TRUE LEARN I

tarsal tunnel syndrome symptoms

pain directly over the tarsal tunnel
radiates w/ tingling to the arch and plantar foot esp when WB

cervical traction parameters (joint distraction)

20-29lbs (max), about 7% body weight

cervical traction parameters (other)

disc protrusion, muscle spasms, elongation, 11-15 lbs

ACE inhibitors (side effects)

reduce preload and afterload, nonproductive cough

ideational apraxia

inability to conceptualize a task despite understanding the individual components

ideomotor apraxia

difficulty executing a task on command, can perform the task spontaneously

constructional apraxia

deficit in spatial organization and the ability to draw/construct figures

criterion-related validity

does this test agree with the gold standard?

content validity

does it cover all the important parts of a concept?

construct validity

does this test actually measure the theoretical concept (construct) it’s supposed to measure?

convergent validity

does this test agree with other tests of the same construct?

discriminate (divergent) validity

does this test differ from tests of different constructs (measures different variables)?

sternal precautions

no lifting greater than 5-10 lbs, no pushing/pulling, avoid shoulder rom past 90 deg of elevation

slipped capital femoral epiphysis (scfe)

most common hip disorder in adolescents, boy 13 2x girl 11, obesity, restricted abduction, flexion, internal rotation

pressure sensitive areas (bka/transtibial)

anterior tibia, tibial crest and condyles, distal tibia, fibular head and neck, fibular nerve

pressure tolerant areas (bka/transtibial)

medial tibial plateau, patellar tendon, tibial/fibular shafts

graves’ disease

primary hyperthyroidism - low TSH, elevated thyroxine

anterior pituitary gland abnormality

secondary hyperthyroidism - high TSH, elevated thyroxine

hashimoto’s disease

primary hypothyroidism - decreased thyroxine, increased TSH

posterior pituitary gland abnormality

not involved with TSH

graves’ disease symptoms

weight loss, heat intolerance, tachycardia, tremor, anxiety, sweating

hashimoto’s disease symptoms

fatigue, weight gain, cold intolerance, bradycardia, dry skin, constipation

cauda equina syndrome

severe low back pain, bowel and bladder dysfunction, weakness of bil le, saddle paresthesia
medical emergency - paralysis

huff cough

alternative for post-abdominal surgery, reduces intra-abdominal/intra-thoracic pressure, decreases stress on incision

pulmonary embolism symptoms

dyspnea, tachypnea, chest pain, hemoptysis, dry cough, cyanosis, decreased o2 sat, tachycardia, syncope, diaphoresis

iliofemoral ligament

limits external rotation and extension

deep tendon reflex grading

0 absent, 1+ hyporeflexia, 2+ normal, 3+ brisk reflex, 4+ hyperreflexia with clonus

epidermal burns

intact, erythematous, pink/red, delayed pain/tenderness, minimal edema, heals spontaneously

superficial partial thickness burn

blanching with brisk refill, bright pink/red, very painful, moderate edema, spontaneous healing, min scarring

deep partial thickness (dermal) burn

slow blanch, red/white, no light touch/pinprick, intact deep pressure, marked edema, slow healing

full thickness burn

no blanching, white, anesthetic, body hairs can be pulled out, area is depressed, graft required

subdermal burn

charred, anesthetic, muscle and nerve damage, tissue loss, flap or graft required

crohn’s disease

affects entire gi tract, pain around umbilicus, fatigue, diarrhea, referred back pain

chronic pancreatitis symptoms

pain in upper abdominal (epigastric) region, referral to upper left lumbar region, nausea, vomiting

peptic ulcer symptoms

heartburn, pain around xiphoid, right shoulder referral pain

reverse total shoulder requirement

no rotator cuff

rubrospinal tract lesion

controls muscle tone of ue flexors hence motor control difficulty when moving ue

nmes uses

superficial muscles, isolated injuries with specific muscular deficit

wheelchair use with c7-c8 injury

independent with all indoor surfaces and level outdoor surfaces, needs help with uneven outdoor surfaces

wheelchair use with t1-t9 injury

all indoor and outdoor surfaces

wheelchair use with c6 injury

ind with all indoor, needs help with some outdoors

wheelchair use with c5 injury

ind with indoors, no carpet, level

huntington’s disease symptoms

chorea, impaired balance, emotional/behavior disturbances, progressive dementia, slums <= 22

slums grading

0-20 dementia, 21-26 mild neurocog disorder, 27-30 normal

rubor of dependency test

arterial insufficiency, raise leg, turns white, lower leg, turns really red

e-stim benefits for wound healing

cell proliferation and mobility, increase blood flow, autolytic debridement, antibacterial, reduce edema via decreased vascular permeability

contraindications to tens

damaged skin, impaired sensation, near medical monitors/stimulators, uncooperative/confused, malignancies, thrombus, carotid artery, phrenic/vagus nerve

roos test positive findings

ischemic pain, considerable weakness, heaviness, numbness/tingling, unable to do 3 min

tardive dyskinesia

associated with antipsychotic drugs, involuntary movements of mouth, tongue, jaw, trunk/extremities

finkelstein test

assesses tendonitis of extensor pollicis brevis and abductor pollicis longus. fist with tucked thumb, ulnar deviation causes pain

watson test

assesses stability of scaphoid

supination lift test

assesses the triangular fibrocartilage complex, pain at ulnar wrist and hand

thumb grind test

assesses degenerative joint disease at 1st cmc joint