Describe a positioning concern for a client with GERD
Front
Prone; left side lying most beneficial
Back
Papule
Front
elevated, firm lesion, larger than 1 cm
Back
Diverticulosis
Front
Bulges in small or large intestine that may become infected. Very common condition.
Back
GERD
Front
Damage to lining of the esophagus due to reflux of stomach contents. LES is too relaxed, low motility in stomach puts back-pressure on LES, portion of stomach is trapped in the hiatus of the diaphram.
Back
Wart
Front
lesion aka verruca vulgaris; caused by the HPV
Back
nodule
Front
elevated, firm lesion, deeper in dermis, 1-2 cm
Back
Ulcerative Colitis
Front
Progressive, continuous inflammation and ulceration of the colon
Back
Bacterial infections
Front
Impetigo, Boils, Warts,
Back
Crohn Disease
Front
Progressive patchy areas of inflammation through the GI tract; flares and remissions
Back
Endometriosis
Front
may cause displacement of pelvic organs. Lower abdomen contraindication.
Back
Tinea capitis
Front
Fungal infection on head, very contagious; no massage
Back
Treatment for IBS and Diverticulitis
Front
Exercise; high fiber diet; coping for stress
Back
Tumor
Front
solid masss, clearly demarcated, elevated, greater than 2 cm
Back
Tinea pedis
Front
Athlete's foot - most common and most stubborn to get rid of. Can sprea to hands, fingers, and nails; local contraindication
Back
Medical treatment of peptic ulcers
Front
Antibiotics for H. pylori, bismuth, histamine and acid-reducters
Back
Diverticulitis symptoms
Front
pain, nausea, fever, cramping; slow or sudden onset; left lower quad pain, thin narrow stool
Back
Massage considerations for fungal infections
Front
Capitis and Coporis - out the door; pedis, cruris, barbae - local contraindications; versicolor - not an active infection, ask if it's new.
Back
Acne
Front
Pimples, cysts, and comedomes (open and closed)
Back
Cyst
Front
palpable, encapsulated lesion, fluid or semi-solid filled
Back
Wheal
Front
Transient, temporary cutaneous edema (hive)
Back
Massage considerations for peptic ulcers
Front
avoid pressure to abdomen; avoid prone position; caution with working on abdomen; watch for dizziness when getting up from table; Parasympathetic intent can increase mucus barrier
Back
Pustule
Front
elevated, pus filled lesion, less than 1 cm
Back
Tinea Corporis
Front
Fungal infection on body - very contagious; no massage
Back
Psoriasis
Front
Pilling up of skin cells in patches called plaques
General Rules of Thumb for Massaging Skin Disorders
Front
use infection control hygiene; if it looks bad, don't touch it and suggest they see a derm. Be professional, don't freak out, be disgusted, or overly worried.
Back
Menopause
Front
no menstruation for a year or more
Back
Peptic Ulcer definition
Front
tissue damage with impaired healing- in epigastric area.
Back
Gallstone pain usually refers . . .
Front
between scapulae and over the right shoulder
Back
Gastric presentation of Peptic ulcers
Front
Gastric pain, hemorrhage in 25% - looks like coffee grounds - Anorexia, nausea, vomiting, pain 30 minutes after eating
Back
Cholelithiasis
Front
Gallstones
Back
Ulcerative Colitis and Crohn Disease increase a person's risk for . . .
Front
Colorectal Cancer
Back
Tinea Cruris
Front
aka Jock itch. A fungal infection around the groin, thighs, buttocks. Less contageous than other forms.
Back
Vesicle
Front
elevated, serous fluid filled lesion, less than 1 cm
Back
Irritable Bowel Syndrome
Front
aka Spastic colon; a dysfunction in the "brain-gut axis" closely associated with emotional stress.
Back
PMS
Front
Physical and mental changes associated with menses
Back
Macule
Front
flat, non-palpable lesion, less than 1 cm
Back
Name the possible benefits of massage for someone with IBS
Front
Relaxing GI tract, decreased stress and anxiety, increase motility/peristalsis
Back
Normal Skin Variants
Front
Lipoma, Hemangioma, Cutaneous skin tags, Liverspots, Port-wine Stains, Freckles/Moles. Pressure usually a massage consideration
Back
Diverticulitis symptoms
Front
pain, nausea, fever
Back
Patch
Front
flat, non-palpable lesion, larger than 1 cm
Back
Duodenal presentation of peptic ulcers
Front
Burning, gnawing or vague Epigastric pain; worse 2-3 hours after eating; pain is better with food or antacids.
