Case study review
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| Injury to the Brachial Plexus during difficult vaginal delivery causes what? | erb's palsy
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| What are some common risk factors for erbs palsy? | Birth weight greater than 3500 g,
difficult delivery of the shoulder,
Prolonged maternal labor, maternal diabetes
Sedated hypotonic infant during delivery,
Breech delivery
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| What is the primary goal of intervention for erb's palsy? | maintain ROM, prevent contractures
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| What is the most common type of torticollis? | type II(77%)
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| An asymmetrical condition of the head arising from extrinsic molding is called? | plagiocephaly
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| Joint contractures in two or more body areas, Affected body parts: foot, hip, wrist, knee, elbow, shoulder, Involvement can range from mild to severe, Lack of muscle development...what does this describe? | AMC
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| What should treatment be targeted at for pt's with AMC? | Maximizing STR, improving ROM, enhance sensorimotor development
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| Autoimmume demyelination disease that affects the peripheral nervous system is? | Guillain Barre Syndrome
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| Ascending symmetric motor weakness, Progressive weakness >1 extremity, usually, stops progressing within four weeks. Mild sensory signs and symptoms, Usually distally, Loss of deep tendon reflexes | Guillain Barre Syndrome
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| Condition where antibodies block receptors in muscles that receive signals of acetylcholine thus impairing muscle function is called? | Myasthenia Gravis
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| A chronic, pervasive childhood disorder characterized by developmentally inappropriate activity level, low frustration tolerance, impulsivity, poor organization of behavior, distractibility, and inability to sustain attention and concentration is what? | ADHD
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| What kind of treatment approach would you want to use for pt's with ADHD? | Top-down, or cognitive, approach to therapy, task-specific, focus on performance skills, Emphasizing organization, planning, adaptation and safety
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| A chronic disorder of various causes characterized by recurrent seizures is called? | Epilepsy
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| What kind of seizure causes muscles to become rigid, person could lose consciousness and fall to the ground? | Tonic
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| What kind of seizure causes muscles to contract & relax rapidly, causing convulsions? | Clonic
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| If a seizures lasts more than ___ minutes you should call medical help. | 5
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| What role do PT's play in the treatment of epilepsy? | Essentially, we will be treating patients not for epilepsy, but more likely their comorbidities.
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| What is the triad of symptoms for FAS? | Characteristic facial dysmorphology,
Prenatal and postnatal growth deficiency, CNS Dysfunction
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| 95% of trisomy 21 is due to what? | nondisjunction of chromosome 21 in oocyte or spermatocyte
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| These Physical Characteristics decribe what? Upward slanting palpebral fissures, Low nasal bridge, Simian Creases, Hypotonia, Tetralogy of Fallot (congenital Heart, defect) | Down Syndrome
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| PT intervention for down syndrome should be aimed at what? | specific medical problems associated, and developmental issues
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| This is characterized by having a greater than 10° lateral curvature on a standing radiograph, and most have curvature to the right. | Scoliosis
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| What can be done to treat scoliosis? | use of milwaukee brace, trunk ROM/stabilization exercise, surgery
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| Avascular Necrosis of the ossific nucleus of the femoral head caused by loss of blood supply, AKA: ischemic necrosis of the hip, coxa plana, osteochondritis, or avascular necrosis of the femoral head is known as what? | Legg-calve-perthes disease
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| This Leads to a collapse and flattening of the femoral head if not treated properly,and the is etiology unknown. | Legg-calve-perthes disease
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| What are two treatment approaches to Legg-calve-perthes disease. | conservative(Modalities for pain control
Bracing, ROM Exercises), sugery
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| Malfunction of the energy-producing mitochondria found in all living cells causes what? | mitochondrail disorders
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| “Common disease” with atypical features, More than one organ system involved, Recurrent setbacks or flare-ups from infection...these are halmark characteristics for what? | Mitochondrial disorders
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| A degenerative disorder of the central nervous system that can come from mitochondrial or nuclear DNA is called? | leigh syndrome
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| Is there a cure for leigh syndrome? What is the prognosis? | no/poor
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| PT treatment for leigh syndrome should include what? | Work on achieving age appropriate milestones, Maintain gross motor function, Positioning, and Family education and support
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| Involves deliberate exaggeration or fabrication of medical condition(s), presumably for attention, sympathy, or other...usually non-financial gains is called what? | Munchausen’s
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| An autoimmune inflammatory disorder, activated by an external trigger, in a genetically predisposed host is what? | RA
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| This is the most common form of juvenile RA, it involves 4 joints or less, and peaks at 1-2 years. | oligoarthritis
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| What are the general goals for treating juvenile RA? | controlling pain & inflammation, maintaining ROM, STR, and endurance, ensure typical growth and development.
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