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_ Questions 1 Cystic bibresis meuns Pied scarring & the biliary livea. | ©) How ull you aqnose and Preliuvelved uth = this dlisoreler ? Be Make & peace physic thevopny Maneigement pregrem qor_th’s Olisecise 2 eae a Ayswers Diagnosis ef freliiclral uth ha clhorder: e Bee bar Ges h Slates S$cteen new born for custte Arbresis by mean {the Bm eneele ox isto Test - j Soa [Genexte fest! LBleoel rest] v v wheather & new Whether mew bev ~ Down hos pouty Pan Feat ax at: aeguiater gene - 8 [Soeet Tet] wil fessiane genetic test amd blood fess i bfbvesis_ then doa ontfirm stress Jest. Mest useguel fetid tprbu osis. suggesl_©_eyste diagnosis usin: test for cag nda fe fh Sweat measure amount 4 scout tt = i puleos- ete Oa EE | = Fou dnis Jest doctor ta lager sweating en on ths yee | Sma patch ef skin He ub dhe slim : __ with sweat Papcwsmd | then +e electaocle +° wrent sweat Sut ts Collectecl om then analiject - High sot “el_ajstie _Ybaests operricels and pyeuide fel ePael onel | Jeuel wonbir 7 : dag nosis Li bres}s Cartier’ = Cystic Athaosis cavtier jesting Is clone pecause freliuielved have abnormed fibrosis drarsmembrane aequictor gene trey com dromsys it 40 there cystic ank chilote7 Answer Seript No. —2kemovol ey secretion = Autogenr< hres mage» + lessening secretion: how hung - volume Sevel- + Cllecting secretions Mild tung - volume level - ° €vacvet ag Setrelion: High tung - volume level. —Phase » Unstrehirg phase ee {hecting Phase _ a Eveewerring Phose. ee 2 Inhalation Frenapby - eo cae > Oxygen fherephy : => Chest _ physio » Postural araimage- or ae + Pereussion : wei os > Auber. _ coer > Svetfoning. a wa Use 4A tam polin € 2 Jompirg gumes OO SSN EL potedel - 12> Due to itIness perception these ave number }_ OF coping stiategies that _ave_employedt_ by — —_pakterts clue to tnein_illhess 2 -deserthe these : Stvareqiess -® Aveiclance 0+ olerial : +4 ghee wed Fp | MI $0) Felon need Jo allenc! cancle _ -__tehabfltarion. Seo koe aaiging seg H's mot _s0 bad, style changes _ © Coanitive Pec . __wufth — mecitced Management § Life meee be OK re. nas Expressing Emotions: Jmijabiity » Angedt > } Ton cupy tate _hvaner Bite ere ere Fon 4 ees e1ctppNepy Ic 7 cloctes » tabiong _amechia'me > allerclin 4 CK a eee @ Secchi ng Socied _ Supports [elle ing_eusite Atlerncls, bazar ly ome eg. «6tonsult ing aut s o ne Che pre essionals . ee 2 Te ee Answer Serlpt No." Uestton # 2 S A patient was brougnt to emergency department taith fomplaint 6 chest pain , dys apneds palpitation. He hos fecng Choking « Ltpen F examination Hare was Acelucecl devel Palog - Ond _ ¢xcessive Sweeting. peitient has history - (Make & Proper cLagnosis? os, (bh) Sniist wweh Uergneste fools ww be = uy ech by cloctor. : wh a. © Describe Meclical treatment plan? = fo Describe physiert _thersphy Ticsubment iAlnnes: ccieipatg acta eae ws (a) _Dtacmosis : Hypesvemt'ietion Synelreme: = 6 . Nijmegen Questionol*s j + Tink Test | +Pmbulet cay Monfloaing shea 6, _ paaunsertameousOa -taroen Verdes ment 3 _ Fos dices ye ond *|Benzoeliare pine Mee bypeiveratiarion {oor SPARS cfvie —cullaicles - | ¢ Mangement of Ponte cullechs= 9 » fhoware parr} Seelative -hypnote 6 Ben zoclinepine class » shorttime onset { ome Lovey her Lhe» nop eration swe - Alternative leu y ef choree for the } euitmt flatten Bun ctannie: Inbsbrt nevrenet deuptake st serotintn ord has weale t ame! clopamine - Sffer on norepinephrine a Brectning exe exercise - - puted up byeathing- An Laos ae Deep cUaphiag rratic baeathimy Bib breatring d - Taumk Rotation: . ® Shot} jem plan do womtrol symptoms ane fem plan 410 maintain and Bea on ba eatialog pallern. 