POAT EXAM 1 – USA-ATX
Etiology of amputations - answerPVD = 82%
Trauma = 16%
Cancer & Congenital = 1% each
Peripheral vascular disease - answerleading cause of amputations is dysvascular
disease, including PVD and PAD
Diabetes, arteriosclerosis, thromboembolism, chronic venus insufficiency
complicated by neuropathy
amputation of the contralateral limb 50% of pts in 2-5 years
What is more common in persons /c diabetes than /s - answerPVD
What is the most predisposing factor for LE amputations in a person /c diabetes? -
answerHypertension
What are some complications associated with diabetes? - answerVision Issues
Neuropathy
Infections
What do you want to assess /c a diabetics feet? - answerVascular
sensory
Motor
Autonomic
Footwear
Gait
Balance
What is involved in the care of the diabetic foot? - answerEducation on footwear
keeping feet moist
skin care
skin inspection
What is the 2nd most common cause of LE amputation? - answerTrauma - Military,
work or MVA related accidents, farming
Most common in yound adult men
Cancer and LE amputations - answeraccounts for about 1% of amputations
osteosarcoma
primarily affects kids
, Congenital deficiency and LE amputations - answerrepresents just under 1% of
amputations
slightly higher incidence of UE vs LE
amniotic band syndrome
What are the 5 stages of grief - answerdenial
anger
bargaining
depression
acceptance
What are factors that affect rehab of an amputee? - answerhealth status
age
cognitive status
comorbidities
level of amputations
Types of Foot/Ankle amputations - answersymes
boyd
pirigoff
partial foot
Types of partial foot amputations - answerchopart
lisfranc
transmetatarsal
metatarsophalangeal disarticulation
toe disarticulation
partial toe
Reasons for amputations of the toes - answerLocalized level of gangrene
neuropathic ulcer on plantar surface
infection or osteomyelitis of phalanges
neoplasms
Ray Resection - answervascular disease, neuropathic ulcer, osteomyelitis
Sx of choice for 4th/5th ray removal
not sx of choice if 1st/2nd ray
orthotic or prosthetic shoe filler is used
Transmetatarsal amputation - answeray resection of all 5 metatarsals proximal to met
heads
- risk factors for poor healing
- equinovarus
- need toe filler in shoe
Etiology of amputations - answerPVD = 82%
Trauma = 16%
Cancer & Congenital = 1% each
Peripheral vascular disease - answerleading cause of amputations is dysvascular
disease, including PVD and PAD
Diabetes, arteriosclerosis, thromboembolism, chronic venus insufficiency
complicated by neuropathy
amputation of the contralateral limb 50% of pts in 2-5 years
What is more common in persons /c diabetes than /s - answerPVD
What is the most predisposing factor for LE amputations in a person /c diabetes? -
answerHypertension
What are some complications associated with diabetes? - answerVision Issues
Neuropathy
Infections
What do you want to assess /c a diabetics feet? - answerVascular
sensory
Motor
Autonomic
Footwear
Gait
Balance
What is involved in the care of the diabetic foot? - answerEducation on footwear
keeping feet moist
skin care
skin inspection
What is the 2nd most common cause of LE amputation? - answerTrauma - Military,
work or MVA related accidents, farming
Most common in yound adult men
Cancer and LE amputations - answeraccounts for about 1% of amputations
osteosarcoma
primarily affects kids
, Congenital deficiency and LE amputations - answerrepresents just under 1% of
amputations
slightly higher incidence of UE vs LE
amniotic band syndrome
What are the 5 stages of grief - answerdenial
anger
bargaining
depression
acceptance
What are factors that affect rehab of an amputee? - answerhealth status
age
cognitive status
comorbidities
level of amputations
Types of Foot/Ankle amputations - answersymes
boyd
pirigoff
partial foot
Types of partial foot amputations - answerchopart
lisfranc
transmetatarsal
metatarsophalangeal disarticulation
toe disarticulation
partial toe
Reasons for amputations of the toes - answerLocalized level of gangrene
neuropathic ulcer on plantar surface
infection or osteomyelitis of phalanges
neoplasms
Ray Resection - answervascular disease, neuropathic ulcer, osteomyelitis
Sx of choice for 4th/5th ray removal
not sx of choice if 1st/2nd ray
orthotic or prosthetic shoe filler is used
Transmetatarsal amputation - answeray resection of all 5 metatarsals proximal to met
heads
- risk factors for poor healing
- equinovarus
- need toe filler in shoe
