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Peat 1.2 PDF
Peat 1.2 PDF
2
patient prone, knee flexed, pointing the toes to the ceiling = toes slightly invert
What is the reason for this?
ANS: Tibialis posterior substitution
Numbness, tingling, paresthesia in both feet. Stock-and-glove symptoms, diminished ankle reflexes, loss of pain and temperature,
Decreased strength in both feet
Neuropathy
Nerve root compression L4-L5
PVD
Claudication
ANS: Neuropathy
wound with: red granulation tissue, no eschar, no order, minimal serosanguinous drainage
Localized pain in the lower back and hip region, tingling radiating to the posterior thigh, pain increases with hip medial rotation is a
symptoms of what?
ANS: Piriformis syndrome
patient who cant walk and talk at the same time has a problem with what?
ANS: This finding suggests the individual is struggling with the introduction of a secondary task (conversation), which may
interfere with performance of a primary task (walking). Individuals who must devote extra attention to walking are unable to perform
the two tasks simultaneously
ANS: A child who has L1–L2 level myelomeningocele would be expected to walk short distances in the home.
Walking in the home and community using only ankle-foot orthoses would be possible for a child who has a L4–L5
myelomeningocele, not a L2 lesion.
A child who has a L3–L4 myelomeningocele would be expected to achieve community ambulation using knee-ankle-foot
orthoses.
Standing in a parapodium would be an appropriate prognosis for a child who has a thoracic-level myelomeningocele.
Insidious onset of pelvic and hip pain that is relieved with passing Gas?
ANS: Crohn's disease
Which modality of the biofeedback should be used in order to prevent overactivity of recruiting muscles?
ANS: Increase the sensitivity (gain)
Syndrome of inappropriate antidiuretic hormone results in fluid volume excess, so it may cause hypertension and arrhythmias,
which require monitoring as activity levels change. Also the physical therapist may observe distended neck veins or a visible
jugular pulse
Calcaneus, forefoot, and subtalar joint positions in a "collapsed arch" or pes planus foot pronation
ANS: Valgum, Abduction, Eversion
The subtalar joint's main components with this are eversion and abduction. The midtarsal joint (the transverse tarsal joints) also
everts. In stance, the calcaneus is excessively everted from midline, which is a valgus position. With pronation there is also
associated abduction of the forefoot.
Dysdiadochokinesia
ANS: The inability to perform rapid alternating muscle movements
criterion-related validity justifies the validity of an instrument by comparing it to a gold standard of measurement
Shoulder abduction strength of 4/5, but difficulty with abduction means what?
ANS: when there is no pain, but weakness, it is a nerve injury
Pediatric anterior groin pain radiating down the anterior thigh and knee
:NO ANS
Ideomotor disorder
ANS: Ideomotor apraxia is the inability to perform purposeful movements when there is no loss of sensation, strength,
coordination, or comprehension. Frequently, patients who have ideomotor apraxia will be unable to perform a motor task on
command but will be able to perform the task when they are left on their own
Increasing RR reduces the alveolar partial pressure of arterial carbon dioxide (PaCO2), resulting in more alkalinity in the blood to
prevent an imbalance
Hip is flexed, slightly adducted, and laterally rotated. No abduction ability, and painful internal rotation.
ANS: Dislocated hip
Pain in the distal, posterior, medial aspect of leg. worse in the morning, eases, then worsens throughout the day.
ANS: posterior tibialis tendonitis
Bigeminy
Couplets
Multifocal PVC's
Ventricular tachycardia
ANS: PVC (premature ventricular contraction) every other heart beat
insidious onset of pain in the lateral forearm and hand, worsens with neck extension
ANS: C6 radiculopathy
Unifocal pvc during PT Unifocal PVC is not dangerous and pt session can
session continue lightly with monitoring the electrocardiogram
one of the main symptoms of Decreased level of arousal and alertness will cause
brain stem injury slow progress of a patient with brain stem injury
types of exudates: Serous – a clear, thin and watery plasma. It’s
normal during the inflammatory stage of wound
serous healing, and smaller amounts are considered
sanguineous normal. However, a moderate to heavy amount
serosanguineous may indicate a high bioburden.
purulent Sanguineous – a fresh bleeding, seen in deep
partial- and full-thickness wounds. A small amount
Proteinaceous
is normal during the inflammatory stage.
