Test Bank for Pathology for Massage Therapists 2nd Edition by Salvo

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Test Bank for Pathology for Massage Therapists 2nd Edition by Salvo

Product details:

  • ISBN-10 ‏ : ‎ 0323055885
  • ISBN-13 ‏ : ‎ 978-0323055888
  • Author: Susan G. Salvo

Salvo’s Pathology presents more than just a parade of diseases. It takes the reader through health assessment and client consultation, covers sanitation and hygiene, refreshes on physiology pertinent to the pathology and pathophysiology covered in the text, and talks about general contraindications and endangerment sites before moving into the pathologies themselves. More than 300 pathologic conditions are covered in chapters divided by system. An entire chapter on Cancer and another on Mental and Emotional Illness are new additions to this edition. Each pathology presents the following information: Description, Signs and Symptoms, Etiology, Treatment, and Precautions. Pathologies are also accompanied by full color illustrations and photos plus a traffic light icon indicating whether it is safe to proceed with massage (green), there are cautions (yellow), or the massage is contraindicated (red). Local contraindications are distinguished with an “L,” to indicate massage is unsafe only in certain areas and the therapist can proceed with the massage for the rest of the body. Helpful appendices and a glossary round out the book.

Table contents:

  1. Chapter 1 Disease Awareness and Infection Control
  2. LEARNING OBJECTIVES
  3. INTRODUCTION TO PATHOLOGY
  4. LANGUAGE OF PATHOLOGY
  5. BOX 1-1 Leading Causes of Death in the United States (2004)
  6. FIGURE 1-1 Ten leading causes of death in the United States (2005, all races, both sexes).
  7. FIGURE 1-2 Graphic representation of occurrence, incidence, and prevalence.
  8. RISK FACTORS OF DISEASE
  9. Age
  10. Gender
  11. Genetics
  12. Lifestyle
  13. Environment
  14. Stress
  15. TYPES OF DISEASES
  16. Autoimmune Disease
  17. Cancerous Disease
  18. FIGURE 1-3 Autoimmune disease: photograph of woman’s hands with rheumatoid arthritis (early stage).
  19. FIGURE 1-4 Cancerous disease: lesion of skin cancer (malignant melanoma).
  20. Deficiency Disease
  21. Degenerative Disease
  22. SPOTLIGHT ON MESSAGE
  23. Senior Citizens
  24. FIGURE 1-5 Deficiency disease: man with scurvy resulting from vitamin-C deficiency.
  25. TABLE 1-1 Physical Effects of Aging
  26. FIGURE 1-6 Degenerative disease: normal (left) versus osteoporotic (right) vertebra.
  27. FIGURE 1-7 Genetic disease: child with Down syndrome.
  28. Genetic Disease
  29. SPOTLIGHT ON MESSAGE
  30. Down Syndrome
  31. FIGURE 1-8 Infectious disease: rash caused by chickenpox.
  32. FIGURE 1-9 Metabolic disease: woman with Cushing disease.
  33. Infectious Disease
  34. Metabolic Disease
  35. FIGURE 1-10 Congenital disorder: child with fetal alcohol syndrome.
  36. Congenital Disorder
  37. Traumatic Disorder
  38. AGENTS OF DISEASE
  39. Bacteria
  40. Fungi
  41. Protozoa
  42. FIGURE 1-11 Agents of disease: A, Bacteria, B, Fungi. C, Protozoa. D, Virus.
  43. Viruses
  44. Other Agents of Disease
  45. MODES OF TRANSMISSION
  46. TABLE 1-2 Table of Relationships among the Pathogen, the Reservoir, and Resultant Infection
  47. Direct Physical Contact
  48. Mucous Membranes
  49. Intact Skin
  50. Broken Skin
  51. Indirect Physical Contact
  52. Ingestion
  53. FIGURE 1-12 Cycle of infection.
  54. Inhalation
  55. HOST-PATHOGEN RELATIONSHIP
  56. FIGURE 1-13 Body’s natural defenses.
  57. INFECTION CONTROL FOR MASSAGE THERAPISTS
  58. BOX 1-2 Infection Control and Universal Precautions
  59. Guidelines of Sanitation
  60. Use a standard hand-washing procedure.