Back
Herpes Zoster
Front
AKA Shingles; Viral attack on sensory dendrites in skin leading to painful vesicles on all nerve endings of a specific dermatome
Back
Fibroids
Front
Growths in or around the uterus
Back
Eczema
Front
skin inflammation due to hypersensitivity reaction
Back
Impetigo
Front
Highly contageous bacterial infection - Staphlococcus or Streptococcus. Honey-colored crusts around mouth, nose, or ears; large painful blisters on trunk, arms and legs with fever and diarrhea; painful puss filled blisters on legs and feet with malaise and swollen lymph nodes
Back
Carbuncle
Front
a collection of boils - bacterial infection of a hair shaft or sebaceous gland - boils love oils!
Back
Section 2
(30 cards)
BPH
Front
Non-cancerous enlargement of the prostate
Back
Lymphedema
Front
Swelling of limb from damage/removal of lymph nodes
Back
A complication of breast cancer surgery that includes lymph node removal is . . .
Front
lymphodema
Back
Symptoms of menopause
Front
Hot flashes, night sweats, insominia, mood swings, confusion, short-term memory loss
Back
Massage considerations for cancer
Front
Ask where else if stage 3 or 4; look for equipment; Pressure - limited to area; if liver is involved avoid circulatory intent; Joint movement - avoid if bone mets; positioning - side lying; Secure draping for body image changes; Rhythm - relaxed and predictible; temperature - client may be cold
Back
Massage considerations with a pregnant client in 3rd trimester
Front
Positioning-no prone or supine; more bolstering, left side-lying; less draping; more time for massage; caution in ROM- relaxin causes relaxed ligaments; avoid accupressure pregnancy points;
Back
Metastasis
Front
Spreading of cancer
Back
What test can be done to screen for and help prevent colorectal cancer?
Front
Colonoscopy
Back
Why is the prognosis for lung cancer usually so poor?
Front
Often no symptoms before metastasis
Back
Main complication of cancer
Front
Metastisis
Back
Melanoma
Front
Malignant growth of a mole - most dangerous form of skin cancer
Back
Actinic Keratosis - AK
Front
Pre-cancerous usually on forehead, tops of ears, hands, sun-exposed areas. May become SCC
Decrease stress/increase relaxation for better immune system; may help with tolerance to tx and recovery from tx, depression, sleep, appetite/nausea, peripheral neuropathies - stocking and glove; decrease pain by neural gating etc. May wear a mask and therapist can too.
Back
Common Cancer Terms
Front
Primary Tumor - tissue where the cancer developed; Carcinoma - cancer of the epithelial cells; Sarcoma - cancer of the connective tissue; Metastasis - spreading of cancer; Secondary tumor - site of metastasis
Back
Three leading causes of death by cancer
Front
Lung; Breast/Ovarian, Prostate; Colorectal
Back
What does the "A,B,C,D,E" of skin cancer stand for?
Front
Assymetrical; Borders are irregular; Colors are mixed; Diameter - large 7mm or more; Elevation
Back
Most frequently diagnosed form of cancer
Front
skin
Back
Leading cause of death by cancer
Front
Lung
Back
Lymphoma
Front
Cancer of the lymph nodes
Back
Benign
Front
Mild or non-malignant
Back
While massaging a regular client you notice a mole that has appeared since your last visit. What might you say to this client
Front
Do you know you have a mole here? It looks . . . you might want to get it checked out.
Back
Complications of fibroids
Front
anemia, heavy menstruation, infertility
Back
Four possible benefits of massage for a client with cancer
Cancer in keratinocytes - 22% of all skin cancers. Associated with HPV. Can be elevated or ulcerated
Back
Seven main warning signs/symptoms of cancer
Front
CAUTION: change in bowel or bladder habits; Area or sore tht does not heal; Unusual bleeding or discharge; Thickening or lump in tissue; Indigestion or swallowing difficulty; Obvious change in wart or mole; Nagging cough or hoarseness
Massage considerations with a pregnant client in 1st and 2nd trimesters
Front
1st trimester - timing; nausea, hypersensitivity to smells and scents, no deep lower abdomen pressure; 2nd trimester - positioning, no prone; pressure, avoid acupressure points in all trimesters
Back
Signs of endometriosis can include . . .
Front
Dysmenorrhea - pain and cramping during cycle- infertility, spotting between menstruations