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Describe signs and symptoms of L CHF
heart failure that leads to pulmonary edema and dyspnea and cough
Describe signs and symptoms of R CHF
heart failure that leads to general/ edema and JVD
Describe signs and symptoms of Myocardial infarction
heart attack or blood flow is impeded leading to necrosis, chest pain, heart failure, dyspnea, dizziness,
Describe signs and symptoms of Myocardial ischemia
blood flow is decreased leading to hypoxia leading to chest pain, heart failure, dyspnea, dizziness, responds to nitroglycerin
Describe signs and symptoms of Stroke
blood flow is prevented from coming to the brain, UMN such as spasticity, increased tone
Describe signs and symptoms of TBI
depending on the level of rancho scale, typically has cognition difficulties, dizziness, balance problems, blurred vision, frustration
Describe signs and symptoms of atelectasis
alveolar collapse, coughing, wheezing, difficulty breathing
Describe signs and symptoms of bronchiectasis
mucus build up in lungs leading to bacterial growth, purulent cough, bad smelling mucus, shortness of breath, wheezing and cough up blood/hemoptysis
Describe signs and symptoms of pleural effusion
fluid build up in pleural space of lungs shortness of breath, chest pain, dry cough
Describe signs and symptoms of pneumonia
inflammation of lung alveoli leading to productive cough, chills, dyspnea, stabbing chest pain
Describe signs and symptoms of pneumothorax
collapsed lung, stabbing chest pain, dyspnea, fatigue, dry cough, decreased fremitus
Describe signs and symptoms of 1st degree heart block
long PR interval without any other changes, you can continue exercising
Describe signs and symptoms of 2nd degree heart block Mobitz 1
PR internval progressively gets longer until QRS complex disappears, continue with exercise but lower intensity
Describe signs and symptoms of 2nd degree heart block Mobitz 2
PR interval stays the same but QRS randomly comes in and out, stop exercise and monitor
Describe signs and symptoms of 3rd degree heart block
PR interval and QRS complex have no pattern and this is call PCP
Describe signs and symptoms of Parkinsons disease
motor and nerve
problem with substantia nigra, leading to shuffling gait, festinating gait, difficulty speaking, 4 cardial signs Tremors, Rigidity, Akinesia or Bradykinesia, and Postural instability, nerve problems N/T
Describe signs and symptoms of ALS
motor only
progressive neurodegenerative disease that leads to both UMN and LMN symptoms, has weak extensors
Describe signs and symptoms of MS
motor and sensory
UMN disease in which there are 4 types, body system attacks myelin sheaths,
Describe signs and symptoms of GBS
motor and sensory
LMN, pain and weakness, glove and stocking pattern of N/T
Describe signs and symptoms of Myasthenia gravis
motor only
neuromuscular junction problem, weakness and easily fatigue, eye weakness common first sign,
Describe signs and symptoms of Cushing syndrome
similar to cushing disease except only excessive cortisol is produced instead of ACTH
Describe signs and symptoms of Cushing disease
high amounts of ACTH leading to high amounts of cortisol, moon face and buffalo hump, everything high except pottasium
Describe signs and symptoms of Addison disease
low amounts of ACTH dark pigmentation and everything low except potassium
Describe signs and symptoms of hyperthyroidism
vasodilation and everything else is high, low BP, heat intolerance
Describe signs and symptoms of hypothyroidism
vasoconstriction and everything else is low, high bp, cold intolerance
Describe signs and symptoms of hyperparathyroidism
high parathyroid hormone leading to high calcium in the blood and not bones, weak bones, kidney stones, osteoperosis/osteopenia
Describe signs and symptoms of hypoparathyroidism
low parathyroid hormone leading to low calcium in the blood, tetany
Describe signs and symptoms of CRPS
trauma pain that is with or without nerve involvement (I is if there is no nerve while II is if there is a nerve problem), allodynia or pain from non painful stimulus
Describe signs and symptoms of compartment syndrome
6 ps, medical emergency due to substantial pressure increase in an area, pain, pallor (paleness), pulse, parenthesis ad paralysis
Describe signs and symptoms of fibromyalgia
muscle pain in tenderness in distinct ares without muscle tightness
Describe signs and symptoms of HSV 1
vesicular lesion in oral area
Describe signs and symptoms of HSV 2
vesiuclar lesion in waist area
Describe signs and symptoms of HZV
pain and parestheisa in a dermatomal pattern
Describe signs and symptoms of IBS
Describe signs and symptoms of DVT
swelling of leg, pain and tenderness, skin that is warm to the touch
Describe what is lateral epicondylitis
tennis elbow has 3 tests that are positive such as cozen, mill and maudsley, some muscle weakness
