Term
| Name the 4 pressure tolerant areas along the lateral surface for a transtibial amputation. |
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Definition
Patellar Tendon
Medial Tibial Flare
Along both sides of the tibia
Medial and lateral femoral condyles |
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Term
| Name 2 pressure tolerant areas along the lateral surface for a transtibial amputation |
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Definition
Anterolateral compartment
Shaft of the fibula |
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Term
| Name the pressure tolerant area along the posterior surface for a transtibial amputation. |
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Definition
| Most structures within the popliteal fossa |
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Term
| __ areas can take pressue, but __ areas cannot. |
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Definition
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Term
| Name 4 aspects of evaluating an amputation to see if limb is fitting into socket properly. |
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Definition
Visual (skin check)
Powder Test
Ball of Clay Test
Lipstick Test |
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Term
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Definition
| Tells you where the pt fits in the socket. Put powder on their limb and see where in the socket also has powder on it after pt puts limb in. |
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Term
| What is the ball of clay test? |
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Definition
| You put a ball of clay into the bottom of the socket then stick limb in there to see how much of the clay is smushed. If it's still round then limb isn't going deep enough, if it is really flat, then limb is too far into socket. |
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Term
| Name 10 possible common skin disorders than may be associated with amputations. |
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Definition
Maceration
Dermatitis
Blister
Abrasion and Erosion
Ulceration
Bacterial Infections
- Folliculitis
- Furnucle
- Carbuncle
- Cellulitis
- Osteomyelitis
Edema
Epidermal Cyst
Eczema
Verrucous Hyperplasis (BAD!) |
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Term
| May be caused by an allergic reaction to lotion or a gel liner. May occur from too much soap on the distal end or lotion. |
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Definition
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Term
| May be caused by the use of cream, lubricant or cleansing agent as well as padding inside the socket. This could occur with new usage or after prolonged use. May be caused by the coating used inside the socket. |
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Definition
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Term
| Name 2 treatments for Contact Dermatitis |
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Definition
Identification and removal of irritant
Cool compresses and hydrocortisone |
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Term
| How might a blister result in an increased risk of infection |
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Definition
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Term
| May be caused by prosthesis rubbing against skin, will require several weeks of healing without prosthesis. |
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Definition
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Term
| While this is not necessarily an open wound, prosthetic wear should not be done until healed. May be secondary to mechanical rub. |
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Definition
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Term
| This type of skin disorder is normal if mild. You can wear the socket with this, but monitor closely. May be secondary to mechanical rubbing. |
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Definition
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Term
| Can you wear your socket with scars and ulcerations? |
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Definition
Scars yes, but its not great for WBing
Ulcerations, NO |
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Term
| If you have an abscess from a bacterial infection, can you continue to wear your socket? |
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Definition
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Term
| Often seen with individuals with hairy, oily skin and aggravated by sweating and rub from the socket wall. Worse in hot months, not serious for most however in pts with diabetes it can lead to difficulties. Good hygiene is the most effective treatment. |
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Definition
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Term
| This may be caused by the residual limb not going into socket deep enough. |
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Definition
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Term
| May be due to hair follicle issues especially above the knee or on the medial side |
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Definition
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Term
| Typically does not appear until the prosthesis has been worn a few months or years and occurs most often in transfemoral amputations in the upper medial margin of the residual limb |
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Definition
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Term
| How can epidermal cysts be treated? |
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Definition
-Experimental, if the cyst continues to enlarge surgery may be indicated
-Topical steroids
-Socket lines - trial |
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Term
| Most often caused by improper fit of socket, with improved fit the problem resolves, use of topical steroids may also help. Can keep wearing socket but proper fit must be assessed. |
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Definition
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Term
| The most common wart virus of the skin. The distal end of the limb does not have adequate support and dangles in the socket. |
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Definition
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Term
| How can varrucose Hyperplasia be treated? |
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Definition
| External compression in combination with adequate control of bacterial infection and edema. Total contact in socket. Shrinker when not in socket |
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Term
| How do you know early on that pt is changing size of their limb? |
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Definition
| Girth measurements. Have proper landmarks and document well. Do this initially and periodically |
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Term
| When do you evaluate prosthesis? |
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Definition
| Everytime when donning and doffing |
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Term
| 3 ways to evaluate the cause of redness or discomfort |
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Definition
Pill or powder test
Eliminate cause
Know when to consult prosthetist |
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