Term
| When inspecting the skin you are looking for skin integrity, skin color, and ____ formation. |
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Definition
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Term
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Definition
| blue color of skin or nails... due to tissues lacking oxygen |
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Term
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Definition
| ecchmyosis: can occur because of bruising |
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Term
| red color of the skin can be due to _________ |
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Definition
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Term
| Jaundice of the eyes and skin are associated with what color? |
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Definition
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Term
| A white color to the skin can be described as blanched, or _________ circulation |
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Definition
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Term
| Tissue death or _______ can appear as the color _____ on the skin. |
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Definition
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Term
When measuring the circumference and volume it is usually due to
-atrophy
- _____
- lymphedema |
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Definition
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Term
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Definition
| Can be caused by a postfracture site where a cast was necessary to wear for immobilization, or for muscle disorders such as ALS. |
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Term
| When measuring the upper and lower extremities, measurements should be taken _________ for patients with atrophy or edema for a ____ comparison. |
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Definition
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Term
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Definition
| Swelling, typically occurs in the arms and legs. |
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Term
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Definition
| Swelling due to overload of lymphatic system in which lymph volume exceeds transport capabilities resulting in obstructed lymph flow, swelling, pain, and susceptibility to infection. |
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Term
| The superficial structures of the integumentary system include skin, ____, and hair. |
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Definition
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Term
-Scars/rashes
-Psoriasis (erythematous patch, silvery scales)
- Herpes Zoster (red, dermatomal, vesicles burning)adult shingles
- Scleroderma (hardening of the skin, tightening) |
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Definition
| Things to look for when inspecting the skin. |
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Term
| Things to inspect when looking at the nails. |
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Definition
-Clubbing (pulmonary)
-Beau's lines(anemia, malnutrition)
-Pitting(psoriasis,diabetes,PVD)
-Spoon shaped(anemia,chronic infection,malnutrition,Raynaud) |
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Term
-Atrophic(lack of hair, shiny, dry, due to poor circulation)
-Alopecia (anemia, hypopituitary, adrenal,gonad)[where clumps of hair fall out] |
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Definition
| Things to look for when inspecting hair |
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Term
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Definition
| loss or change of local tissue continuity, structure, or function |
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Term
| Skin cancer remember ABCD if atypical characteristics are observed. |
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Definition
A- Assymetry
B- Border irregular
C- Color variation
D- Diameter >6mm |
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Term
When to inspect the skin....
-When risk factors are present
-Pressure point areas
-Known incisions/wounds
- _________!
(Removing clothing,shoes,treatment
areas) |
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Definition
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Term
-Pressure ulcers
-Arterial Insufficiency
-Venous Insufficiency
-Diabetic wounds
-Incisions
-Abrasions,lacerations,rashes |
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Definition
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Term
| Stage 1 (superficial) Pressure Ulcer Staging |
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Definition
| Nonblanchable, erythema of intact skin |
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Term
| Stage 2 (Partial Thickness) |
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Definition
| Partial thickness skin loss involving the epidermis and/or dermis |
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Term
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Definition
| Full thickness skin loss involving damage or necrosis of subcutaneous tissue that may extend down to underlying fascia. |
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Term
| Stage 4 (Skin to Fascia, Muscle, or Bone) |
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Definition
Full thickness skin loss, with extensive destruction tissue necrosis or damage to muscle, bone and or tendon
-must remove necrotic eschar prior to staging
-Once staging always labeled with original staging |
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Term
-Nail changes thickened, brown
-Pale, shiny, dry, loss of hair
- Coolness of the extremity |
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Definition
| Chronic Arterial Insufficiency |
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Term
Chronic ______ Insufficiency
- Bra wny edema
- Hemosiderin staining
-dark
-granular tissue left from breakdown
-indicates iron metabolic breakdown
- Cyanotic may lead to stasis dermatitis |
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Definition
| Chronic Venous Insufficiency |
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Term
_________ Ulcers
-Regular, smooth edges
-Minimal to no gradulation
-Distal toes, feet
-Pedal pulses decreased or absent |
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Definition
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Term
______ Ulcers
- Irregular good granulation
- Usually shallow, marked edema
- Medial malleolus and tibial area
- Pedal pulses usually present |
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Definition
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Term
______ Ulcers
- Irregular good granulation
- Usually shallow, marked edema
- Medial malleolus and tibial area
- Pedal pulses usually present |
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Definition
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Term
Location
Size and depth of involvement
-Tunneling or Undermining
Color of wound
- Red: Healthy granulation
- Yellow: fibrotic
- Black: necrosis
Amount and characteristics of wound
- mild, moderate, severe draining
- color or odor
Status of the tissues around wound
- pigmented, scarred, atrophic,
cellulitis |
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Definition
| Characteristics of a wound |
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Term
For the musculoskeletal System you assess
-Gross Asymmetry
- Gross Mobility
- Gross Strength
- ___ |
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Definition
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Term
| To assess sensory and gross coordination movements you are investigating the _______ system |
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Definition
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Term
| Sensory inspection includes looking at |
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Definition
-reflexes
-dermatomes
-myotomes |
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Term
Balance
locomotion
transfers
transitional movements |
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Definition
| Thins to inspect when looking at gross coordination movements |
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Term
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Definition
Affect
Cognition
Language
Learning styles
Assess ability to make needs known
Consciousness
Orientation
Emotional/behavioral responses
Learning barriers |
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Term
| At decision time you can _____, refer,or keep and consult |
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Definition
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Term
-Determined from the initial questioning process of the history and systems review
- Determines a diagnostic hypothesis
- Selects appropriate tests and measures to rule in or rule out causes of the impairments and functional limitations.
-Establishes a physical therapy diagnosis, prognosis, plan of care and selects interventions. |
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Definition
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