NR511 Final Exam Study Guide (Fully Updated june 2020)

Topics: o o o o o o o o Common M/S disorders Common spine disorders Metabolic disorders Endocrine disorders Wounds, lacerations & bites Common hematological disorders Common male GU disorders Testicular disorders Chapters + lectures: Wk 5: o o o o o o Chapter 52: Common Musculoskeletal Complaints Chapter 53: Spinal Disorders Chapter 54: Soft-Tissue Disorders Lectures Hollier DE Wk6: o o o o o o o Chapter 57: Glandular Disorders (p. 880-897 only) Chapter 59: Metabolic Disorders Chapter 73: Common Injuries (p.1210-1223 only) 1212-1213 table 73.1 Review thyroid lecture again Lectures Hollier DE Wk7: 1 NR511 Final Exam Study Guide o o o o o o o Chapter 46: Nocturia in Men (p. 682) & Testicular Pain (p. 685) Chapter 49: Prostate Disorders Chapter 50: Penile & Testicular Disorders Chapter 61: Hematological Disorders Lectures Hollier DE Completion of study guide: IIII 2 1. Signs and symptoms and management of musculoskeletal sprains/strains/dislocations Signs and symptoms and management of musculoskeletal sprains/strains/dislocations Sprains: stretching or tearing of ligaments that occurs when a joint is forced beyond its normal anatomical range First degree- stretching of ligamentous fibers Second degree- partial tear of part of the ligament with pain and swelling Third degree- complete ligamentous separation Sprain- sudden injury or fall that caused acute pain and swelling that got worse over a few hours, redness and bruising, active and passive ROM decreased. Radiography to rule out fx. Strain: muscle injury caused by excessive tensile stress placed on a muscle that results in stiffness and decreased function -effects muscle or tendon that connects a muscle to a bone, complain of “pulled muscle,” severe cases cause inflammation, swelling, weakness and loss of function-surgery may be needed Management: PRICE (protect, rest, ice, compression, elevation), limitation of activity, physical 2. Signs and symptoms and management of spinal disorders (spondylosis, stenosis, etc.) NR511 Final Exam Study Guide 3 therapy, NSAIDS, referral to ortho Dislocation- complete separation of 2 bones that form a joint Very painful and cause immobility, need immediate medical attention Referral to orthopedics for possible surgery or reduction with application of cast or splint. four cardinal signs of inflammation (erythema, warmth, pain, or swelling) -SPEW Cervical Spondylosis- neck stiffness, mild aching discomfort with activity. Pain and limited ROM occur with lateral rotation and lateral flexion of the neck toward the affected side. Weakness shoulder abduction- C5. Bicep weakness- C6. Tricep weakness-C7.Myelopathy- leg weakness, gait disturbance, balance problems, difficulty performing fine motor tasks, loss of bowel and bladder. Treatment- cervical traction, PT, pain relievers. Surgery for Myelopathy. Low back pain-Tenderness and decreased range of motion. Positive straight leg test. Treatment- NSAIDS, muscle relaxants, opioids, surgical, self-care, spinal manipulation Stenosis-pseudoclaudication causing radicular pain in the calves, buttocks, and upper thighs of one or both legs. Symptoms progress from a proximal to distal direction. Walking or prolonged standing causes pain and weakness in buttocks and legs. Stooping over helps relieve pain. Positive Romberg. Reflexes diminished. With bowel or bladder symptoms, sphincter tone may be decreased Management- surgical decompression. NSAIDS, folic acid, vitamin b12. PT-flexing the spine.Bicycling. Intermittent use of NSAIDs may be helpful, as well as folic acid or vitamin B12 supplementation in some cases depending on results of laboratory tests. Management revolves around physical therapy or an exercise program that focuses on flexing the spine. Flexion of the spine increases intraspinal volume. Bicycling is one exercise that is done with the spine in flexion. Improving abdominal muscle tone lifts the pelvis anteriorly and flexes the lumbar spine. Reduction of intra-abdominal fat is critical to achieving the objective.