Week 10 Terms: Orthopedics; Spine and LEs, Cancer, and Lymphedema Flashcards

1
Q

Treatment for Ankylosing Spondylitis

A

Anti-inflammatory treatment
Pain relief measures
Maintaining mobility
Strengthening/exercise
Promote muscle support of posture

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2
Q

True/False
Ankylosing Spondylitis can be an autoimmune disorder.

A

True

Can also be a chronic progressive inflammatory condition

Form of reumatoid arthritis

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3
Q

What parts of the spine are affected in ankylosing spondylitis?

A

Sacroiliac joints
Intervertebral spaces
Costovertebral joints

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4
Q

Often a tear in the capsule (or disk) in the spine will cause…?
A. protrusion of nucleus pulposus
B. sensory, motor, or autonomic disfunction
C. Kyphosis
D. Both A and/or B
E. Both A and/or C

A

D. Both A and B
Often a tear in the capsule (or disk) in the spine will cause protrusion of nucleus pulposus and/or sensory, motor, or autonomic disfunction.

Herniated Intervertebral Disk

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5
Q

How do you diagnose a herniated intervertebral disk?

A

Myelography w/contrast dye
CT
MRI

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6
Q

Treatments for Herniated Intervertebral Disk

A
  • Reduced weight-bearing
  • Rest as needed
  • Application of heat or ice
  • Traction
  • Medication
    muscle spasm and pain
  • PT/OT
  • Surgery in severe cases
    Laminectomy or discectomy
    Spinal fusion
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7
Q

What are some ways to protect your joints?

Joint Protection and Ergonomics

A
  • Back safety and injury prevention
    1. Avoid unnecessary bending & twisting
    2. Hold items close to body
    3. Lift with legs vs. back
    4. Ergonomic assessment of workspaces
    5. Maintain good strength in surrounding musculature
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8
Q

Most common types of hip fractures

A

Femoral Neck
Intertrochanteric
Subtrochanteric

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9
Q

Common Causes of Hip Fractures

A

Falls
Osteoporosis
Trauma - less common

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10
Q

Open Reduction Internal Fixation (ORIF)

A

Most common fracture repair surgery
Pins, screws or a rod placed to hold bone in place
Often result in limited weight bearing

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11
Q

What are some weight-bearing precautions after ORIF surgery?

A

Parameters set by MD
*Determined by *
surgical procedure
severity & location
type of prosthesis
bone integrity
patient weight
cognitive status

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12
Q

What are movement approach precautions for an Anterolateral (anterior) approach?

Hip Replacement

A

No extension
No external rotation
No adduction

Toes knees and hips need to be in the same direction

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13
Q

What are movement approach precautions for an Posterolateral (posterior) approach?

A

No flexion <90
No internal rotation
No adduction

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14
Q

Signs that a hip replacement is needed

A

Arthritis pain: Non-surgical treatments ineffective
“elective”

Hip Fracture

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15
Q

When would a client usually have a total knee replacement (TKR or TKA)?

A

Severe arthritis pain

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16
Q

Symptoms of Ankylosing Spondylitis

A

Reduced Lung Capacity
Compression Fracture
Osteoporosis
Kyphosis
Calcification or fusion
Inflammation of SI joints

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17
Q

Risk factors for Herniated Intervertebral Disk

A

Age
Metabolic Changes
Obesity
Trauma
Poor Body Mechanics

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18
Q

79 yo with a left total hip replacement (anterior approach) after failed conservative treatment for osteoarthritis
What type of weight bearing and/or movement restrictions would this client have?

A

Weight Bearing As Tolerated (WBAT) or
Partial Weight Bearing (PWB)
No extension/external rotation/adduction

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19
Q

Cancer

A
  • Genetic Mutation; Mutant cells can change function, cell growth can get out of control
  • Abnormal Cellular Behavior
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20
Q

True/False
Incidence for cancer is 10 times greater in those over 65y.

A

True

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21
Q

The mortality rate for cancer is higher among…
A. Women
B. Men

A

B. Men
The mortality rate for cancer is higer among men than women.

Highest in African American men

22
Q

What are some risk factors for cancer?

11

A

Age
Alcohol/Tobacco Use
Diet
Obesity
Radiation
Sunlight
Hormones
Chronic Inflammation
Cancer-Causing Substances
Immunosuppression
Infections

23
Q

Tumor

A

Abnormal Growth of Cells

24
Q

Characteristics of a Benign Tumor

A

No Cancerous Cells Present
Don’t Invade Nearby Tissue
Tumor Doesn’t Normally Return After Removal
Usually Has a Smooth, Regular Shape
Often Move Around if You Push on Them
Typically not Life-Threatening
May or May not need treatment

