NPTE Other Systems
Endocrine, Hepatic, Renal, Bariatrics,
Thyroid, Parathyroid, Pregnancy, etc.
Addison's disease - ANS-Adrenal glands UNDERproduce
... [Show More] 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 -
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