Other Systems and Non-Systems Bonus Class FF (cancer, ADA, on-field treatment, 8 min rule, K levels)

early warning signs of cancer

- unexplained weight loss >10lbs

- disproportionate fatigue

- lumps or swelling (PbKtl)

- changes in skin (ABCDE)

- sores that don't heal

- changes in bowel/bladder

- night pain

chemotherapy and adverse effects

drugs to destroy rapidly dividing cells

- fatigue, GI sx, leukopenia, anemia, neuropathies, hair loss

radiation therapy and adverse effects

destroy cancer cells locally

- pain, fatigue, delayed wound healing, immunosuppression, ROM deficit

immunotherapy and adverse effects

strengthen ability to fight cancer cells

- fatigue, weight loss or gain, fluid retention, atrophy

cancer exercise contraindications

- day of IV chemo or within 24 hours

- platelet <10k

- WBC <5k w/ fever

- Hemoglobin <8 or hematocrit <25%

- significant bony metastasis or severe osteoporosis (should only do AROM and ADLs)

SLE presentation

hallmark sign is malar butterfly rush

- arthralgia and arthritis

- people of color and women more likely to have

s for small joints and symmetrical

scleroderma

autoimmune CT w/ excessive collagen production leading to fibrosis

CREST:

Calcinosis, Raynaud's, Esophogeal Dysfunction, Sclerodactyly, Telangiectasia

Lyme disease stages

1. early localized - 3-30 days after bite

- bull's eye rash, flu like sx

2. early disseminated - days to weeks

- facial nerve palsy, meningitis, radiculopathy, cardiac involvement

3. late disseminated - weeks to months

- large joint involvement, brain fog

IDEA parts

A: foundations and administration stuff

B: IEP program 3-21 y/o

C: early intervention (birth to 2)

D: improving education for children w/ disabilities

ADA environment

doorway width: 32"

hallway width: 36"

turning radius: 60"

ramp sloe: 1:12

recognition of seizures

- aura

- sudden unresponsiveness

- muscle jerking

- stiffening of muscles

- incontinence

response for seizures

- clear environment

- turn onto L side

- time seizure and call 911 if it lasts >5 min

do not restrain or put things in their mouth

response for concussions

- stop activity and monitor sx

emergency if: unconscious, repeated vomiting, severe headache, unequal pupil size, seizures, unusual behavior

heat exhaustion presentation

profuse diaphoresis

- shallow rapid breathing

- weak rapid pulse

- pale color

- exhaustion, collapse

- normal pupil

heat stroke presentation

dry, no diaphoresis

- labored breathing

- strong, rapid pulse

- 106 temp

- pupils contract, then dilate

heat exhaustion response

hydrate, move to cool area, remove tight clothing, cold compress

heat stroke resopnse

move to cooler response and call 911, don't give fluids (might apsirate)

levels of dehydration

mild - thirst, dry lips

moderate - very dry mouth, lips, poor skin turgor, headache, sunken eyes, postural hypotension

severe - rapid, weak pulse, confusion, seizures, inability to urinate/cry

K-0

no ability to ambulate or transfer safely

- w/c bound individual

K-1

can transfer or ambulate on level surfaces

- household mobility

- single axis prosthetics

K-2

can ambulate curbs, stairs or uneven surfaces

- limited community mobility

- multiaxial foot

K-3

unlimited community mobility

- variable friction mechanism at knee

K-4

high level skills like running and sports

- microprocessor at knee and multiaxial