2» Breathing CUI CLE NTESS celuerstio = = Positioning « pier ~ a - Sense the btectthing £5% Bs pect peblneri esd 28 ee Inhalation ame _exhe ___uulth tidal _vewan= Hoeeee = Flow Kote - = Requlentty ._ » Phosse pe __=Twe phase cyete- ( Ds EY hE oe “Thee phase «ycte © TRowase Movement _ paul ee ee pilin, ef up pollen. _ 7 ee 2 Abdominal Movement Paltern. In and _ clown: > Re breathtong cuppeel _hamel perclivever NOSE eyed —rrouth form another aelaeathning proceclute. B Speech gequtive domger controlled) exprautren md shorter , faster tmspraatien _ then G4 estine bea eathing - » W allen e You awe geuieutng aA 40 Year ele pattent Pim scliofe afte NSTEemI- He hos “omplain of Chest paim anc! SOB on _exettion ? They howe. mot complet ect thers (exercise) Cabchac i wehabilitedtion program cmd ashing. to acluice about ongoing physteal actratty. they heave been locking online anel ete: cume Cévess arvtreles shat _ Sef thet ei Should exeuse ct axbeous 1 mets’ ov Z5 met! Then ask yor to eaptatn Paes Cope ut t's ert? Fessen ED; » Decoweling ee ete Sou. —__ why? © Boveguy Saba : ee ef MET for caneiae vehabivtation? @®) Iter) NIET “steers he x met emetic _eqpivalemt which is uit to cei ERIEN TY. experetbitne | cLadiour aetrurtres delative to PESHiMG sretabeve vate. Onc MET 5s eqwrelen? to eres9g ¢ xpenclect piecltee reSt *: WISE MET: Jin couse there is Presence _ of st gm hiceus Stig pions umusvuedt Shosbnese ot baeath hia rinecclness » Ov ClizzPyess Oceuvmrg ad how Aevet ef exerrror (<5met) Se, Jn ths case: patient fs vecommeceds Jo _exerce at (esmet) Jt sugqet a eee... is — fonaticl- ie a Moelerette 7 lente sity deveh do amiirvrr2€ cuacliae stress ond awecluce the wise et eas 4 complications eluding ecerty phases cavtae aefpabittation. - [ame Tri tah case phee ts pteserce Sf am symptoms Uke Angina, unusvel shortness Cia | beewtn ? pigry _heudmess or Aird me $s eceuwy ng cut plan devel exettion. Patient VNewoarmed to _exerase ct TMET rs amecns thet __moelerate tensity Exeter €s ade pexporare e by patient 40, mfovamtic 2s cance Staess. (© Start fyeamce ef MET tn Caackrac Lehubilitadion, a uge jo estimee _emeagyy expenclf tute or veutour _physteed cuet rod tres. » MET o¢ -metapeue equiveden} of Fees le its oe —— er ave Parle 8 In cancting dehabiitaten MEL cig = . Crucie vole os hetp to detramine (intensity Of exercises paesetibedl jo patient. Secoved 4 hier Cawelier, elds etre, 2 Monitoring Mey bevel ensure et See ~__Cumel Ceti _ preg Tee in exnese —Prcgtcms » prorneting * Caw elioverd CCT Tad -__heawt + Mi@uesion #5 %-—Taseat _ uttthout: cousing excessive sive On ¢ ey oe ie ea yeas Old heart patient on beta E blockes with testing Heart tate ef Sbpre _ _ le Find MHR of patient. { ©) Fine dower _isafning anne TCP peta 4 feuding doumges. — (ay Maximum Heart Rate: 2» MHR = 890- Age (20-20 beet if one on B-Blechey ____MHR = a0 - 70 (-42) : ST a, pS AB Re iN MHR < \go-g0 = |Bo bpm: (6) Upper ema howe Training Ranges . kHeent Rowe Reserve «= MUR - Resting Heart Rate: Heart Pete Reserve « _130bpm - 65pm Heer} Rede Reserwe x 6Sbpm x Upper facing aunge = oT x HERR + RHR (resting heat + rer Heast dare “dete | Si =< _0°1 x_bSbprm + SSbpraaes = 140-5 bpre ¥ hower (erir4 aunge « ou x HRR +RHR 2 0-4 + bSbpmt 6Sbpm = Al bpm i Quuestton#5 ~ A 51 eee old) businessmen 7°? . Uhas shorty ol eat ushing chest poinsaeeal ane lead V4» Vva>V30 V4 aesert us th 2 show $T elevetion in = oR iar i ea sent ust Bie fh 51 year olcel businessmen F%EP7e 4 ha _histoay ef crushing chest paler ECE mr andAVF 2 i Show ST elevation im dead I, le rAcdoncing to your bnouectge whith —_heant | uddb is fnvewed? QLD Foom whieh __trenb dead you uull sec 4 Poesiifue ulew ? (-__ © Further changes thet occur tm ECO Priva rore «2. 