  61. Avoid wearing ornate jewelry while at work.
  62. Keep fingernails clean, short, and without nail polish.
  63. Keep hair clean and away from the face.
  64. Use clean linens for each massage, and launder all linens after use.
  65. Prescribe to a safe method of handling contaminated linens and massage tools.
  66. Treat any substance that cannot be identified as unsafe.
  67. Wear a clean uniform each day.
  68. Use a pump dispenser or a clean single-use dish for massage lubricant.
  69. Use gloves when appropriate.
  70. Do not perform massage when ill or when experiencing coldlike symptoms.
  71. Avoid working under the influence of alcohol or recreational drugs.
  72. Avoid massaging clients who are ill.
  73. Be prepared for emergency situations.
  74. Glove Use in Massage Therapy
  75. Latex Gloves
  76. Vinyl Gloves
  77. Hand Washing
  78. FIGURE 1-14 Proper removal of disposable gloves: A, Pulling off one glove, B, Placing removed glove in the palm of gloved hand. C, Removal of other glove with the first removed glove inside. D, Disposal of the both gloves.
  79. Hand-Washing Procedure
  80. FIGURE 1-15 Hand washing: A, Turning on water. B, Wetting hands, forearms, and elbows. C, Cleaning beneath fingernails. D, Generating lather with soap. E, Rinsing. F, Drying hands. G, Turning off water.
  81. REFERENCES
  82. SELF TEST
  83. Chapter 2 Treatment Planning
  84. LEARNING OBJECTIVES
  85. INTRODUCTION
  86. ASSESSMENT
  87. Subjective and Objective Data
  88. FIGURE 2-1 Chinese characters (calligraphy) depicting communication.
  89. CLIENT INTAKE FORM
  90. BOX 2-1
  91. SPOTLIGHT ON MESSAGE
  92. Treatment Planning
  93. Presenting the Intake Form
  94. INTERVIEW
  95. FIGURE 2-2 Interview in progress.
  96. BOX 2-2 Interviewing Skills
  97. FIGURE 2-3 Assessment domains of PPALM system.
  98. ORGANIZING THE INTERVIEW WITH PPALM
  99. BOX 2-3 Five Steps of Treatment Planning
  100. Purpose of Session
  101. Pain
  102. FIGURE 2-4 Pain assessment using OPPQRST with sample questions.
  103. TABLE 2-1 Acute and Chronic Pain: A Comparison
  104. Allergies and Skin Conditions
  105. FIGURE 2-5 Pain scales: A, Descriptive scale. B, Numeric scale. C, Wong-Baker Faces pain scale.
  106. Lifestyle and Vocation
  107. Medical History
  108. BOX 2-4 Medical Clearance Form
  109. SCREENING CLIENTS FOR CONTRAINDICATIONS
  110. BOX 2-5 Treatment Guidelines
  111. FORMULATING A TREATMENT PLAN
  112. BOX 2-6 Treatment Plan
  113. SPOTLIGHT ON MESSAGE
  114. Pressure
  115. COMMUNICATION AFTER TREATMENT
  116. SUBSEQUENT SESSIONS
  117. CASE STUDY
  118. REFERENCES
  119. SELF TEST
  120. Chapter 3 Medications
  121. LIST OF MEDICATIONS
  122. LEARNING OBJECTIVES
  123. INTRODUCTION
  124. DRUG NOMENCLATURE
  125. Chemical name.
  126. Generic name.
  127. TABLE 3-1 Drug Nomenclature
  128. Trade name.
  129. PRESCRIPTION AND OVER-THE-COUNTER DRUGS
  130. Prescription Drugs
  131. TABLE 3-2 Table of Common Prescriptive Abbreviations
  132. Drug Schedules
  133. Pregnancy Categories
  134. Over-the-Counter Drugs
  135. FIGURE 3-1 Oral route: Drugs can be administered orally, which is the most common route.
  136. FIGURE 3-2 Injection route: Drugs can be injected into the subcutaneous layer located beneath the dermis.
  137. SPOTLIGHT ON MASSAGE
  138. Drug-Exposed Infants
  139. HOW DRUGS ARE ADMINISTERED
  140. FIGURE 3-3 Injection route: Drugs can be injected directly into muscle.
  141. FIGURE 3-4 Inhalation route: Drugs can be inhaled into the lungs.
  142. PHARMACOKINETICS
  143. FIGURE 3-5 Transdermal (topical) route: Drugs can be applied to the skin. A, Ointment applied to card. B, Card held in place with ointment against skin.