Describe what is medial epicondylitis
Describe what is radial tunnel syndrome
pain near lateral epicondyle that does not have weakness
Describe what is carpal tunnel syndrome
compression of median nerve on carpal tunnel leading to parestheisa and weakness, positive phalen and reverse phalen
Describe what is pronator teres syndrome
compression of median nerve on head pronator teres leading to parestheisa and weakness in FPL and FDP and pronator quadratus
Describe what are signs and symptoms of SLE
What are key considerations/presentation including signs and symptoms of Achilles Tendon rupture
30-50 year old, positive thompson test, weak PF, inability to stand on toes pain at achilles above insertion on the calcaneus, swelling
What are key considerations/presentation including signs and symptoms of Adhesive capsulitis
middle age females associated with DM and thyroid problems, presentation depends on stage of frozen shoulder 1, painful at night limited ER, 2 freezing painful at rest and limited all ROM, 3 frozen pain with movement with atrophy, 4 thawing pain with recovery of motion, we expect to see limitations in active and passive ROM of the shoulder, treatment includes corticosteroid shots and joint mobilizations
What are key considerations/presentation including signs and symptoms of a lateral ankle sprain
no age but athletes involved in high intensity sports typically ATFL is the broken ligament from excessive inversion, presentation of pain on lateral ankle excacerbated by ankle inversion and plantarflexion, positive talar tilt and anterior drawer ankle are expected,
What are key considerations/presentation including signs and symptoms of a ACL sprain Grade III
teen to thirty year old female atheletes > male athletes involving either hyper extension or hyperflexion of knee with occasional meniscus injury, also has association with unhappy triad with ACL, MCL and Medial meniscus injury, presentation include positive lachman and anterior drawer test of knee, edema, limited ROM and difficulty weight bearing on affected extremity.
What are key considerations/presentation including signs and symptoms of a Bicipital tendinitis
involving repetitive overhead throwing activities such as swimming, baseball and gymnasts or repeated lifting, presentation includes pain on top of shoulder and front of shoulder, painful palpation over anterior shoulder area , positive yergason and speeds test,
What are key considerations/presentation including signs and symptoms of a lateral epicondylitis
tennis elbow, inflammation of common extensor tendon on lateral epicondyle likely from repeated overuse, presentation includes difficulty with grabbing objects, positive cozen, maudley, and mill test, painful palpation of common extensor tendon
What are key considerations/presentation including signs and symptoms of a MCL sprain grade II
joint laxity due to tear of ligament fibers with pain on medial/inside knee from a valgus force and lateral rotation of tibia, presentation include difficulty with knee flexion and extension with slight sweloling around knee, positive valgus stress test.
What are key considerations/presentation including signs and symptoms of OA?
degenerative process leading to cartilage changes due to age or repetitive stress, older 65 year old women, presentation includes pain in affected areas include hips, knee, spine and hands (note bouchard and heberden nodules), poor ROM , minimize and manage and not stop OA
What are key considerations/presentation including signs and symptoms of a osteogenesis imperfecta
poor bone growth to mutation of collagen producing gene, type 1 prone to bone fractures type 2 most severe form and likely is fatal to fetal, type 3 most fetal if you survive type 2 , type 4 most likely to be normal, presentation is child who is easily fractured
What are key considerations/presentation including signs and symptoms of a patellofemoral syndrome
cause damage to patellar cartilage, more likely from female > male, direct association with activity level, presentation includes anterior and gradual knee pain that is either patello femoral compressive forces such as jumping and prolonged static positioning, positive on clark test or patellar grind test,
What are key considerations/presentation including signs and symptoms of a plantar fasciitis?
inflammatory and painful chronic overuse condition that develop due to repetitive stretching of plantar fascia, typically with individuals who have jobs or hobbies that involve constant walking or standing, presentation include severe heel pain in the morning, excessive pronation in gait,
What are key considerations/presentation including signs and symptoms of a rotator cuff tear?
pain and weakness in shoulder from either chronic (old age) or acute (young individuals) incident, typically affected is supraspinatus, presentation include positive drop arm and empty can test.
