Exam 43: Assisting in Orthopedic Medicine
Alphonse Patrice, a 19-year-old patient, has just been fitted with crutches because of a sprained ankle.Summarize the patient guidelines for correct use of crutches so that Mr.Patrice can use them properly.
• Wear flat shoes with nonskid soles to prevent accidents.
• Bear weight on your hands and on the handgrips, not your armpits.
• Report any numbness or tingling of the upper body or arms to the physician; this may indicate nerve damage from axillary weight bearing.
• Keep the elbows close to the body so that the crutches are against the side of the chest.
• Place the crutch tips about 2 inches to the side of each foot so that you do not trip over them.
• Keep the elbows slightly bent when doing crutch walking.
• Keep your head up; do not look at your feet when using your crutches.
• Make sure the crutch tips, handgrip pads, and axillary pads are in good condition on your crutches at all times.
• Remove all throw rugs to prevent tripping or sliding.
• To stand up from a chair: Place both crutches on the injured side, tilt forward and push off with the arm on the uninjured side while bearing weight on the uninjured leg.
• To sit down: Place both crutches on the uninjured side and ease yourself down onto the chair while bearing weight with the uninjured arm and leg.
• To get into and out of a car: Make sure the front seat is moved back as much as possible.Back up toward the seat until you feel its edge; hold both crutches on the side of the body closest to the car door; grab the seat's head rest, tilt your head forward to prevent bumping it, and sit down.Place the heel of your uninjured leg on the car frame and push yourself back into the seat until you can swing the injured leg into the car.
A(n) __________ fracture in a young child is suggestive of a child abuse injury.
spiral
A spiral fracture in a young child is suggestive of a child abuse injury.
Patients with arthritis frequently complain of __________, a crackling sound made by the affected joints.
crepitation
Patients with arthritis frequently complain of crepitation, a crackling sound made by the affected joints.
If a partner is helping you transfer a patient from a wheelchair, the wheels of the chair need not be locked.
Women with osteoporosis of the spine may develop which type of fracture?
Diathermy is a deep heat therapy that can be used to treat muscle spasms.
__________ is caused by an autoimmune reaction against the synovial membrane that lines joints throughout the body.
Grace Samuellson, age 3, has just had a cast applied to her right arm.Her parents need to be instructed on the warning signs of problems that can occur with the cast.List three reasons the parents should call the physician immediately.
Electromyography is helpful in diagnosing problems associated with which disorder?
Tanya Payne has three young children who like to play in the wooded lot next to their house.She is very concerned about the possibility of Lyme disease.What information can you share with her to reduce her children's risk of being exposed to Lyme disease? Include details on the proper removal of a tick.
Lyrica, an antiseizure medication, is the first drug that has been approved by the FDA to treat fibromyalgia.
An abnormal curvature of the posterior thoracic spine is called:
Which type of muscle is responsible for moving fluids through the urinary system?
As soon as possible after a musculoskeletal injury, RICE therapy should be initiated.This stands for:
All of the following are true about fibromyalgia except it:
One approach to the treatment of osteoporosis is rest and non-weight-bearing exercise.
The type of bone composed of a diaphysis and two epiphyses serves mainly to:
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