  144. FIGURE 3-6 Mucosal route: Drugs can be absorbed through the mucosa. A, Under tongue (sublingual). B, In buccal pouch.
  145. FIGURE 3-7 Topical route: Drugs can be administered in the ears.
  146. TABLE 3-3 Routes of Administration of Drugs
  147. Absorption
  148. Distribution
  149. Metabolism
  150. Excretion
  151. Half-Life
  152. PHARMACODYNAMICS
  153. Drugs and Cell Receptors
  154. Effects of Drugs
  155. FIGURE 3-8 Pharmacokinetics: Once the drug is administered and absorbed by the body, the drug is then distributed, metabolized into a form that can be excreted, and then eliminated.
  156. FIGURE 3-9 During distribution, some drugs bind to plasma proteins in the bloodstream and only the unbound, or free, portions of the drug are able to diffuse into tissues, interact with cell membrane receptors, and exert their pharmacologic effect.
  157. HOW TO RESEARCH MEDICATIONS
  158. FIGURE 3-10 Pharmacodynamics: When a drug molecule and a receptor are a good match, changes occur within cells, which lead the drug’s effect.
  159. MEDICATIONS AND THEIR EFFECT ON TREATMENT PLANNING
  160. Injection sites.
  161. Recent topical application.
  162. Transdermal patches.
  163. Implantable infusion pump.
  164. COMMONLY PRESCRIBED MEDICATIONS
  165. Medications Used to Manage Pain and Inflammation
  166. Nonsteroidal Antiinflammatory Drugs
  167. Description
  168. Drug Names
  169. Common Side Effects
  170. Massage Considerations
  171. Corticosteroids
  172. Brief Description
  173. Drug Names
  174. Common Side Effects
  175. Massage Considerations
  176. Skeletal Muscle Relaxants
  177. Brief Description
  178. Drug Names
  179. Common Side Effects
  180. Massage Considerations
  181. Narcotic Analgesics (Narcotics)
  182. Brief Description
  183. Drug Names
  184. Common Side Effects
  185. Massage Considerations
  186. Medications Used for Managing Diabetes
  187. Hypoglycemics
  188. Description
  189. Drug Names
  190. Common Side Effects
  191. Massage Considerations
  192. Medications Used to Manage Cardiovascular Disease
  193. Anticoagulants and Antithrombotics
  194. Description
  195. Drug Names
  196. Common Side Effects
  197. Massage Considerations
  198. Vasodilators
  199. Description
  200. Drug Names
  201. Common Side Effects
  202. Massage Considerations
  203. Antiarrhythmic Drugs
  204. Description
  205. Drug Names
  206. Common Side Effects
  207. Massage Considerations
  208. Angiotensin-Converting Enzyme Inhibitors
  209. Description
  210. Drug Names
  211. Common Side Effects
  212. Massage Considerations
  213. Angiotension II Receptor Blockers
  214. Description
  215. Drug Names
  216. Common Side Effects
  217. Massage Considerations
  218. Alpha-Receptor Drugs
  219. Description
  220. Drug Names
  221. Common Side Effects
  222. Massage Considerations
  223. Beta-Blockers
  224. Description
  225. Drug Names
  226. Common Side Effects
  227. Massage Considerations
  228. Calcium-Channel Blockers
  229. Description
  230. Drug Names
  231. Common Side Effects
  232. Massage Considerations
  233. Diuretics
  234. Description
