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28 Cards in this Set
- Front
- Back
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What are the physiological effects of Immobilization?
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* muscle atrophy
* bone demineralization * contractures & decrease joint mobility * venous stasis * decrease in GI motility * urinary stasis * neurological impairment of extremities * respiratory * integumentary |
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What are the causes of immoblization?
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fractured pelvis, blastule necrosis, osteomyelitis, spinal chord injury, head inury, CHF or pulmonary disease
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What is an example of a neurological impairment to the extremities caused by immoblization? How is it treated?
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: Foot Drop: can counteract it by making sure there is something supporting them at the base of the foot. IV bag, high tops, foot boards etc
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What can help prevent venous stasis in immobilized patients?
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Ted Sock
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What are 2 psychological effects that can result from immobilization?
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Adolescents not reaching developmental milestone and depression
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What is the definition of Scolios?
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•A spinal deformity in which there is a lateral curvature in the spine greater than 10 degrees.
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List the types of Scolios.
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1. Congenital
2. Infantile 3. Juvenile 4. Neuromuscular 5. Adolescent Idiopathic |
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What is the most common form of scolios?
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Adolescent idiopathic
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What is adolescent idiopathic scolios?
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Most common form, onset between 10 years old and after
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What % of children have AIS and what are the common age ranges?
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2-4% and commonly in 10-16 years old
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Which gender is most often affected by AIS?
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Girls
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What % of adolescents with AID have curve progression requiring medical attention?
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10%
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What types of curves progress the fastest in scolios?
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1. Double curves
2. larger curves (30-40 degrees) 3. Females 4. During Peak height velocity |
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When does the peak height velocityoccur in girls and boys?
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Girls: Tanner 3-5
Boys: Tanner 2-3 |
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What is the peak height velocity?
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Growth spurt where maximum growth occurs in the shortes period of time
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List the symptoms of scoliosis.
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One shoulder higher than other
One shoulder blade sticks out more than other One side of rib cage appears larger than the other One hip higher and more prominent Waist appears uneven Body tilts to one side One leg appears shorter than other Head not centered over body PAIN IS NOT A TYPICAL SYMPTOM |
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Is there pain is AIS?
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No there should not be!
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According the American Academy of Orthopedics, when should children be screened for scolios?
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Girls: 11 and 13 years
Boys: Once at 13 years |
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The american academy of pediatrics has what suggestion for scolios screening?
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During routine health visits at ages 10,12, 14, and 16 for both boys and girls
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Are bowel and bladder dysfunction common with AIS?
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No and they should be examined further
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Does a girl who develops scolios prior to menses have a better or worse prognosis than a girl who develops it after?
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Worse, prior to menses results in greater chance of curve progression
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What is the name of the test used to screen for scolios?
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Adams bend forward test
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What is the most common direction of scolios curves?
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To the right
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What are you looking for in the adams test?
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Rib hump: if present the curve is greater than 10 degress and needs medical attention
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how should a child be dressed during a scolios screening?
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Underwear and gown only
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What is the first step to do in the Adams test?
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Hold on to the childs hips from behind while standing straight and have them twist from one side to the other to test flexibility
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How should the child's arms be while bending forward during the adam's test?
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Extended forward
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What are the determinants of curve progression in scolios?
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Gender, future growth and curve magnitude at the time of diagnosis
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