Medical Terminology
the condition of gallstones
cholelithiasis
Nausea, vomiting, fever and abdominal pain
McBurney's point
appendicitis
Scoliosis can be caused by
Idiopathic: most common
Congenital
Neuromuscular
Protrusion of a portion of the stomach through the diaphragm
hiatal hernia
List 2 treatments or rehab implications for GERD
Treatment of GERD
Avoid irritants in the diet such as alcohol and caffeine
Avoid eating large meals
Use of acid reducing medications (ex. prilosec and prevacid) - proton pump inhibitors
Surgery to tighten the cardiac sphincter (minimally invasive surgery)
Rehab
Avoid the supine position if the patient has recently eaten.
To help decrease nocturnal reflux- patient should sleep on their left side
GERD can be common in athletes who participate in strenuous exercise.
High Fowler's position
HOB elevated as high as possible
ascites: cirrhosis
Patients with Erb's Palsy generally present with this symptom
Waiter's tip deformity
due to loss of the lateral rotators of the shoulder, arm flexors, and hand extensor muscles
This form of spina bifida is when there is a protrusion of the meninges and CSF
Spina bifida cystica-meningocele
rarely causes neurological deficits
What is McBurneys point and what disease is it associated with?
McBurney's point refers to the point on the lower right quadrant of the abdomen at which tenderness is maximal in cases of acute appendicitis.
Appendicitis
Name 2 special implications for scoliosis in regards to exercise
Strengthen trunk extensors, abdominals, glutes (esp hip extensors)
progressive resistance exercises to both sides
exercises 2x/week for 15 min
Stretching focus on iliopsoas, low back extensors and lateral trunk flexors on the concave side
a classic physical examination finding in MD and results from weakness in the child's proximal hip muscles.
To get up from a sitting or supine position, the child must first become prone on the elbows and knees. Next, the knees and elbows are extended to raise the body.
Gower's sign
What is a symptom of GERD?
Heartburn (30-60 minutes after eating)
dysphagia and painful swallowing (caused by narrowing of lumen)
Unilateral shortening of SCM, can lead to
torticollis
deformational plagiocephaly
mucosa or submucosa herniate through the muscular layers of the colon/small intestine
diverticulosis
Name 2 therapeutic interventions for spina bifida patients
Skin care: place on soft mat, periodic cleansing, gentle massage, test bath water, use sunscreen, check skin daily for pressure areas
exercise: PROM: slow and cautious, emphasize upright activities and ambulation
shunt care: awareness of S&S of increased CSF pressure: firm soft spot on cranium, change in appetite/vomiting, increased head circumference, seizures
tethered cord: awareness of S&S of tethered cord: changes in B&B, increased spasticity, asymmetric postures, altered gait, changes in strength
latex sensitivities: watery eyes, wheezing, hives, rash, swelling
adaptive equipment: bracing based on needs. precautions: severe spinal deformity, spasticity, decreased UE strength, knee flexion/PF contractures
pseudohypertrophy
enlarged muscles feel doughy on palpation and are weaker than normal
muscular enlargement through deposition of fat rather than muscle fiber
dependent on level and completeness
motor deficits, hydrocephalus, mental impairments, B&B dysfunction
Spina bifida
Motors deficits: Paralysis and/or spasticity, Usually not symmetrical, Leads to muscle imbalances, scoliosis, deformity
This specific disease progressively destroys skeletal muscles. what is it and what muscles are first affected
Duchenne's muscular dystrophy
limb girdle muscles affected first
Spread through contact with blood and most likely to cause what?
Hepatitis C and cause chronic hepatitis and cirrhosis
Name 3 rehab implications or treatments for muscular dystrophy
Treatment:
None known to halt progression
Glucocorticoid therapy: Slow progression of DMD and BMD
Cell and gene therapy under investigation
Rehab:
Exercise and activity: Weak hip extensors, hip adductors and knee extensors, Stretch hip flexors
Monitor for scoliosis and joint contractures
Home evals for safety
Splinting
Mobility
Hydrotherapy
Scale that assesses joint hypermobility
Beighton Scale
Ehlers-Danlos: strengthen and stabilize
Name the five F's and which disease are they associated with
Female, fat or obese state, fair complexion, fertile state or having had child, forty years or older
cholelithiasis
Hereditary disease that is from defective synthesis of connective tissue
Also known as ....
Osteogenesis imperfecta
brittle bones
Caused by Helicobacter pylori and is treated with
Peptic ulcer disease and acid reducing medications or antibiotics if bacteria present
Name 2 rehab implications for each Ehlers-Danlos and osteogenesis imperfecta
ED:
Strengthen and stabilize
Avoid high impact activities that place increased stress on the lax joints, such as heavy weight lifting
Avoidance of activities that require joint hyperextension
Braces for unstable joints
OI:
mobility, W/C positioning, splinting (to support limbs), handling, gentle exercise (ROM and resistive) 50% will ambulate without an AD, swimming is a good activity