  235. Drug Names
  236. Common Side Effects
  237. Massage Considerations
  238. Lipid-Lowering Drugs
  239. Description
  240. Drug Names
  241. Common Side Effects
  242. Massage Considerations
  243. Medications Used to Manage Respiratory Disorders
  244. Antihistamines
  245. Description
  246. Drug Names
  247. Common Side Effects
  248. Massage Considerations
  249. Antitussives
  250. Description
  251. Drug Names
  252. Common Side Effects
  253. Massage Considerations
  254. Bronchodilators
  255. Description
  256. Drug Names
  257. Common Side Effects
  258. Massage Considerations
  259. Decongestants
  260. Description
  261. Drug Names
  262. Common Side Effects
  263. Massage Considerations
  264. Expectorants
  265. Description
  266. Drug Names
  267. Common Side Effects
  268. Massage Considerations
  269. FEMALE GONADAL HORMONES
  270. Estrogens and Progesterone
  271. Description
  272. Drug Names
  273. Common Side Effects
  274. Massage Considerations
  275. MEDICATIONS USED TO MANAGE MOOD DISORDERS
  276. Antianxiety, Sedative, and Hypnotic Drugs
  277. Description
  278. Drug Names
  279. Common Side Effects
  280. Massage Considerations
  281. Antidepressant Drugs
  282. Description
  283. Drug Names
  284. Common Side Effects
  285. Massage Considerations
  286. Antipsychotic Drugs
  287. Description
  288. Drug Names
  289. Common Side Effects
  290. Massage Considerations
  291. CASE STUDY
  292. REFERENCES
  293. SELF TEST
  294. Chapter 4 Dermatologic Pathologies
  295. LIST OF PATHOLOGIES
  296. LEARNING OBJECTIVES
  297. SYSTEM OVERVIEW
  298. FIGURE 4-1 Cross-section of the skin.
  299. DERMATOLOGIC PATHOLOGIES
  300. BACTERIAL SKIN INFECTIONS
  301. FIGURE 4-2 Nail. A, Front view. B, Cross-section.
  302. BOX 4-1 Manifestations of Dermatologic Disease
  303. TABLE 4-1 Primary and Secondary Skin Lesions
  304. Acne (Acne Vulgaris, Pimples, Zits)
  305. Description
  306. Etiology
  307. FIGURE 4-3 Acne. Lesions on face with whitehead in crease of nose (indicated by arrow).
  308. Signs and Symptoms
  309. Treatment
  310. Massage Considerations
  311. Impetigo
  312. Description
  313. Etiology
  314. Signs and Symptoms
  315. FIGURE 4-4 Acne. Lesions on back.
  316. FIGURE 4-5 Acne. Development of acne.
  317. Treatment
  318. Massage Considerations
  319. FIGURE 4-6 Acne. Blackheads on face.
  320. FIGURE 4-7 Acne: Severe acne with the presence of nodules.
  321. Paronychia
  322. Description
  323. Etiology
  324. Signs and Symptoms
  325. Treatment
  326. FIGURE 4-8 Impetigo. Note yellowish brown crust on lesions.
  327. FIGURE 4-9 Paronychia. Note redness and swelling in and around cuticle.
  328. Massage Considerations
  329. Folliculitis
  330. Description
  331. Etiology
  332. Signs and Symptoms
  333. FIGURE 4-10 Folliculitis. A, Lesions on throat area. B, Facial lesions on dark skin.
  334. Treatment
  335. Massage Considerations
  336. Boil (Furuncle and Carbuncle)
  337. Description
  338. FIGURE 4-11 Boil (furuncle). A, Single boil on top of foot. B, A collection of boils, or carbuncle, at base of neck.
