NPTE Other Systems Endocrine, Hepatic, Renal, Bariatrics, Thyroid, Parathyroid, Pregnancy, etc

NPTE Other Systems Endocrine, Hepatic, Renal, Bariatrics, Thyroid, Parathyroid, Pregnancy, etc. Addison's disease - ANS-Adrenal glands UNDERproduce cortisol/aldosterone Addison's Disease Sx's - ANS-Progressive fatigue Weight Loss Increased K+ Tendon calcification Hyopglycemia Cushing's Syndrome - ANS-Adrenal glands OVERproduce cortisol Cushing's Syndrome causes - ANS-Too many corticosteroids Cushing's Syndrome Sx's - ANS-Moon face Cervical fat pad Truncal obesity Excessive facial hair Osteoporosis Hypothyroidism - ANS-Weight gain Fatigue/lethargy peripheral edema/neuropathy Hyperthyroidism (Grave's Disease) - ANS-Tachycardia Dyspnea Weight Loss Goiter HyperPTH - ANS-Proximal weakness arthralgia/myalgia depression glove/stocking sensory loss gout HypoPTH - ANS-Neck stiffness Seizures Cardiac Arrhythmia Chvostek's Sign (twitching of facial muscles) Diabetes Mellitus Type 1 - ANS-Fasting blood glucose 126mg/dL Diabetes Mellitus Type 2 - ANS-Defective insulin production or impaired insulin receptor binding. Adults 30 Hypoglycemia Sx's - ANS-Blood Glucose 50-60 mg/dL Pallor Disorientation Diaphoresis Blurred vision Slurred speech LOC tachycardia /c palpitations Hyperglycemia Sx's - ANS-Blood Glucose 180 mg/dL Fruity breath (ketones) Polyuria Polydipsia (thirsty) Extreme hunger Diabetes- Contraindication for exercise - ANS-Blood Glucose 250mg/dL /c urinary ketones 300mg/dL with no other sx's 1-4 hours after insulin injection Best time to exercise is 1 hour after a meal Paget's Disease - ANS-Increased bone resorption Increase of fx's Osteomalacia - ANS-Vitamin D deficiency softens bones Cancer and Physical Therapy - ANS-Sensitive to patient needs GERD sleeping position - ANS-Left Side Urinary Stress Incontinence - ANS-Loss of urine with increased abdominal pressure (pelvic floor weakness) Urinary urge incontinence - ANS-Abrupt strong desire to void Urinary overflow incontinence - ANS-Overdistention of bladder without emptying bladder (MS, diabetic neuropathy) Urinary functional incontinence - ANS-Mind-body connection disrupted (cognitive deficits) Pregnancy - Contraindications to exercise - ANS-Incompetent Cervix Vaginal bleeding Detached placenta Rupture of membranes Premature labor Maternal heart disease Maternal diabetes/HTN Complications of Diabetes Mellitus - ANS-Atherosclerosis Neuropathy Periarthritis Depression Diabetes Foot Care Program - ANS-Wash feet daily in warm water Apply lotion/petroleum jelly Clean white socks Wide jogging shoes alternated each day Diastasis Recti - ANS-Separation of rectus abdominis at linea alba Diastasis Recti Test - ANS-1. Pt slowly raises head/shoulders off table in hooklying position until scap clears 2. Measured by amount of figers placed horizontally at umbilicus Diastasis Recti Tx - ANS-1. Head lift, pelvic tilgt, kegel exercsis if separation is 2 fingers 2. LE lifting should NOT be performed in this state Dx of HIV - ANS-Two of these tests must be (+) 1. CD4 count: 500-1200 cells/mm3 2. Other blood tests Dx of Aids - ANS-Positive HIV blood test = 200 cells/mm3 Aids related complex (ARC) = Immune deficiency symptoms Hypovolemic shock caused by - ANS-hemorrhage, vomiting, or diarrhea Lab Value Exercise Red Flags - ANS-20k platelet count 5k WBC with fever 1k WBC 8 Hemoglobin 25% Hematocrit Cancer contraindications to exercise - ANS-1. Within 24 hours of chemo 2. Severe reaction to radiation 3. Acute infection/fever 100 degrees 4. Severe nausea, vomiting, dehydration within 24-36h Continues...