Midterm 09/16/2019
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| Lymphadenopathy | show 🗑
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| Kaposi’s Sarcoma | show 🗑
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| show | For adults with HIV disease provides other areas that need to be assessed
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| Psychosocial Assessment | show 🗑
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| show | 1. Sensory input
2. Help control temperature
3. Protection from infection
4. Part of identity
5. Waterproof
6. Prevent fluid loss
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| show | A burn is a permanent destruction of tissue caused by released of energy from external agent
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| Most common burn? | show 🗑
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| show | (top layer) is where the skin growth cells (germinal keratinocytes)
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| Germinal Keratinocytes | show 🗑
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| show | The melanocytes are found at the dermo-epidermal junction
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| Dermis | show 🗑
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| show | • Collagen
• Blood vessels
• Elastic fibers
• Glycosaminoglycans
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| show | Glue-like substance on ground surface
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| Mechanism of Injury | show 🗑
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| show | 1. Involves epidermis (top layer of the skin)
2. Heals by itself in 1 to 5 days
3. Therapist rarely consulted
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| Superficial Dermis (superficial partial thickness) | show 🗑
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| Deep Partial-Thickness Burn (deep reticular dermis) | show 🗑
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| Full Thickness Burn (subcutaneous tissue) | show 🗑
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| 4th Degree Burn | show 🗑
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| show | 1. Goal is to prevent deformity where burns have occurred and restore
Parts where damaged or lost
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| show | Loss of skin and joint mobility in areas of wrist and digits
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| show | Deformity and maintain function.
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| Skin resurfacing is used for what? | show 🗑
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| show | • Excessive heat on burn wound
• Serial casting
• Overstretching or vigorous exercise
• No splinting straps (use gauze)
• No ROM to exposed tendons
• No ROM if pt. complains of deep joint pain
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| Phase of Recovery | show 🗑
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| show | • 72 hours
• Therapist focuses o bn edema management and splinting
• ROM and exercises initiated
• ADL independence
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| show | Therapist promotes skin graft adherence and body parts usually immobilized in extension 1 to 2 days.
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| Rehabilitation | show 🗑
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| Partial Thickness Burn | show 🗑
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| Deep Partial Thickness (if not grafted) | show 🗑
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| Full Thickness Burn (grafting) | show 🗑
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| show | Are used to replace skin in areas where adequate circulation is available and underlying structures are protected by adequate subcutaneous tissue.
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| show | Allows draining of exudate/blood if needed or if there is a donor site shortage allows expansion of graft.
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| Split thickness skin graft (STSG) | show 🗑
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| show | Taken from hypothenar eminence, medial aspect of arm, or groin
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| Split thickness skin graft (STSG) location? | show 🗑
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| Full thickness skin graft (FTSG) | show 🗑
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| show | 1. Recipient bed must have good vascularity
2. Free from increased levels of bacteria
3. Optimal bed muscle and fascia
4. Bone and tendon are not optimal for take
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| Hydrotherapy Tank/Whirlpool | show 🗑
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| Sharp Debridement | show 🗑
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| show | Quick assessment of total body surface area burned. More accurate for adults
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| show | More accurate assesment for children younger than 1
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| Hypertrophic Scarring | show 🗑
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| show | Pressure application: apply when wounds are healed, continued 23 hours a day for one year, effective as long as the scar is immature (red, warm, elevated)
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| show | • Jobst pressure garments -ace bandages
• Tubigrip
• Isotoner gloves
• Splints, -pressure inserts
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| Position of Comfort = | show 🗑
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| show | • Prevent contractures -prevent edema
• Prevent decubiti
• Wrist/hand: wrist extension 30 degrees, thumb abd./extended, MCP flexion 50-70 degrees, IP extension
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Created by:
Genevadarcius
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