(q)what are the triggers for fibromyagia?
stress, lack of sleep, and lack of execrise
113
(q)do all 18 tender points need to be present with fibromyalgia?
no just 11 / 18
114
(q)what is the insertion of the deltoid considered with fibromyalgia?
controlled site of pain
115
(q)how is one diagnosed with fibromyalgia?
collection of symptoms including tender points
116
(q)what is the most common symptom of fibromyalgia?
headaches skin sensitive fatigue IBS
117
(q)what is the reason for headaches and personality changes in systolic lupus?
lupus is often cause by inflammation of connective tissue in the central nervous system
118
(q)what neurotransmitter is decreased in Parkinson?
dopamine
119
(q)is chest expansion common with ankylosing spondylitis?
no hip and knee flexion is decreases lordotic curve fusion of the spine
120
(q)what is a common cause of constipation?
stress
121
(q)what comes first, the hepatic flexure or the splenic flexure?
hepatic is found first on the right side after the ascending colon
122
(q)what is the best position for a client undergoing a stomach massage?
supine with a pillow under the knees
123
(q)what postural changes are common with pregnancy?
pes planus scapular protraction femoral external rotation
124
(q)why would joint mobs be avoided with pregnant clients?
due to the amount of relaxin hormone causing the joints and ligaments to be lax
125
(q)is hyperlordosis common with pregnancy in the first trimester?
no
126
(q)what hydro therapy is best for a client who is pregnant?
thermosphere to upper back
127
(q)In what direction should you lay a pregnant client on the table?
left side
128
(q)what is always appropriate to perform on a client in the acute stage of healing?
grade 1 oscillation
129
(q)what causes constipation?
bust, stressful life fetal growth during pregnancy poor hydration lack of fibre in diet
130
(q)what is good to recommend a client with a frozen shoulder?
pendulum swings
131
(q)what is always avoided when treating a dislocation?
placing the client in the position which cause injury
132
(q)what muscle is likely strained with hyperkyphosis and protracted shoulder?
suprepsinatus
133
(q)what is always present in a dislocation of the GH?
GH sprain
134
(q)what dislocation is caused by being tackled from behind while throwing a ball?
anterior
135
what ranges are most limited with a frozen shoulder?
abduction and external rotation
136
what are the three stages of frozen shoulder?
acute (freezing) subacute (frozen) chronic (thawing)
137
what are some causes of frozen shoulder?
idiopathic (primary) musculoskeletal trams or disorders a trigger point in subscap postural abnormalities disuse after injury
138
what joints are involved with the shoulder?
SC AC GH scapulothoracic
139
what stage of a frozen shoulder is the most painful?
acute or freezing
140
where is most of the pain located with a frozen shoulder?
lateral biceps
141
Would you perform a joint play with frozen shoulder?
no high grades
142
when is the joint most in pain with frozen shoulder?
at night in the acute stage or on capsule stretch in the subacute stage
143
would you overtreat frozen shoulder?
no
144
would you mobilize an osteophyte?
no
145
what homecare is beneficial for a client with a frozen shoulder?
pendulum swings wall crawls wand exercise
146
what can cause constipation?
lack of hydration lack of fibre stress or busy lifestyle pregnancy medical side effect post surgery effect
147
what are some common symptoms of constipation?
straining or pain while passing stool infrequent bowel movements IBS low back pain bad taste in mouth etc
148
what hydro would you avoid with constipation?
heat on abdomen
149
what muscle TP can contribute to bowel irritation?
iliopsoas
150
what direction should you treat the abdomen?
clockwise direction starting at the sigmoid colon and workings distal to proxmial
151
what are some symptoms of a first trimester pregnancy?
nausea/vomiting polyurea blood pressure falls relaxin hormone produced mood swings tender and increases breast size
152
what are some symptoms of the second trimester?
edema hypertension dyspnea varicose veins headaches 18-21 week movement is felt pain in stomach etc
153
how does pregnancy affect the cardio vascular system?
