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H&P II
H&PII
42
Medical
Graduate
01/24/2011

Additional Medical Flashcards

 


 

Cards

Term
occupational & environmental medicine
Definition
is a specialty devoted to prevention & management of occupational & environmental injury, illness, & disability & promotion of health & productivity of workers, their families & communities
Term
exacerbation
Definition
temporary flare up of something related to a pre-existing condition, usually after an injury but recedes to its former level w/in a reasonable period of time
Term
aggravation
Definition
usually implies a fresh incident producing additional impairment to a previously injured anatomical region. aggravations are usually not temporary
Term
impairment
Definition
a medical term which is sometimes confused w/disability impairment is what is anatomically or physically wrong w/an individual & is a means where the medical care provider assigns a numerical rating for whatever type of bodily function has been lost
ie. what functions of their job is the employee acutely or chronically unable to perform b/c of this injury or illness
Term
handicapped
Definition
sometimes confused w/disability & impairment & is used interchangably w/there terms. handicapped is generally defined as an impairment that can be overcome by some type of reasonable accommodation to the impairment
ie. handicap parking permit
Term
temporary partial disability (TPD)
Definition
generally means that the injured workers is only able to do some type of limited work for a short period of time & that further recovery is expected
ie. most work related injuries/illnesses
Term
temporary total disability )TTD)
Definition
means that a person is unable to do any type of work for a temporary period of time. workers compensation payments are usually paid while the worker is out of work
ie. be VERY careful assigning TTD
Term
permanent partial disability (PPD)
Definition
meant that the injured worker cannot return to the same type of work that he was doing before his injury & that he has a permanent impairment which limits his ability to do the work that he was doing before the accident
ie loss of finger
Term
permanent total disability (PTD)
Definition
that a person is unable to do any type of work of any kind & that person is completely & permanently incapable of engaging in any type of substantial gainful activities
ie. loss of vision
Term
FMLA
Family & medical leave act
Definition
eligible to employees employed at leaset 12calendar months & 1250 hrs w/ that employer
employers needs 50+ employees
non-compensatory
job protection
employee entitles to 12 workweeks of leave/12month period for:
26 workweeks for:
Term
FMLA
Family & medical leave act 12 wks
Definition
birth of child
placement of adoption or foster care
care for immediately family member
employees own serious health condition
exigent circumstance of immediate family member (call to duty)
Term
FMLA
Family & medical leave act 26 wks
Definition
for severed service member w/serious injury or illness if the employee is the spouse, son, daughter, or next of kin of the service member (military caregiver leave)
Term
medical surveilance
pre-employment
Definition
conducted as a means of ensuring that the candidate is qualified to perform the essential functions of the job prior to formal consideration for the position
Term
medical surveilance
pre-placement
Definition
the same as pre-employment but conducted after the prospective employee has been formally interviewed & is being considered for the position
can also be conducted when employee is re-assigned to a different role
Term
medical surveilance
periodic
Definition
employers have the right to request periodic medical surveillance exams for occupations w/significant risk of self or public injury
Aviation or DOT
Term
medical surveilance
fitness for duty
Definition
essentially the same as a pre-employment exam but used as a tool to ensure that the employee is able to retune after an extended absence, usually from medical leave
Term
medical surveilance
maximal medical improvement
Definition
this refers tot he time at which an injured worker has recovered form their injury or illness to a point where the clinician believes no further recovery will take place
this may/may not be the pre-injury baseline
Term
medical surveilance
accomodation
Definition
this term referring to specific modifications that are communicated from the clinician to the employer that the clinician feels are warranted during the employees recovery from illness or injury
Term
medical surveilance
law of reasonable accomodation
Definition
this law states that if an employer is able to accommodate work limitations conveyed by the clinician that it is up to the discretion of the employer to decide if they can accommodate limitations recommended by the clinician
Term
medical surveilance
report of workability
Definition
written statement (by the clinician) that is given to the employee noting the clinician diagnosis, specific limitations & assessment of work relatedness
Term
work comp expires
Definition
130 weeks=910 days
Term
spinal stenosis
Definition
spinal canal size is decreased by the disc degeneration & protrusion into the spinal canal
Term
excessive curvature
Definition
scoliosis, lordosis, kyphosis
Term
herniated disc
Definition
weakness of the annulus fibrosis may cause bulging or rupture od nucleus pulpous, which may compress nearby bereaves
most common between L4-L5 & L5-S1
Term
Vertebral fracture
Definition
compression or burst fractures
Term
spondylolisthesis
Definition
slipping of one vertebrae on top of another
Term
lordosis
Definition
exaggerated concave curvature "sway back"
Term
kyphosis
Definition
exaggerated convex curvature "hump back"
Term
tenderness of C1
Definition
concerning in RA patients possible subluxation leading to cord compression
Term
tenderness in C5-C6 joints
Definition
suggestive of OA
Term
lumbar step-offs
Definition
suggest spondylolisthesis or fracture
Term
tenderness at sciatic notch
Definition
suggests herniation or mass lesion impinging on L4, L5, S1, S2 or S3 nerve roots
Term
cervical spine
Definition
most mobile segment of the spine
Term
atlatntooccipital joint (atlas)
Definition
controls 1/3 of flexion (nodding), 1/2lateral bending (ear to shoulder)
Term
atlavtoaxial joint (axis)
Definition
controls 1/2 rotation of neck
Term
C2-C7
Definition
controls 2/3 flexion & extension
1/2 rotation
1/2 lateral bending
Term
C2-C7
Definition
controls 2/3 flexion & extension
1/2 rotation
1/2 lateral bending
Term
SLR 0-30 degrees
Definition
indicates nerve root compression
Term
SLR 30-60 degrees
Definition
sciatica produced between 30-60 indicates sacroiliac disease
Term
SLR beyond 60 degrees
Definition
lumbosacral conditions, arthritic
Term
shoulder ligaments
Definition
coracoclavicular
acromioclavicular
Glenohumeral: superior GH, Middle GH, Inferior GH, coracohumeral
Term
rotator cuff muscle
Definition
SITS: supra/infra spinatus. teres minor, subscapularis
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