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21 Cards in this Set

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  • Back
Any loss of function (psychological or physical) called?
Impairment
Condition due to impairment called?
Disability
Disadvantage an impaired person has in their social envieroment called?
Handicap
Bedrest Effects: Cardio?
Initially - ^ blood flow and volume to the heart -> vasodepression -> dilation of vasulature -> heart rate v -> more blood flow to kidneys w/ DIURETIC EFFECT

Later - loss of fluid times leads to ^ resting heart rate (weakens heart over time) -> v IN MAX CARDIAC OUTPUT with exercise

Other - hypercoagulability & vessel wall damage = high incidence of deep venous thrombosis
Bedrest Effects: Pulmonary?
All lung volumes v

Increase of ventilation-perfusion mismatching (more significant)
Bedrest Effects: Muscular?
v muscle strength, x-sect size and weight

muscles become more easily fatiguable
Bedrest Effects: Skeletal?
Initial ^ in serum Ca from resorption of bone

Then v in serum Ca w/ ^ Ca excretion
Bedrest Effects: GI?
Decrease: Esophageal function, small bowel motility & defecation pressures

Increase: Gastric acidity, transit time through the stomach -> ^ gastric ulcers and constipation
Bedrest Effects: Endocrine?
v in muscle responsiveness

some alterations in hypothalamic-pituitary axis

v in glucose tolerance
What 3 tests are need for assessment of disability?
1)Physical
2)Neurological
3)Functional examinations
Steps of Autonomic dysreflexia (hyperreflexia)?
1) Noxious stimulus (UTI, appendicitis, etc)

2) vasoconstion -> ^ blood volume to heart

3) ^ BP activates baroreceptors in carotid sinus and aorta -> ^ vagal tone & v HR
Parkinson's defined by what disorders?
1) Bradykinesian or
2) Akinesia

do not need tremor or rigidity, just disinclination to move
Common signs of Parkinsons?
"TRAP"

Tremor, Rigidity, Akinesia (or bradykinesia), Postural disturbances/instability
What disorder is characterized by postural hypotension and Parkinsonism?
Shy-Drager Syndrome
What disorder is characterized by paralysis of eye movement (esp up and down gaze 1st) and Parkinsonism?
Progressive supranuclear palsy
Dementia, psychiatric disorders & movemnt disorders such as chorea characterize?
Huntington's Dz

Autosomal Dominant - CAG sequence

Atrophy of CAUDATE NUCLEUS
Lesion of where causes Hemiballismus?
Subthalamic nucleus (contralateral)
What type of tremor is present in cerebellar disease?

Examples of cerebellar dz?
Intention tremor - as patient approaches target

Alcoholic cerebellar degeneration
-Thiamine deficiency (Wernicke's syn)
-Frederick's atxia (AR)
Someone under 40 or 50 that develops a movement disorder, think of?
Wilson's disease

-AR
-Copper toxicity problem
-Cu deposited in limbus of cornea and produce Kaiser-Fleischer rings
Parkinsons typical sym or asym?
asymmetric
Tardive dyskinesia most commonly found in?
Tongue - writhes around or goes into abnormal postures