increases heartbeat dizziness/lightheaded hypertension is common hypotension in first stage of pregnancy
154
how does pregnancy affect breathing?
diaphragm is compressed and elevated
155
why would you avoid high-grade joint mobs with pregnant clients?
due to production of relaxin
156
what is pre-eclampisa?
medical emergency due to elevated blood pressure due to toxemia related condition
157
what are the three signs of preeclampsia?
spiked blood pressure weight gain over 2lbs/wk proteinuria
158
what is eclampisa?
fatal condition if not treated asap
159
what are things to look out for in a pregnant client?
vaginal bleeding severe abdominal pain water breaking swelling upper right stomach pain
160
how does posture change with pregnancy?
hyperlordosis head carriage internal rotation of shoudlers flat feet external rotation of hips
161
what essential oils are not permitted to use with pregnant clients?
rosemary lavender tangerine jasmine basil
162
what are the borders of the breast tissue?
the lower edge of the clavicle an inch below breast contour over rectus abdominus sternal midline anterior edge of latissimus doors
163
when would you not perform breast massage?
mastitis present undiagnosed lump present breast abscess present direct pressure over the ruptured implant no boundaries established no open communication
164
what nerve innervates the nipples?
T4
165
(q) does the joint become hypermobile or hypermobile with a dislocation?
both
166
(q)what range is mostly limited with right thoracic scoliosis?
lateral flexion to the right
167
(q)what side would you treat first with scoliosis?
concave side to stretch convex side second to stimulate
168
(q) what structure rotates towards the convexity?
vertebral bodies
169
(q) what allows us to know if scoliosis is functional or strutrual?
disappears when the client flexes forward
170
(q)when should you avoid frictions?
when the client is on antiinflammatories
171
(q)would you ice the dorsal foot for a client with chronic plantar fasciitis?
no
172
(q)what direction does the talar head and navicular bone move with pes planus?
talar head (medial) navicular (inferior)
173
(q)what is an avulsion fracture?
break of the bone from a violent pull of the ligament or tendon
174
(q)what is the mechanism of injury with potts fracture?
foot planted on the ground and a forceful eversion is applies at the ankle
175
(q) how many grades of injury does tendonitis have?
4 based on signs and symptoms
176
(q)what ligament is damaged with LCL injury of the eblow?
annular ligament
177
(q) would you see a bakers cyst with pes planus?
not likely
178
(q) how can you determine if pain is from a bursa or tendon?
tendon pain increased on movement/contracture bursa is constant
179
(q) does foot supination cause patellar femoral syndrome?
no
180
(q) what is a compound fracture?
bone is broken and broken through skin
181
(q)what bones are associated with Dupuytren fracture?
tibia fibula talus
182
(q) what movement is effective for stretching pes planus?
inversion
183
(q)what hydro is best for plantar fasciitis?
deep moist heat to posterior leg
184
(q)what ligament is damaged with potts fracture?
deltoid ligaments
185
(q)how do you determine the stage of healing?
based on inflammatory signs and symptoms shown
186
(q) what are the signs of inflammation?
swelling rubor pain immobilty heat
187
(q) what hydro is recommended for subacute healing?
contrast
188
(q) how do adhesions develop?
untreated chronic inflammation
189
(q) how do you prevent scar tissue formation?
active free range in pain free plain
190
(q)do you treat distal to inflammation?
no
191
(q) what position would a client be in with acute iliopsoas strain?
weight on unaffected leg affected hip is flexed abduction and external rotation of hip
192
(q) with a chronic rectus femoris strain, would there be decreased active free knee extension?
no
193
(q) following the rule proximal distal proxmial, how would it apply to treating the low leg? (what would you treat first)
low back hamstring low leg foot
194
(q)what are the signs of a third degree strain?
loud pop at injury time loss of strengthen depression in skin
195
(q) can friction work cause an inflammatory response?
yes
196
(q)what area of the brain is responsible for parkinsons?