Serosanguineous – thin, watery and pale red to
pink in color.
Seropurulent – thin, watery, cloudy and yellow to
tan in color.
Purulent – a thick and opaque exudate that is tan,
yellow, green or brown in color. It’s never normal in
a wound bed, and is often associated with infection
or high bacteria levels.
Proteinaceous exudate is exudate composed of a
high proportion of protein. It is not typically green in
color or foul-odored
What is the most important Pain is most important to assess, because pain limiting
thing/first thing to assess on a range of motion can lead to a frozen shoulder and
patient who has had a more pain
mastectomy? post op
2 main areas at risk of 1- Applying cold directly over the superficial main branch
Neuropraxia as a result of ice of a nerve, such as the fibular (peroneal) nerve at the
massage lateral knee, may cause a nerve conduction block
Lengthened
rectus abdominis
gluteus maximus
Weakness of the bicep motions of hip extension, knee flexion, and lateral
femoris would manifest in (external) rotation of the tibia
what motions of the leg
Heterotopic ossification Heterotopic ossification (HO) is the presence of bone in
soft tissue where bone normally does not exist.
2- Liver dysfunction
Extreme clubbing
Transverse 3- Renal failure
depressions (Beau
lines), or a nail bed that
is white and extends
2/3s of the length of
the nail
Short transverse lines
across the nail (Mees
lines) or a brownish
distal one-third end of
the nail (half-and-half
nails)
Important info prior to patient Patients present level of function according to the
home visit patient themselves and all involved disciplines
1- Cervical radiculopathy 1. Cervical radiculopathy (injury to the nerve root)
presents with unilateral motor and sensory symptoms into
2- Cervical myelopathy the upper limb, with muscle weakness in the myotome,
sensory alteration in the dermatome, and reflex
hypoactivity.
Brachial plexus lesions Brachial plexus symptoms are more localized to the
shoulder and neck. Cervical positions do not change
brachial plexus symptoms. Weakness in the myotome
and sensory alteration in the dermatome are common.
Peripheral nerve root lesions Peripheral nerve lesions typically do not present with
pain. Weakness and sensory symptoms are specific to
the nerve involved.
Apgar score for newborns Heart rate
Color
Respiration
Muscle tone
Reflex irritability
How to get a patient with gradually decrease the number of verbal cues
limited recall to do 3 exercises
independently?
Latissimus dorsi is responsible Latissimus dorsi is responsible for Extension and
for what shoulder movement? Medial rotation
What measure is used for Amount of time until the heart rate returns to
fitness and conditioning after baseline after exercise
exercise
Stress incontinence Stress incontinence is essentially due to insufficient
strength of the pelvic floor musculature. Pelvic floor
dysfunction is most often caused by a weakening of the
pelvic floor structures as a result of childbirth or
overstretching of the muscles
symptoms of a hip dislocation severe groin and lateral hip pain and the hip held in
abduction
Symptoms of avascular The clinical indicators avascular necrosis of the femoral
necrosis of the femoral head head include pain in the groin, proximal thigh, or buttock
area that is usually exacerbated by weight-bearing
Symptoms of a slipped capital recent onset of knee pain, hip is in slight flexion,
femoral epiphysis adduction, and lateral (external) rotation. Examination
shows no medial (internal) hip rotation and abduction,
with increasing pain on abduction
Babinski reflex indicating an the great toe extends while the other toes plantar flex and
upper motor neuron lesion splay
What methods is the MOST Provide frequent feedback during the initial trials of the
effective way to encourage a movement
patient who is learning a new
movement pattern
Nerve conduction velocity test Nerve conduction velocity testing is most useful in the
indications evaluation of peripheral nerve or lower motor neuron
status.