Comp Pt

  1. many prenatal risk factors contribute to a clefts which include _____ and _____ factors
    • genetic
    • environmental
  2. in what trimester does development get altered?
  3. what are five examples of environmental factors that can cause alterations in development
    • tobacco, alcohol, drug use
    • phenytoin, vitamin A, corticosteriod
    • folic acid deficiency
    • lack of adequate prenatal care and instruction
  4. cleft lip=fusion failuer of ______ process and _____ process
    • globular
    • maxillary
  5. what weeks does the lip form?
    4-7 week
  6. when does the palate form?
    8-12 weeks
  7. when can cleft lip be dectected in utero?
    end of 2nd month
  8. when can cleft palate be detected in utero?
    end of 3rd month
  9. what is one of the most common craniofacial anomalies?
    cleft lip/palate
  10. t/f cleft palate is closed at 2-3 months
    false 18 months
  11. when is a cleft lip surgically joined?
    2-3 months
  12. what is the primary surgery for cleft lip/palate? secondary?
    • primary-closes gap
    • secondary-lip nose palate and jaw surgery
  13. what is it called when there is difficulty controlling motor parts or parlysis due to brain injury
    cerebral palsy
  14. what causes cerebral palsy?
    many differnet sources of brain injury and it can occur at anytime during ones life
  15. what are causes of cerebral palsy before birth? 4
    • lack of oxygen to fetus
    • infecction
    • diabetes
    • nutritional dificiencies of mother
  16. what are some causes of cerebral palsy at early infancy? 4
    • traumatic injury
    • lead poisoning
    • abuse
    • meningitis
  17. what is spasticity?
    damage to cerebral cortex
  18. what are the symptoms of spacicity?
    • spasms of muscles
    • awkward stiff movements
    • lack of control over muscles
    • falling down frequently
    • overweight because of sedetary life
  19. whast is athetosis
    damage to basal ganglia
  20. what are the symptoms of athetosis
    • constant involuntary unorganized muscular movement
    • drooling
    • speec difficulties
    • thin due to constant movement
  21. t/f a pt with spasticity would be very thin due to constatn movement
    FALSE overweight due to sedentray life because of falling
  22. t/f a pt with athetosis would be overweight due to sedentary life
    FALSE very thin due to constant movement
  23. what is ataxia
    damage to cerebellum
  24. what are the symptoms of ataxia
    • loss of equilibrium,
    • unbalanced
    • difficulty walking and sitting up straight
    • inactive due to loss in balance
  25. what type of cerebral palsy has rigid stiff muscles hypertonic state resists movement and lacks in activity
  26. what type of cerebral palsy has quivering of entire body or just certain areas?
  27. what type of cerebral palsy has flabby weak muscles unalbe to stand or keep head raised drooling occurs and problems swallowing, chewing and speaking
  28. t/f there are ways to cure cerebral palsy with meds
    false-no cure
  29. what is something helpful to use during treatment of a pt with cerebral palsy
    mouth prop
  30. mental retardation occurs in fewer than ____% of those with cerebral palsy
  31. in what % of people do seizures occur with cerebral palsy
  32. what are 8 oral characteristics of cerebral palsy
    • problems opeing mouth, swallowing, chewing
    • malocclusion
    • mouth breathing
    • tongue thrusting
    • atrittion
    • fracture teeth
    • caries
    • periodontal infections
  33. what would cause periodontal infections in a pt with cerebral palsy
    Dilantin (seizure control) causes gingival hyperplasia and inadequate biofilm removal
  34. what is muscular dystrophy
    progressive severe wekaness and loss of use of muscle groups. usually limited to skeletal muscle rarely involving cardiac muscle
  35. t/f muscular dystrophy usually is seen in females
    false-in males but female can be carrier and pass on to son
  36. what is lordosis a characteristic of?
    duchenne muscular dystrophy
  37. what are four characteristics of facioscapulohumeral muscular dystrophy
    • facial muscles involved expecially orbicularis oris
    • trouble completely closing eye
    • difficulty raising arms
    • progresses slowly
  38. what is the treatment for muscular dystrophy
    no treatment
  39. t/f the symptoms of muscular dystrophy can be treated but not the disease
  40. t/f for a patient with muscle dystrophy you want to make sure the chair is as low as it can go.
    FALSE raise chair hig and lift pts legs
  41. what is it called when a protion of the spinal cord sticks out of an opening in the spinal column?
    myelomeningocele spina bifida
  42. what can help prevent spina bifida
    folic acid and prenatal vitamins
  43. what are five characteristics of myelomeningocele?
    • bony deformities due to paralysis
    • loss of sensation-pain cannot be felt
    • bladder and bowel paralysis
    • loss of kidney function
    • hydrocephalus
Card Set
Comp Pt
ch 47 and 55