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Inflammation of connective tissue:
Sx's:
- widespread, poorly defined
- accompanied by infection
Diff dx:
Skin is hot, red, & edematous
Cellulitis
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Superficial inflammation of skin
Sx's:
- vesicles, redness, edema
- oozing, crusting, scaling
- itching
Diff Dx:
-Changes in skin
-Pt Hx
Dermatitis
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Blood clot in LE that may dislodge and become a PE
Diff dx:
- skin may be cyanotic, warm, or normal
- pain, tenderness, or swelling
- (+) venogram
- (+) homan's sign
DVT
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A genetic bleeding disorder
Hemophilia
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Inflammation of the liver: 3 types
- Hepititis
- A: via poor hygiene, fecal-oral route
- B & C: via bodily fluid, sexual contact, contaminated needles
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An acute CNS viral infection involving dorsal root ganglia
Herpes zoster
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Sx of arterial insufficiency resulting in ischemia to exercising muscle.
Diff dx:
- weak/absent peripheral pulses
- pallor with limb elevation
rubor with dependent position
- Intermittent claudication
- Tx:
- Short duration
- High frequency (5-6 days/wk)
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Inflammatory disease transmitted by a tick
Diff dx:
- bulls eye rash
- flu like sx's
Lyme disease
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Disease of the skin with erythmatous plaques with a silvery scale
Psoriasis
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Chronic, diffuse disease of connective tissue causing fibrosis of skin, joints, blood vessels, and internal organs.
Scleroderma (PSS)
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Abnormal sympathetic reflex resulting from persistent painful lesion.
Sx's:
- pain
- edema
- decreased circulation
- dry skin
- atrophy of surrounding muscles
CRPS: complex regional pain syndrome
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Wrist fx resulting from FOOS
Distal radial fx with dorsal displacement and radial shift
Colle's fx
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Degeneration of articular jt's
- non rheumatoid
- non systemic
- normal sed rate (ESR)
- probs in weight bearing jt's
- abnormal jt radiographs
Osteoarthritis
-
Ideopathic immune disorder that causes tenderness, pain and stiffness in muscles
- Fibromyalgia
- Diff dx:
- - 11/18 painful tender points
- - typical pattern
- - sleep deprivation
- - rule out other systemic diseases
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Metabolic disease with increase uric acid and irate chrystals in joints, soft tissues and kidney
Gout
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Trauma to muscle resulting in a calcified/ossified hematoma. May be induced by early mobs and stretching with agressive PT
Myositis ossificans
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Separation of articular cartilage from bone
Osteochondritis dissecans
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Decalcification of bones due to vit. D difficiency
Osteomalacia
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Acute or chronic bone infection
Osteomyelitis
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Metabolic bone disease that depletes bone mineral density with increased risk for fx.
Osteoporosis
-
Slowe progressive metab bone disease with 2 phases:
Initial: excessive bone reabsorption
Reactive: excess abnormal bone formation
Sites fracture easily and heal slowly
Paget's disease (osteitis deformans)
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Improper tracking of patella leads to this
Diff dx:
- Q angle <18•
- pain with first 30• of flex
-(+) grind test
Patellofemoral dysfunction
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Median nerve entrapment
Pronator teres syndrome e
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Chronic, sysytemic, inflam disease
Sx's:
Ulnar drift in hands
Pain is bilateral And symmetrical
RA
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Lateral curvature of the spine can be:
- structural is irreversible
- nonstructural is reversable
Scoliosis
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Rheumatoid like disoder characterized by dryness of mucus membranes, jt inflam, and anemia
Sjögren's syndrome
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Distal fx of radius with ventral displacement due to FOOS
Smith's fx
-
Sprain: what degree?
Some fibers torn
Min hemorrhaging
Jt remains stable
- First degree
- Tx:
- - pain free AROM
- - modalities for pain, edema, healing
- - gradual rtn to norm
- -
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Sprain: what degree?
- portion of lig or jt capsule torn
- mod hemorrhaging
- some fxnl loss
- jt stability intact
- Second degree
- Tx:
- - limited wt bearing
- - bracing if needed
- - pain free AROM
- - jt mobs/ modalities
- - 2-3 weeks healing begin strengthening
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Sprain: what degree?
Complete disruption or avulsion of ligament or capsule
Loss of function
Loss of jt stability
Pronounced hemorrhaging and swelling
- Third degree
- Tx:
- - surgery
- - bracing or splinting for immobilization
- - proprio & controlled motion ex's
- - gradual rtn to fnxl activities
- - strength and mobility ex's throughout rehab for 5-6 mos
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Chronic, systemic, rheumatic, inflam disease affecting multiple organs
Systemic lupus eyrthematous (SLE)
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