basal ganglia
197
(q) what would you see in the acute stage of a strain? a) adhesions b) TP c) hypertonicity d) contratures
c) hypertonicity
198
(q) would you passively stretch in the acute stage of healing?
no
199
(q) what is the mechanism of injury for a illopsoas strain?
hyperextenion of the hip
200
(q) what hydrotherapy is best for a dupuytrens contracture?
parrifin wax
201
(q) how is a dupuytrens contracture described?
flexion deformity of the ring and baby finger
202
(q) after youve performed friction techniques, what is the next step?
apply a stretch to the area to realine the muscle fibers and then apply ice (cban)
203
(q) would you remove a muscle spasm in the acute stage of an injury?
no
204
(q) what is friction used to treat?
adhesions
205
(q) what is a common symptom seen with muscle spasm?
pain with stretch to the muscle
206
(q) what area is a grade 3 burn affecting the most?
epidermis dermis subcutaneous tissue
207
(q) is nuclear a category of burns?
no
208
(q) what age group and age is it common to see muiltple sclerosis?
females 20-40
209
(q) what condition is an example of upper motor neuron lesion?
muiltple sclerosis
210
(q) what is MS characterized by?
patches of demyelination in the CNS
211
(q) if the right side of the brain is injured, what side of the body is effected?
the left side
212
(q)describe cerebral palsy?
non progressive disorder impairing voluntary movement
213
(q)full body relaxation to reduce tremors is appropriate towards what condition?
parkinsons
214
(q) what is a treatment goal for a client with cerebral palsy?
minimze contracture formation
215
(q) is multiple sclerosis progression predictable?
no
216
(q) describe parkinsons?
difficult movementy resting tremors muscular rigidity
217
(q) what is a malignant neoplasm?
invades blood and lymph system
218
(q) is MS a progressive condition?
yes
219
(q) what condition is associated with resting tremors?
parkinsons
220
(q) what condition is associated with intension tremors?
MS
221
(q) would abduction be seen with a extensor pattern of the lower body?
no
222
(q) would internal rotation be seen in a flexor pattern of the lower body?
no
223
(q) what is a common posture with hemiplegia?
flexor pattern of the upper body extensor pattern of the lower body
224
(q) where is most of the edema found in a client with hemiplegia?
ankle
225
what is the leading cause of adhesions?
chronic inflammation
226
what are some signs of inflammation?
redness swelling heat pain loss of function muscle spasm muscle guarding
227
would you treat distal to swelling?
no
228
would the presence of edema affected range?
yes it would reducd when movement compressed the edema
229
what is the purpose of a muscle spasm?
an internal splint to the injured site reduces movement and prevents further injury
230
what are cause of spasms?
pain circulatory stasis increased neuron firing chilling in the muscle lack of vitamin D
231
what are some contraindications for muscle spasm?
do not attempt to remove or completey elimate spasm avoid passive stretching when acute hot hydro massage if DVT is present
232
what is the most common spasm?
calf cramp
233
what is a contusion?
crush injury to a muscle
234
what is a hematome?
large local hemorrhage following tramua
235
what things can lead to scar tissue formation?
inflammation prolonged immobilization paralysis or paresis
236
what are some types of burns?
thermal corrosive electrical radiation
237
what are some contrandication for burns?
infection risk is high, wash hands often wearing gloves to prevent infection no oils to the area avoid contact with burns modifcations to hydro active resisted in acute stage direction of pressure is towards injury site
238
what are the causes of strains?
sudden overstretch of the muscle extreme contraction of the muscle agasint heavy resistance
239
describe a grade 1 strain?
minor stretch and tear minmal loss of strength mild discomfort with activity
240
describe a grade 2 strain?
tearing snapping sensation gap apperance hard time with activity
241
describe a grade 3 strain?
complete rupture sound at injury unable to continue activity
242
what are some CI's for strain?
avoid testing grade 2 and 3 in acute stage avoid removing spams around acute strain distal circulation
243
(q) what is considered deep sensory testing?
dermatomes deep pressure temperature perception
244
(q) what muscle is being tested with wrights hyperabduction?
pec minor
245
(q) what nerve is compressed with carpal tunnel syndrome?
median
246
(q) in a prolapsed cervical disc, the pressure from the disc is usually against what structure?
posterior longitudinal ligament
247
(q) a client with a disc herniation at C4/C5 and resultant nerve root irritation will have what type of weakness?
shoulder abduction
248
(q) a disc herniation at C5-C6 will compress what nerve root?
