MEDICINE UTP DPT

Acute pain pt implications - biomedical approach Find and eliminate the physical cause of pain Exercise, manual therapy, modalities Chronic pain pt implications - biopsychosocial approach Actively involve pt Minimize passive treatments Exercise and activity modification Incorporate manual therapy and modalities only if a specific physical cause is identified Hyperalgesia - increased response to a stimulus which is normally painful Allodynia - pain due to a stimulus which does not normal...

Motor behaviors help (3 things): - - organize CNS responses - promote adaptive resilience to environmental stressors - influence other primary subsystems of behavioral maturation Using neuro motor assessment with infants helps (4 things): - 1. Provide window into infant's neuro & physiological status 2. Examine infant's capacities to respond to extrinsic stimuli 3. Document reactivity of the medically fragile neonate to its environment 4. ID worrisome postures & movement patterns

Gerstmann's Syndrome - Problem in dominant parietal lobe 1. R/L confusion 2. Calculations 3. Finger Agnosia 4. Agraphia Apraxia - mild form = dyspraxia loss of the ability to execute or carry out skilled movements and gestures, despite having the desire and physical ability to perform them. Pt is unable to complete task even though they understand. Test: blow a kiss, cut paper with scissors Parietal lobe injury Neglect - Problem in non-dominant parietal lobe Sequencing tasks - Go ...

What portion of CN VIII is responsible for hearing? - Cochlear portion of the vestibulocochlear nerve What bone is the inner ear within? - Petrous portion of the temporal bone External Ear Structures - Auricle Ear Canal (E.A.M.) Ends at tympanic membrane/ear drum Middle Ear Structures - Stapes Incus Malleus Ear drum/tympanic membrane Eustachian tube Inner Ear Structures - Cochlea Vestibular apparatus (posterior to cochlea) Vestibular nerve Facial nerve Semicircular canals Which p...

Clinical S/S of Shunt Malfunction and Hydrocephalus in Infants - Disproportionately large head size for age Large anterior fontanel Poor feeding Inactivity Downward gaze of eyes (compression of CN III nuclei) Clinical S/S of Shunt Malfunction and Hydrocephalus in Older Children and Adults - Gait and balance impairment Incontinence Headache Clinical S/S of Meningities - Headache - intensifies with sitting/standing, head mvmt, coughing/sneezing Fever Confusion Vomiting Neck Stiffnes...

Characteristics of generalized hypotonia - - Cannot generate higher levels of tone -Primary problem - lack of coactivation leads to poor grading of motor performance - Often use extremities as props - dependent on ligamentous stability - Can initiate, but not sustain- Phasic bursts of movement What's the etiology of Spastic Quadriplegia / Diplegia - Lesion of motor cortex; clinical presentation dependent on degree of damage Diplegia - increased tone LE > UE asymmetries usually prese...

Cancer definition - large group of diseases characterized by uncontrolled cell proliferation and spread of abnormal cells -malignant neoplasm, tumor, malignancy, carcinoma Usually due to damaged genes controlling cell growth 5% genetic; 95% factors Tumor types - benign Malignant or neoplasm Tumor definition - abnormal growths of new tissue that serve no useful purpose and may cause harm by competing for blood supply and nutrients Differentiation - normal tissue contains cells of uniform...

Blood Disorders - Conditions with altered oxygen carrying capacity of the blood and its constituents, structure, consistency, and flow Blood, basics - specialized connective tissue -cells -fibers -matrix 8% BW 5-6 L vol Blood components - Plasma + formed elements Plasma - whole blood minus formed elements 90% H2O 10% solutes Proteins - albumin, fibrinogen, globulin Electrolytes Nutrients (sugars, lipids) Hormones Formed Elements - Erythrocytes, leukocytes, thrombocytes RBCs - er...

Optimal 21st century nicu care is: - - developmentally supportive - family focused - culturally sensitive - evidence based What are the 4 levels of newborn intensive care? - i - basic neonatal care Ii - specialty neonatal care Iii - subspecialty neonatal care Iv - subspecialty + ecmo Level 1 nursery - - well-baby nursery - require minimal observation/care - in small community hospitals - provides isolettes, phototherapy, & circumcision Level 2 nursery - - specialty -intermediate car...