25
**What types of malignant tumor cells are there?**
Carcinoma Sarcoma Blastomas
26
**Characteristics of Malignant Tumors**
Contains Cancerous Cells Able to Invade Nearby Tissue Can shed cells that travel through the blood or lymphatic system to other parts of the body to form new tumors Can Return After Being Removed May have an Uneven Shape Don't Move Around When you Push on Them Can be Life-Threatening Require Treatment
27
**Tumor Effects** | 7
Pain Obstruction Weight loss Fatigue Necrosis and ulceration Infection Bleeding
28
**Diagnostic Tests for Cancer**
Routine Screening- for early detection Self-Examination- early detection if done consistently Blood Tests- measure blood cell levels during treatment, may detect tumor markers (PSA test) Radiographs, Ultrasound, MRI, CT Cytological Tests- Require biopsy or cell sample
29
**Metastasis**
Spread to distant sites Spreads via blood or lymph or other body fluids Ex. Carcinoma of the colon spreads to the liver
30
**Stages of Cancer**
**Stage 0:** Abnormal Cells are present but have not spread to nearby tissuse (also called carcinoma in situ CIS. CIS is not cancer, but may become cancer) **Stage I, II, and III:** Cancer is present. The higher the number, the larger the cancer tumor and the more it has spread into nearby tissues. **Stage IV:** The cancer has spread to distant parts of the body
31
**Palliative Care** | Full Definition
an approach that aims to improve quality of life for families and patients facing life-threatening illness. It provides relief from pain and other distressing symptoms, support to help patients live as actively as possible, and coping and bereavement assistance
32
**Pre-Cancerous Tumor**
Abnormal cells with potential to become cancerous
33
**Invasion** | In relation to the spread of malignant tumors
Local Spread Tumor cells grow into adjacent tissues
34
**What is TNM Staging?**
Degree of Progression **T**umor Size **N**umber of lymph noed to which it has spread **M**etastasis Present
35
**How is surgery used in relation to cancer?**
Used to diagnose, treat, and prevent cancer
36
**What are secondary side effects from surgery?**
Complications Pain Infection from wound site Lymphedema
37
**Chemotherapy**
Medicines or drugs that are used to treat cancer Kill cancer cells and eradicate altogether OR Contain or slow down tumor growth
38
**Secondary Side Effects of Chemotherapy** | 10
Fever and chills Nausea and vomiting Hair loss Fatigue Sores in mouth or throat Constipation or diarrhea Itching/rash Muscle or joint pain Memory changes Peripheral neuropathy
39
**Radiation Therapy** | Cancer
The use of high-energy particles or wavelengths to kill the cancerous cells and shrink tumors
40
**Seconary Side Effects of Radiation Therapy** | Cancer
Fatigue Skin Irritation at Site Fever and Chills
41
**Immunotherapy** | Cancer
A type of biological therapy that uses substances made from living organisms to treat cancer
42
**Secondary Side Effects of Immunotherapy** | Cancer
Skin Irritation at Needle SIte Flu-like Symptoms Swelling Weight-Gain
43
**Lung Cancer**
Deadliest Type More treatable than in past Small cell or non-small cell Leading cause: smoking, environmental factors Often diagnosed (Dx) in late stages Primary or secondary site
44
**Colorectal Cancer**
Is one of the more deadly cancers Increased risk over age 50 Early detection and possible prevention by colonoscopy Change in bowel habits or bowel obstruction at later stages Can cause life-altering surgeries and treatments such as colostomy In some cases colostomies are reversed if treatment goes well
45
**Ovarian Cancer**
Poor prognosis because of hidden nature of cancer High mortality rates May not be known until there is change in bowel or bladder function or unexpected increase in abdominal girth All the other abdominal organs are vulnerable to spread due
46
**Breast Cancer**
Most common cancer among women 2nd leading cause of death for women
47
**Risk Factors of Breast Cancer**
Age Heredity Physical inactivity Weight gain Use of hormone replacement therapy African American women most likely to die from breast CA, which may be due to more aggressive form
48
**Brain Cancer**
1. Life-threatening because of compression of brain tissue 2. Primary tumor usually fatal; thus, no metastasis (Gould) 3. Common deficits for which rehabilitation services are needed include the following: * Impaired cognition * Weakness * Visual-perceptual deficits * Sensory loss * Bowel–bladder dysfunction | May present as if they've had a stroke due to pressure on brain
49
**Head and Neck Cancers**
Throat, larynx, nose, sinus or mouth More common in males Older adults Caused by tobacco, excessive alcohol use, Human Papaloma Virus (HPV) *May experience anxiety & guilt over cause of cancer & implications for loved ones*
50
**Lymphedema**
Inadequate drainage of lymphatic fluid Caused by blockage of lymphatic flow due to: * tumor or scar tissue * inflammation of lymph nodes and vessels related to radiation * surgical resection of lymph nodes Most commonly associated with breast cancer *can occur with other forms of cancer* Typically occurs in the arms or legs Increased edema in area impacted *affects ROM and function*