What are key considerations/presentation including signs and symptoms of a rotator cuff tendonitis
pain due to inability of a weak supraspinatus to depress humeral head for overhead activities such as swimming, tennis ,baseball, painting involving 25-40 year old, typically will also have rotator cuff inpingement presentation includes positive painful arc sign, empty can test, neer impingement and hawkins kennedy test,
What are key considerations/presentation including signs and symptoms of a scoliosis
curvature of the spine typically idiopathic, patient presentation will either be a left or right thoracic curve
What are key considerations/presentation including signs and symptoms of a spondylolisthesis
50 year old with weak joints that leads to slippage of the vertebrae, most likely affected is L4-L5 with L4 nerve being affected, patient presentation is low back pain, affecting ability to DF,
What are key considerations/presentation including signs and symptoms of a TMJ
females of 20-40 year old, patient presentation with pain and limited jaw movement, headaches, often heard clicking or popping on TMJ,
What are key considerations/presentation including signs and symptoms of Torticollis
a neck rotation that leads to ipsilateral side bend and contralateral rotation from a tight SCM usually found with plagiocephaly, patient presentation includes neck pain, rotation to only one side, pain on stretching,
What are key considerations/presentation including signs and symptoms of total hip arthroplasty
hip replacement from OA or RA , 55 year old +, patient presentation is hip pain, decreased ROM, depending on approach certain motions are contraindicated such as no hip flexion for posterior approach, no hip extension for anterior approach,
What are key considerations/presentation including signs and symptoms of total knee arthroplasty
knee replacement from OA or RA, patient presentation is knee pain from weight bearing and motion, poor ROM, avoid quick impact running or sports
What are key considerations/presentation including signs and symptoms of total shoulder arthroplasy
shoulder replacement from either irreparable damage to humeral head or RTC presence of OA/RA, patient presentation is shoulder pain and inability to perform ADLs, no IR/ER of 35 deg or more for first two weeks, avoids extreme shoulder ROM such as chopping wood or overhead sports
What are key considerations/presentation including signs and symptoms of transermoal amputation due to osteosarcoma
malignant cancer that begins in the medullary cavity of a bone, patient presentation includes fatigue, phantom pain, loss of balance, pain and swelling of knee
What are key considerations/presentation including signs and symptoms of transtibial amputation due to arteriosclerosis obliterans?
peripheral artery disease that leads to ischemia, 45 year old that smokes, patient presentation includes intermittent claudication in calves
What are key considerations/presentation including signs and symptoms of disk herniation
slipped disk that occurs from twisting or bending leading to potential nerve compression, patient presentation low back pain that also has LE weakness and numbness and tingling that increases in lumbar flexion positions such as sitting,
What are key considerations/presentation including signs and symptoms of glenohumeral dislocation anterior
anterior dislocation of shoulder joint usually from a forceful external blow or loading, patient presentation includes shoulder pain that has limited ROM, may have positive apprehension and relocation sign
What are key considerations/presentation including signs and symptoms of medial epicondylitis
inflammation of medial epicondyle of elbow/ golfer’s elbow, seen with throwing or repetitive wrist and elbow motion, muscles involves are the pronators, wrist and finger flexors, patient presentation is pain on medial elbow with resisted wrist flexion, pronation and gripping,
What are key considerations/presentation including signs and symptoms of meniscal tear
meniscal knee pain in a semi knee flexion position, typically seen with athletes, patient presentations is with locking and catching, positive mcmurray, apley and thessaly test, tear on outer or lateral 1/3 of either meniscus has better healing due to presence of vascularization compared to inner 2/3 which may require surgery
What are key considerations/presentation including signs and symptoms of osgood schaltter
apophysitis at tibial tuberosity exacerbated by running, typically in teenage athletes, pain at tibial tuberosity and with resisted knee extension, typically with quadriceps tightness and weakness
What are key considerations/presentation including signs and symptoms of piriformis syndrome
compression of sciatic nerve by piriformis muscle, patient presentation include n/t of nerve distribution of sciatic nerve, pain in hip IR and adduction, pain in hip or groin region
