Scorebuilders CH5

• Rare
• Dwarfism
• Delayed growth and puberty
• Sexual/Reproductive disorders
• Diabetes Insipidus

• gigantism
• agromegaly
• abnormal lactation
• amenorrhea
• infertility
• impotence

• Encouraged to ambulate within 24 hrs of sugery
• Increased awareness for signs of hypoglycemia
• Bilateral carpal tunnel syndrome-hyperpituitarism
• Athritis
• Osteophyte formation
• Orthostatic hypotension- hypopituitarism
• Bilateral heminopsia- hypopituitaryism

• Hypofunctioning of the adrenal cortex
• Weakness
• Anorexia
• Weight loss
• Altered pigmantation
• Shock and Death if left untreated

• Excessive cortisol
• Hyperglycemia
• Growth Failure
• Truncal Obesity
• Moon Face
• Acne
• HTN
• Depression
• Poor concentration
• memory loss

• Depression
• Lethagy
• Fatigue
• Headache
• Proximal muscle weakness
• CTS
• Myalgia, Trigger points
• Bradycardia
• CHF
• Anorexia
• Constipation
• Weight Gain
• Increased menstural bleeding
• Infertility

• Tremors
• Hyperkinesis
• Nervousness
• Increased DTR
• Emotional lability
• Weakness
• Heat intolerance
• Increased hair loss
• Tachycardia
• Palpitations
• Increased RR
• Decrease BP
• Increased appitite
• Diarrhea
• Polyuria
• Amenorrhea

• Thyroid gland overactive
• Mild enlargement of the thyroid (goiter)
• Heat intolerance
• Nervousness
• Weight loss
• Tremor
• Palpitations

• Insulin dependent
• Abrupt onset
• 5-10% of all cases
• KETOACIDOSIS can OCCUR
• Insulin injection, exercise, diet
• Polyphagia
• Weight loss
• Polyuria
• Blurred vision
• Dehydration
• Fatigue

• Onset Over 40 years old
• Gradual
• 90-95% all cases
• Insulin production variable
• Weightloss oral insulin exercise diet

• Gastric ulcer
• Perforated colon
• Pneumonia
• Spleen injury
• Spleen rupture
• Aortic anurysm

• Hepatomegaly
• Duodenal ulcer
• Cholecytitis
• Pneumonia
• Hepatitis
• Bilary Stones

• Perforated colon
• Illeitis
• Sigmoid diverticulitis
• Kidney stone
• Urerteral stone
• Intestinal obstruction

• Renal Stone
• Ureteral Stone
• Meckel Diverticulim
• Appendicitis
• Cholecystitis
• Intestinal Obstruction

• Mild to moderate exercise
• Avoid exercise in the supine position after the first trimester
• Ensure an adequate diet/hydration

• Pregnancy induced HTN
• Preterm rupture of membrane
• Preterm labor during prior or current pregnancy
• Incompetent cervix
• Persistent second and third trimester bleeding
• Intrauterine growth retardation
• Placenta previa
• Multiple gestations
• Maternal heart disease, thyroid disease, or serious respiratory disorder
• Maternal type 1 diabetes

• Gestational diabetes
• Severe anemia
• Systemic infection
• Extreme fatigue
• Musculoskeletal complains and pain
• Overheating
• Extreme obesity or extreme underweight
• Diastasis recti

Tidal volume and minute ventilation increase. Total lung capacity is unchanged

15-20% increase in oxygen consumption as a natural state of hyperventilation occurs to meet oxygen demands.

Dyspnea is present with mild exercise.

Occurs in late pregnancy esp in the supine position because of compression by the uterus just below the diaphragm.

In some cases the decline in venous return can result in a decrease in cardiac output which may lead to sypine hypotensive syndrome.

• Decreases in the first trimester.
• Slight decrease of systolic BP and a greater decrease in diastolic BP
• Then increases after mid pregnancy to reach preppregnant levels 6 weeks after.

• Increases in size
• Elevated because of the diaphragm

Increases 10-20 beats per min returns to normal 6 wees after delivery.

• Increases 30-60%
• Most synificantly increased when in Left side lying. In which the uterus places the LEAST PRESSURE ON THE AORTA.

Stretch and pressure on the pudendal nerve occurs during labor as the babies head travels through the birth canal

Stretch can be as much as 20% total length of the nerve.

Innervates the pelvic floor.

Extra 500 calories if exercising

300 in not exercising

5 min after the first trimester to avoid vena cava compression by the uterus.

• Persistant pain in the chest, pelvic girdle or low back
• Leakage of amniotic fluid
• Uterine contractions that last beyond the exercise sessions
• Vaginal bleeding
• Decreased fetal movements
• Persistant SOB
• Irregular heart beat
• Tachycardia
• Dizziness faintness
• Swelling/pain in the calf
• Difficulty walking

• Leg lowering exercises
• Knee-chest position with buttocks elevated about heart- air embolism
• Bilateral SLR
• Fire Hyrdrant and Quadruped hip extension should be performed with caution only going to physiologic end range.
• Unilateral WB positions.