C6
249
(q) what is the mjost common disc herniation?
posterior lateral
250
(q) what position would relieve compression at L4/L5 facet joint irritation?
flexion and contralateral side bending
251
(q) what is a common trigger for a client with Raynaud's disease?
exposure to cold
252
(q) what nerve is affected with weakness in the tricep muscle?
radial nerve
253
(q) what nerve is involved with wrist drop?
radial nerve
254
(q) what test would differentiate pronator teres from carpal tunnel?
pronator teres test
255
(q) what nerve is peroneus longus innervated by?
superficial fibular
256
(q) what nerve innervates soleus?
tibial nerve
257
(q) what test is used to determine the regeneratin of the ulnar nerve?
tinel tap at the elbow
258
(q) what nerve is effected by bells palsy?
VII
259
(q) your client has sharp shooting, searing pain, short and shallow breaths and pain in the area of the lateral axillary, sternum, and spine. what condition would they have?
intercostal neuralgia
260
(q) what condition is due to traction of the upper brachial plexus, affecting the deltoid, bicep and brachialis muscles?
erbs duchenne
261
(q) when treating a client with hypertension it is important to closely monitor them for warnings of cardiac distress what is a good sign to look for?
heart rate of 100 BPM
262
(q) what is heart pain due to reduced blood supply to the heart?
angina pectoris
263
(q) what is a good homecare for a client with hypertension?
mild aerobic activity
264
(q) what is the safest way to treat a client in with congestive heart failure?
lateral strokes
265
(q) what is another name for DVT?
thrombophlebitis
266
(q) what hydro is best for clients with DVT or varicose veins?
cool hydro to the legs
267
(q) is sharp intense bilateral leg pain a symptom of varicose veins?
no
268
(q) what occupation would you see high rates of Raynaud's disease?
food prep workers
269
(q) what does COPD stand for?
chronic obstructive pulmonary disease
270
(q)what is the following technique: a middle finger placed flat on the back/chest within an intercostal space, then tap the finger with the other middle finger and index finger to listen for different sounds
mediate percussion
271
(q) what position for postural drainage is used for addressing the middle lobe?
supine with 1/4 turn superior, affected lobe superior
272
(q) what is the benefit for a facial steam prior to sinusitis treatment?
loosens mucous
273
(q) which of the following is common to see in post partum depression: euphoria anxiety about the future cant wait to go to work thought of hurting your husband
anxiety about the future
274
(q) what joint mob is safe to use on a client with acute frozen shoulder
grade one oscillation to the shoulder
275
(q) what muscle depresses the jaw?
lateral pterygoid
276
(q) what is an ominous sign when treating the breast?
clear, greyish-green or bloody discharge
277
(q) where does a trigger point in the suboccipital muscles typically refer to?
occiput around the head to the orbit of the eye
278
(q) is having a mammogram within 24 hours of treatment CI'd?
yes
279
(q) what is injured with hyperflexion of the C-spine?
posterior neck
280
(q) what is a positive rebound test indicate?
appendicitis (refer to MD)
281
(q) is vastus medialis weakness common with patellofemoral syndrome?
no
282
(q) what is important when treating a client with AIDS?
do not over fatigue
283
(q) what is appropriate for treating a client with an incomplete L2 spinal cord injury
cool wash running vibrations isometric strengthening of knee extensors
284
(q) how long after radiation can you treat a client?
4 weeks
285
(q) non-paralytic polio presents with what symptoms?
flu-like sympotoms
286
(q) what cervical spine damage would lead to a complete loss of diaphragm function?
C3 above