What are key considerations/presentation including signs and symptoms of posterior cruciate ligament sprain
occurs from posterior directed force on tibia such as trauma or high intensity sports, pain on squatting or descending stairs, positive for posterior sag sign,
What are key considerations/presentation including signs and symptoms of spinal stenosis lumbar
occurs from narrowing of intervertebral foramina leading to nerve compression , patient presentation includes chornic pain, n/t and weakness in nerve roots that are affected, pain is typically relieved with flexion and worsened with extension unlike other conditions,
What are key considerations/presentation including signs and symptoms of trochanteric bursitis
inflammation of bursae on femur, typically involves women, patient presentation with lateral hip pain, that radiates to lateral thigh, pain at hip ER and abduction,
What are key considerations/presentation including signs and symptoms of anterior compartment syndrome
6 ps (pulseness, palor/paleness, pain, paresthesia, paralysis, poikilothermia), considered medical emergency call 911
What are key considerations/presentation including signs and symptoms of colles fracture?
fracture where dorsal displacement of wrist occurs due to a FOOSH, patient will present with wrist pain and history of FOOSH
What are key considerations/presentation including signs and symptoms of de quiervain tenosynovitis
inflammation of APL and EPB leading to radial wrist pain, patient will have a positive finkle stein test,
What are key considerations/presentation including signs and symptoms of myositis ossificans
bone growth instead of muscle growth, patient will present with pain and stiffness and limited ROM
What are key considerations/presentation including signs and symptoms of osteochonrdritis dissecans
weakness in subchondral bone leading to easier crack, not the same as osteogenesis imperfecta, patient will produce with pain with functional activities.
What are key considerations/presentation including signs and symptoms of osteomyleitis
infection of bone from Staph Aureus usually presents with fever and chills,
What are key considerations/presentation including signs and symptoms of tarsal tunnel syndrome
compression of tibial nerve at medial malleoulus of ankle leading to weakness and parasthesia of the muscles involved.
What are key considerations/presentation including signs and symptoms of ulnar collateral ligament sprain
What are key considerations/presentation including signs and symptoms of Alzheimer disease
progressive neurological disroder that leads to irreversible damage to the brain (amyloid plaques) such as changes in memory, difficulty in concentration and difficulty with new learning, aphasia and apraxia,
What are key considerations/presentation including signs and symptoms of ALS
motor only condition that affects 40-70 year old females in which there is rapid demyelination of pyramid cells (motor) leading to both UMN and LMN signs and symptoms, patient presentation involves a distal to proximal approach there is general weakness of all muscles such as motor, swallow and speech , respiratory problems, no sensory problems are expected here,
What are key considerations/presentation including signs and symptoms of carpal tunnel syndrome
muscle atrophy of APB and thenar muscle due to compression of median nerve in carpal tunnel, involving females more than males from 35-55, patient presentation is wrist/hand pain from repetetive motion, along with median nerve parasthesia in sensory distribution, would see positive phalen, reverse phalen and tinel sign.
What are key considerations/presentation including signs and symptoms of central cord syndrome?
incomplete spinal cord lesion that affects UE strength more than LE strength, patient presentation weakness in BIL UE more than LE that occurs due to cervical hyperextension, considered not the worst spinal cord problem which is ACS
What are key considerations/presentation including signs and symptoms of Cerebral palsy
motor problem that affects UMN while also damaging basal ganglia similar to huntington, patient presentation involves UMN involvement as well potential seizures, and learning disability,
What are key considerations/presentation including signs and symptoms of CVA
when there is blood that is stopped from going to the brain, patient presentation depends on the location of the stroke, a left CVA presents with right hemiparesis, wernicke or broca’s aphasia, a right CVA presents with left hemiparesis, impulsive behavior and left unilateral neglect, common cause is hypertension
What are key considerations/presentation including signs and symptoms of Down syndrome
trisomy 21 due to error in cell division, that leads to hypotonia and ligamentous laxity, intellectual disability,
What are key considerations/presentation including signs and symptoms of duchenne muscular dystrophy?
