pathology - hepatic and GI

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created 2 years ago by Kelsey_Parker
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1

the accumulation of fluid in the peritoneal cavity, causing abdominal swelling.

ascites

2

palmar errythemia

reddening of the palms. associated with liver disease

3
card image

spider angioma

4

a tremor of the hand when the wrist is extended, sometimes said to resemble a bird flapping its wings.

asterixis

5

which of the following are symptoms of liver disease

Edema LE
fasciculations
Skin changes=pallor, orange or green skin
Black stool
Spider angiomas
Easy bleeding
Palmar erythema
spasticity
asterixis

just edema, skin changes, spider angiomas, palmar erythema and asterixis

ppl with liver problems usually have tan, clay colored stools

6

Your client with liver disease has now developed tremor, weakness, hyperactive reflexes and developed a compression fracture of the spine when stepping down on a step without any fall. what liver disease do they have?

the fracture points to osteoporosis which is common with cirrhosis

7

Your patient has a diagnosis of ulcerative colitis and is being seen to rehab a knee replacement. They do SLS with you and you think they are safe. Will you let them do it alone at home while standing in a corner?

Patient may be at higher risk of fracture than the general population due to osteoporosis so extra safety precautions should be included – support person should be nearby

8

which GI condition is improved the most through exercise?

IBS

9

what conditions that we learned about are frequently associated with CTS

diabetes

hypothyroid

autoimmune disorders

10

what conditions we learned about are frequently associated with osteoporosis?

cushing's

graves

kidney failure

corticosteroid use

liver impairment

diabetes

inflammatory bowel disease (crohn's or UC)

11

corticosteroids may be used to treat

allergies

asthma

COPD

Addison's

ulcerative collitis

crohn's

autoimmune hepatitis

multiple myeloma

leukemia

lupus

12

functions of the liver

produces bile, stores glycogen, synthesizes amino acids, plays role in metabolizing lipids, breaks down insulin and other hormones, and filters blood from digestive tract

13

produces insulin, glucagon, somatostatin, and pancreatic polypeptide. Secretes substance that neutralizes acidity of chime to assist in digestion.

pancreas

14

function of gallbladder

stores bile

15

your pt feels pain after eating and complains of pain in the midback between scapula and in the right shoulder. pt. is obese and has diabetes and appears somewhat jaundiced. wyt?

cholelithiasis (gall stones)

16

which strain of hepatits might be a problem for someone who has recently eaten raw shellfish? what about for someone that has recently been on a doctors without borders mission?

Hep A

Hep E

17

what leads to CNS problems secondary to liver disease?

high levels of ammonia

18

Which clinical manifestations of the GI tract may cause lumbar, sacral, buttock and/or thigh pain?

constipation or GI bleed

19

implications for PT of GERD

Exercise may aggravate; avoid supine after eating; may need to educate re: eating and exercise

20

the two chronic conditions that fall under inflammatory bowel disease

crohn's and ulcerative collitis

21

PT specific notes for diverticular disease

symptoms

Exercise during remission; avoid increased intraabdominal pressure; abscess may form

Left lower abdominal pain, left pelvic pain, melena, back pain

22
card image

diverticular disease

23

an altered level of consciousness as a result of liver failure

Hepatic encephalopathy (HE)

24

Pt has been seeing you for ACL rehab. today he has a cramp in his side at ASIS level after using the treadmill. he sits and rests and it does not let up in one to two minutes. he says it isn’t that bad and he wants to continue. what should you do?

palpate the area to assess for appendicitis