8h IRE £ Answer - i a — w Wwaeh heart vrnll fs frvelveds ial [In cose leccl V1 V2 v3,UYy cee i [Vee V2, v3 vu foo eve) Wr Positive uiew oF fnjestor woll e4 heed seen by imbeviow Wiemb tec | jie aaa Beton elG) chengess "a p Changes ocx on €¢q le p/ets = aaa the slate © myocar clivm._ v — _e Uuth fn minute 6, hour ST_segement Ws elevet ed pn the beact peda. fn ecttom, s sw Lith im how oaclays 5 jheve_¢s devetepment 6} Ioad deep Q-waves usfth R wave dectusien amd om __iverting T-waves. : s Pbnowme Qware Eee clepinttive cliag nosis” foe taemsanvaat frfwaction. melons Stee sono aeturn to be fn w prppere like ere Ss ee Rasa 6 ia On pasis whith phy fcc test feu Be aeretny ae this ator? ip Design _exercte pla $07 pesisais pi detesmfre his Fereaiontong | ull gov fo Explain how + oa eu ghenespist? _ pierce a cast pr Answers ©) 1 cleat fy pur Atenan oe & winot walling Teal ep Shactile walking Tate erercse plum? py) Design i = [Y- QU _session i - Encovtee catient $ eau: sag tafe up Seclieneen,. i - Yo-30 minwe high imtensrt 60-807. [ px low Mte paces io. peel’ 07 patient tele ences - pacg: at least tutce a yy eek: a et ee Ca - Rhy th. Ythmnicd breathing _ paihen _actiutty ie rapuAsect — Up breeunin ee _2 Die proasmestic ale : Wowk load aduisuble. Cn Ug « ob) node patient Came fn t ciagnoseel with pulmonady Sas coiclests « Bisa gare cliseuse carsect by. in fleets en usually peur in lungs cmd lymph nocles. Aftex chest : investfqeyion these ase chemges bee peubtenchial __thimenirg "frum Jrath" _, tiong sheclere 679 sean ame chest -Y-aey?t i ou fez Which clisease it is? 2 Can | 0 Ths clinica tomsettpence? © whet ane polven sve seen 7 Fog Ness Bronchiectesis - Sim His elise) «ay » [Clinical Consequences] Chiomte and gewreert _ Injection and pooling 6} Sectetiom fan cbilates! Qin ways: pce Seth) rr Three clifhevent _pallven (es es Hesciberl © ee) Brorcivectusis: [he _invelued ee "eatae Deneve) De aero 8 ; ciletron jqtequlun cme! beaded pallwen C1 ballooned! appearance at the pestpher4 im bifmel sacs uithout rewgirzable the see" endin Brorenied struetre clistedt tO ————E——————— A___85 yeas ole) erree pestierol mermecl 4 Fetiane came _in to OPD fer cee bee re hceby |i'tebin apes veuvetert Suagery? fy How witil you olesiqn Pyercese Protocol ber her piast session? by Des ea’ be CR progqaam Lov ret 4or thes Patient ? Picicie protocols. Lo + (iieiemeeaaae O Initia fssessment: fissessmen} ef mMeeuecel History Sus qlee aletavls anel Cunvent heeuth —_ stews: © Baseline Measurement: Meosume cited siqns He, BP omncl O02 sutoretro,, SO » Binctionel Capacity Assessments Peoran submenieme exercise test o¢ ( ‘a use the ¢-minute welk jest fo cletermire btisetine fumatonert cupacdty: 4 Exercise prescription: Design a teulored execs program tonsicleing patina Seigeeie Wmetecaveny, Current pitmess ‘a amel * O74 es Begin uth “Cees F medfeod wvestaetiom _ fleorenic _exewie ach as walking en egelinge- _x Ecweation: Prowicle imborancetion about jm ienportennce _ Sf exerctse in Cercuine ehubilitedton, i is SCameilbe. Cerabit ene Daca : = eer = Impatient Mobilization _ be - Focus on eer mobilization G brecthing eyetciles. - Monttox uted £47 cuuning eee ty : suiyiced care ame! Pare ceusthn tent Pehabiutation. - Ecweatre on pos! 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