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Risk for Osteoarthritis
- genetics
- occupations and sports with high stress
- obesity
- post menopausal women
s/s for Osteoarthritis
- crepitus
- tenderness
- joint pain and stiffness
- narrowing joint space
- symmetric and no morning stiffness
- OA usually in DIP joints
comp for Osteoarthritis
- decreased independence
- bone spurs-osteophytes
- fluctuations in pain
- mobility disability
patho/etio for Osteoarthritis
- degenerative joint disease that is progressive and multifactorial
- excessive stress applied to joint leading to articular cartilage breaking down
- synovial inflammation leading to tears, and mechanical joint failure
- usually in hands, knees, hips, and spine
risk for Degenerative Disk Disease
- 40+
- weight
- BMI
- Sedentary
s/s for Degenerative Disk Disease
- LBP/neck pain
- numbness and tingling
comp for Degenerative Disk Disease
- sciatic pain
- bowel and bladder dysfunction
- spinal stenosis leading to nerve pain
- functional disability
patho/etio for Degenerative Disk Disease
- progressive structural failure of the spine
- degeneration of spinal cartilage and inflammation and compression of disks.
- insidious
risk for Ankylosing Spondylitis
- white males
- 15-30
- genetics/ epigenetics
s/s for Ankylosing Spondylitis
- LBP, buttock and hip pain
- stiffness for greater than 3mo
- insidious onset of pain that increases w/rest
- decreased chest wall expansion leading to restrictive lung disease
comp for Ankylosing Spondylitis
- osteoporosis
- spinal stenosis
- spine fused together
- kyphosis
patho/etio for Ankylosing Spondylitis
- inflammatory arthopathy of axial skeleton, chronic inflammation sites
- initially lumbar, fusion of joints.
risk for Gout
- obesity
- genetics
- HTN
- middle aged men
- high purine diet
s/s for Gout
- unilateral pain
- redness
- arthritis
- swelling
comp for Gout
- bone abnormalities
- kidney issues
- joint deformity
- skin breakdown
patho/etio for Gout
- crystal induced arthritis (usually big toe)
- metabolic disorder
- increased uric acid AKA hyperuricemia
risk for Pelvic Floor Dysfunction
-women of reproductive age
- previous pregnancy
- postpartum
- trauma/surgery/injury
- obesity
s/s for Pelvic Floor Dysfunction
- Overactive: pain, pressure, achey, LBP, painful intercourse
- Underactive: incontinence
comp for Pelvic Floor Dysfunction
- pelvic organ prolapse
- chronic pain
- sexual dysfunction
- urinary issues
patho/etio for Pelvic Floor Dysfunction
- overactivity of PFM caused by birth, trauma, or overstretching
- underactivity of PFM is common as well
risk for Multiple Sclerosis
- infections
- immunological response
- genetics
- environment
- other immune disorders
s/s for Multiple Sclerosis
- fatigue
- burning pain
- decreased motor control/ coordination
- ataxia
- neuropathic pain
-optic neuritis
comp for Multiple Sclerosis
- depression
- bladder and bowel dysfunction
- optic neuritis
patho/etio for Multiple Sclerosis
- chronic neurodegenerative disorder of CNS
- demylination disorder
- oligodendracytes (make myelin sheath) get attacked by immune system
risk for Amyotrophic Lateral Sclerosis
- white male 40-60
- females >70
- chronic exposure to heavy metals
-geographical factors
- military
s/s for Amyotrophic Lateral Sclerosis
- Bulbar (trouble chewing/swallowing)
- limb weakness/twitching
-slurred speech
- executive function declines
comp for Amyotrophic Lateral Sclerosis
- aspiration pneumonia
- respiratory distress
- atrophy
- death
patho/etio for Amyotrophic Lateral Sclerosis
- multisystem illness, adult onset
- disorder of mm wasting and gliotic hardening
- degenerative loss of motor neurons (upper and lower)
risk for Alzheimers Disease
- age
- fam hx
- ligestyle/environment
- diabetes, obesity
- downs syndrome
-stroke
s/s for Alzheimers Disease
- agitation
- confusion
- memory problems
- weight loss
- speech problems
comp for for Alzheimers Disease
- inability to carry out ADLs
- safety concerns
- infection
- changes in personality and behavior
- memory loss
patho/etio for Alzheimers Disease
- unknown etiology and insidious onset
- plaques (amyloid proteins) and fibrous tangles
- inflammation and oxidative damage to nerve cells
risk for Parkinsons
- genetics
- environment
- exposure to infection
- toxic exposure
- white men >60
s/s for Parkinsons
- tremor
- rigidity
- akinesia
- posture and balance
- bradykinesia
comp for Parkinsons
- cognitive impairments
- olfactory disorders
- sleep disturbances
patho/etio for Parkinsons
- chronic degeneration of neuron in substancia nigra
- loss of midbrain and dopamine
- idiopathic and no cure
risk for CVA
- 55+
- african american
- women on BC/HRT
- lifestyle
- genetics
s/s for CVA
- balance
- eyes
- face
- arms
- speech
- time
comp for CVA
- anxiety
- confusion
- loss of function
- paralysis
- behavior changes
patho/etio for CVA
- ischemic (most common) where blood is cut off or hemorrhagic(most deadly) w/ bleeding somewhere
- destruction of surrounding tissue
risk for Myasthenia Gravis
- thymic disorders
- women 20-30
- men 50-60
- genetics
s/s for Myasthenia Gravis
- mm weakness
- fatigue
- eye muscles first
- exacerbations
comp for Myasthenia Gravis
- myasthemic crisis
- develop other autoimmune
patho/etio for Myasthenia Gravis
- fluctuating weakness and fatiguability of skeletal mm
- defect in NM junction where Ach receptors are decreased and there is bad transmission of action potential
- autoimmune