x linked recessive that affects more male than female that is due to changes in dystrophin levels, patient presentation includes proximal muscle weakness, toe walking and psuedohypertrophy of the calf, child will stand up via Gower sign,
What are key considerations/presentation including signs and symptoms of erb palsy?
compression of C5-C6 upper trank which affects radial nerve involving children who have compression of brachial plexus, patient presentation with waiter’s tip in shoulder IR, forearm pronation and elbow extension( loss of biceps brachii, deltoid and supinator strength)
What are key considerations/presentation including signs and symptoms of GBS
lower motor neuron that affects white males than other demographics, patient will present with demyelenation of peripheral nerves leading to weakness and hypotonia, weakness is in distal more than peripheral muscles which is opposite of duchenne, and slight parastheisa and N/T. recovery takes between 3 month to 1 year
What are key considerations/presentation including signs and symptoms of huntingons disease
huntington chorea neurological disorder that is due to problem of basal ganglia similar to CP found in patients between 30 to 50, patient presentation include speech problems, ataxic gait, choreic gait (unpredictable non repetitive movement), dementia and depression may occur.
What are key considerations/presentation including signs and symptoms of multiple sclerosis
a progressive degenerative motor and sensory problem that is demyelination of myelin sheath of brain and spinal cord affecting sensation and motor, visual problems , paresthesia, weakness, ataxia, balance problem, 4 kinds of MS,
What are key considerations/presentation including signs and symptoms of parkinsons disease
degenerative disease that affects substantia nigra, patient presentation includes TRAP (tremors, Rigidity, Akineisa/Bradykinesia, Postural instability),
What are key considerations/presentation including signs and symptoms of sciaticia
compression of sciatic nerve L4-S3 via disk herniation involved with older individuals due to natural reduction in composition of annulus firborsus and nucleus pulposus, patient presentation will include with sensitivity to spinal flexion and reduce in pain via spinal extension, radiating pain from low back to LE, nerve pain and muscle weakness are expected due to poor innervation,
What are key considerations/presentation including signs and symptoms of spina bifida
sac or cyst on low back where 3 kinds oculta( no tissue protruding), meningocdele ( neutral protruding of only meninges), myelomenigocele ( meninge and spinal cord protruding), typically seen in infants, patient will presents with motor and sensory loss below the spinal cord that is affected, may have hydrocephalus which will be treated with a shunt,
What are key considerations/presentation including signs and symptoms of SCI C7 complete tetraplegia
injury that affects motor and sensation below C7, last muscles to have innervation are C7 muscles such as triceps, patient presentation include spinal shock which is a general depression of nervous system with flaccidity, loss of reflexes and weakness in muscles below level of injury, difficulty with clear secretions and poor endurance, spasticity and contracture will likely be produced, due to spinal shock there is potential of either orthostatic hypotension (more than 20 SBP decrease or 10 DBP decrease after supine to sitting/standing position, or autonomic dysreflexia which is an cinrease in BP after noxious stimuli)
What are key considerations/presentation including signs and symptoms of sci L3
injury that affects below L3, patient presentation include spinal shock and eventual increase in muscle tone and spasticity, there is also good innervation of the UEs and some innervation of hip flexors and quads, there is also sexual dysfunction and bladder and bowel problems.
What are key considerations/presentation including signs and symptoms of TOS
compression of brachial plexus and typically a diagnosis of exclusion, patient presentation includes pain and N/T on the shoulder down the arm, weakness and atrophy in UE, poor posture, there are different kinds vascular and neurogenic, will have positive Wright, adson, allen and roos test,
What are key considerations/presentation including signs and symptoms of TBI
open head injury from trauma, either young males or older male, patient will present with altered consciousness, motor impairments, speech and tone and swallowing issues, can either use Glasgow scale or ranchos los amigos cognitive functioning to classify severity of TBI,