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44 Cards in this Set
- Front
- Back
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Transfemoral Prosthetic Gait Analysis |
Lateral Displacements 1. Abduction: Stance 2. Circumduction: Swing Trunk Shifts 1. Lateral Bend: Stance 2. Forward Flexion: Stance 3. Lordosis: Stance |
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Long Prosthesis Abd hip jt Inadeq lat wall add Sharp or high med wall Abd cx Weak abd Lateral/distal pain Add redundancy instability |
Abduction: Stance |
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Long prosthesis Locked knee unit Loose friction Inadeq suspension Small socket Loose socket Foot PF
Abd cx Poor knee control |
Circumduction: Swing |
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Abd cx Weak abd Hip pain Instability Short amp limb Short prosthesis Inadeq lat wall adduction Sharp or high med wall |
Lateral Bend: Stance |
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Instability Unstable knee unit Short walker or crutches |
Forward Flexion: Stance |
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Hip flexion cx Weak extensors Inadeq socket flexion |
Lordosis: Stance |
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BKA Stance Phase Gait Deviations |
Inc/Dec knee flexion @ HS Forward Bending Lateral Thrust Early/Delayed knee flexion @ PO |
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AKA Swing Phase Gait Deviations |
Vaulting Circumduction Hip Hiking Excessive/Insufficient Heel Rise Terminal Impact |
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AKA Stance Phase Deviations |
Foot Rotation @ HS Foot Slap Lateral Trunk Bending Wide Base Walking Uneven Step Length Swing Phase Whip |
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Inc ER of prosthetic knee Inc IR of prosthetic knee
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Med Swing Phase Whip Lat Swing Phase Whip |
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Hip flexion cx Insufficient knee friction |
Uneven Step Length |
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Too long prosthesis High medial wall Socket abd Hip abd cx |
Wide-based Walking |
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Too short prosthesis Insufficient support of lat wall Socket abducted Hip abd cx |
Lateral Trunk Bending |
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Too soft PF bumper Too stiff PF bumper/ heel cushion |
Foot Slap Foot Rotation @ HS |
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Insufficient knee friction Too tight / aid Wornout / stop Fear of buckling |
Terminal Impact |
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Excessive knee friction Too tight / aid Manual lock Forceful hip flexion Insufficient knee flexion Too loose / aid |
Insufficient heel rise Excessive heel rise |
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Vaulting Circumduction Hip Hiking |
Prosthesis too long |
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Excessive PF Too stiff DF bumper Excessive Post Tilt Excessive DF Too soft DF bumper Excessive Ant Tilt |
Delayed Knee Flexion @ PO Early Knee Flexion @ PO |
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Too much inset Socket abd Pain @ end of residual limb |
Lateral thrust Forward Bending |
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Weight Status Underweight Normal Overweight Obese |
BMI Below 18.5 18.5-24.9 25.0-29.9 30+ |
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Good writing, reading comprehension & naming Poor repetition & comprehension Fluent spontaneous speech Area of Infarction: Both Heschl's gyri or connection between Heschl's gyrus & post sup temporal gyrus |
Pure Word Deafness |
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Poor writing & naming Good comprehension Excellent repetition Nonfluent spontaneous speech Area of Infarction: Supplementary motor areas |
Transcortical Motor Aphasia |
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Good to Poor writing & reading comprehension Very poor naming Good repetition & comprehension Fluent spontaneous speech Area of Infarction: Angular Gyrus |
Anomic Aphasia |
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Poor writing & naming Good to poor reading comprehension Very poor repetition Good comprehension Fluent or nonfluent spontaneous speech Area of Infarction: Parietal operculum or post sup temporal gyrus |
Conduction Aphasia |
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Poor writing, reading comprehension, naming & repetition Nonfluent spontaneous speech Third frontal convolution & post portion of sup temporal gyrus |
Global Aphasia |
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Poor writing, naming & repetition Good comprehension Nonfluent spontaneous speech Third frontal convolution |
Broca's Aphasia |
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Poor writing, comprehension naming and repetition Fluent spontaneous speech Post portion of temporal gyrus |
Wernicke's Aphasia |
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Pt Behaviors Warranting Mental Health Consult |
Regression Disorientation Delusional thinking Inaccurate interpretation of environment Inappropriate affect Hypo or hypervigilance Mood swings Self-destructive and Extreme behaviors |
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Commonly Prescribed Antidepressant Meds |
Amitriptyline HCl aka Elavil Amoxapine aka Asendin Bupropion aka Wellbutrin Celexa aka Lexapro Desipramine HCl aka Norpramin Doxepin HCl aka Sinequan, Zonalon Fluoxetine aka Prozac, Sarafem Fluvoxamine aka Luvox Imipramine HCl aka Tofranil Isocurboxazid aka Marplan Maprotiline aka Ludiomil |
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Anger Anxiety Dec concentration Depressed mood Indecisiveness Intrusive thoughts Irritability Lethargy Loneliness Neediness Sadness Easily frustrated Difficulty planning ahead Obsessing about tasks Sitting alone |
S/Sx & Behaviors of Mild Depression |
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Decreased self-esteem Despair Despondence Excessive guilt Fearfulness Inadequacy Sensitivity Crying Pessimism about future Difficulty making decisions Making frequent self-depreciating remarks Overdependence Reacting strongly to criticism Reporting psychosomatic symptoms Ruminating about problems & past Social withdrawal |
S/Sx & Behaviors of Mod Depression |
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Anguish Change in appetite & weight Dec libido Desperation Overwhelmed feelings Helplessness Hopelessness Insomnia/Hypersomnia Suicidal thoughts & behaviors Worthlessness Anhedonia Lack of personal hygiene |
S/Sx of Severe depression |
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Commonly Prescribed Antianxiety Meds |
Alprazolam aka Xanaz Buspirone HCl aka BuSpar Chlordiazepoxide aka Librium, Mitran, Reposans-10 Clorazepate diK aka Tranzene, Gen-Xene Diazepam aka Diastat, Valium Estazolam aka Prosom Flurazepam HCl aka Dalmane Hydroxyzine HCl aka Vistaril Lithium Carbonate aka Eskalith, Lithobid Lorazepam aka Ativan Oxazepam aka Serax Temazepam aka Restoril Triazolam aka Halcion Zaleplon aka Sonata Zolpidem tartrate aka Amblen |
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Agitation Apprehension Distress Irritability Motor restlessness Muscle tension Nervousness Worry |
S/Sx of Low-level Anxiety |
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Avoiding stress & stressful situations Biting lips Drumming fingers on tabletop Fidgeting Nail biting Pacing Pulling/twirling hair Rubbing objects Shaking legs Sighing heavily Tapping feet |
Behaviors with Low-level Anxiety |
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Abdominal distress Aches, chills, dec concentration, Diarrhea Fear, lightheadedness, unsteadiness, fainting Fever, palpitations, hot flashes, tachycardia Misperception, shaking, trembling, SOB Sweating |
S/Sx of Mod Anxiety |
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Polyuria Incessant talking Mumbling Overactivity Blank staring Somatic preoccupational vernalization |
Behaviors with Mod-level Anxiety |
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Chest pains Depersonalization Derealization Difficulty sleeping Dizziness Dread Helplessness Horror Hypervigilance Hyperalgesia Nausea Paresthesia |
S/Sx of High-level Anxiety |
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Holding hand over heart Reacting to irrelevant cues Throwing up |
Behaviors with High-level Anxiety |
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Common Defense Mechanisms |
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Acute pain Adjuvant medication Allodynia Analgesia |
Causalgia Central pain Chronic pain Chronic pain syndrome Dysesthesia |
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Hyperalgesia Hyperesthesia Hyperpathia Malignant pain Nociceptive pain Nocebo |
Pain Pain neuromatrix Paresthesia Persistent pain Placebo Psychogenic pain Recurrent pain Referred pain Suffering |
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FAST PAIN Nerves: A delta myelinatedStimulus: Pinprick, heatSensation: Sharp, pricking, burning, dermatomalDiameter: 1-4umConduction velocity: 5-30m/secDistribution: Body surfaceReflex response: Withdrawal Nerves: A delta myelinatedStimulus: Pinprick, heatSensation: Sharp, pricking, burning, dermatomalDiameter: 1-4umConduction velocity: 5-30m/secDistribution: Body surfaceReflex response: Withdrawal Nerves: A delta myelinatedStimulus: Pinprick, heatSensation: Sharp, pricking, burning, dermatomalDiameter: 1-4umConduction velocity: 5-30m/secDistribution: Body surfaceReflex response: Withdrawal Nerves: A delta myelinatedStimulus: Pinprick, heatSensation: Sharp, pricking, burning, dermatomalDiameter: 1-4umConduction velocity: 5-30m/secDistribution: Body surfaceReflex response: Withdrawal Nerves: A delta myelinatedStimulus: Pinprick, heatSensation: Sharp, pricking, burning, dermatomalDiameter: 1-4umConduction velocity: 5-30m/secDistribution: Body surfaceReflex response: Withdrawal Nerves: A delta myelinatedStimulus: Pinprick, heatSensation: Sharp, pricking, burning, dermatomalDiameter: 1-4umConduction velocity: 5-30m/secDistribution: Body surfaceReflex response: Withdrawal |
SLOW PAIN Nerves: Stimulus: Sensation: Diameter: Conduction velocity: Distribution: Reflex response: Biological value: Effect of morphine: CNS target: Affective response: Autonomic signs: Localized receptor field: Dorsal horn connection: |
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FAST PAIN Biological value: Avoidance of tissue damage Effect of morphine: Very little CNS target: Thalamus, cortex Affective response: None Autonomic signs: None Localized receptor field: Present Dorsal horn connection: Laminae I and V |
SLOW PAIN Biological value: Enforced rest Effect of morphine: Suppresses pain CNS target: Limbic, Hypothalamic Affective response: Present Autonomic signs: Present Localized receptor field: Absent Dorsal horn connection: Laminae II and III |