  339. Etiology
  340. Signs and Symptoms
  341. Treatment
  342. Massage Considerations
  343. FIGURE 4-12 Cellulitis. Note the redness and swelling on top of foot.
  344. Cellulitis and Erysipelas
  345. Description
  346. Etiology
  347. Signs and Symptoms
  348. Treatment
  349. FIGURE 4-13 Erysipelas. This superficial form of cellulitis is more common in children and older adults.
  350. Massage Considerations
  351. FUNGAL SKIN INFECTIONS
  352. Ringworm (Tinea corporis)
  353. Description
  354. TABLE 4-2 Common Sites of Fungal Infections
  355. Etiology
  356. Signs and Symptoms
  357. Treatment
  358. Massage Considerations
  359. Athlete’s Foot (Tinea pedis)
  360. Description
  361. Etiology
  362. Signs and Symptoms
  363. Treatment
  364. Massage Considerations
  365. FIGURE 4-14 Ringworm (Tinea corporis). A, Lesions on light skin. B, Lesion on dark skin.
  366. Nail Fungus (Tinea unguium, Onychomycosis)
  367. Description
  368. FIGURE 4-15 Athletes foot (Tinea pedis). A, Note flaky discolored skin on plantar surface. B, Lesions are common between toes.
  369. Etiology
  370. FIGURE 4-16 Nail fungus (Tinea unguium). Toenails are often affected with the nail becoming elevated and turning yellow or white.
  371. Signs and Symptoms
  372. Treatment
  373. Massage Considerations
  374. Jock Itch (Tinea cruris)
  375. Description
  376. Etiology
  377. Signs and Symptoms
  378. Treatment
  379. Massage Considerations
  380. FIGURE 4-17 Jock itch (Tinea cruris). Note that the affected area can spread to thighs and buttocks (latter not shown).
  381. VIRAL SKIN INFECTIONS
  382. Cold Sore and Fever Blister (Oral Herpes Simplex, Herpes Labialis)
  383. Description
  384. FIGURE 4-18 Cold sores (oral herpes simplex). Lesions on lower lip and chin.
  385. FIGURE 4-19 Herpetic whitlow. Lesions on distal end of finger.
  386. Etiology
  387. Signs and Symptoms
  388. Treatment
  389. FIGURE 4-20 Chickenpox (varicella). A, Early lesion (dew drops on a rose petal). B, Lesion before eruption. C, Erupted lesion with formed crust.
  390. Massage Considerations
  391. Chickenpox (Varicella)
  392. Description
  393. Etiology
  394. Signs and Symptoms
  395. Treatment
  396. FIGURE 4-21 Chickenpox (varicella). Lesion presentation may number in the hundreds.
  397. Massage Considerations
  398. Shingles (Herpes Zoster)
  399. Description
  400. FIGURE 4-22 Dermatome map. A, Anterolateral view. B, Posterolateral view. C, Lateral view.
  401. FIGURE 4-23 Shingles (herpes zoster). Lesions of shingles noting its bandlike pattern.
  402. Etiology
  403. Signs and Symptoms
  404. Treatment
  405. Massage Considerations
  406. Wart (Verruca)
  407. Description
  408. FIGURE 4-24 Warts (verrucae). A, Common warts on fingers. B, Plantar wart on heel of foot. C, Flat warts on face.
  409. FIGURE 4-25 Wart seeds.
  410. Etiology
  411. Signs and Symptoms
  412. Treatment
  413. Massage Considerations
  414. INFLAMMATORY SKIN CONDITIONS
  415. Eczema (Atopic Dermatitis, Eczematous Dermatitis)
  416. Description
  417. Etiology
  418. Signs and Symptoms
  419. Treatment
  420. Massage Considerations
  421. SPOTLIGHT ON MASSAGE
  422. Eczema
  423. Psoriasis
  424. Description
  425. FIGURE 4-26 Eczema (atopic dermatitis). Areas of involvement include the hands (A), the face (B), and the ankles or feet (C).
  426. Etiology
  427. Signs and Symptoms
  428. Treatment
  429. Massage Considerations
  430. Contact Dermatitis (Irritant Dermatitis, Allergic Dermatitis)
  431. Description
  432. Etiology
  433. Signs and Symptoms
  434. FIGURE 4-27 Psoriasis. Areas of involvement include the scalp (A) and elbows and knees (B).
  435. FIGURE 4-28 Psoriasis. Scales of psoriasis are often silvery white.
  436. Treatment
  437. Massage Considerations
  438. Seborrheic Dermatitis (Seborrhea, Seborrheic Eczema, Dandruff, Cradle Cap)
  439. Description
  440. FIGURE 4-29 Contact dermatitis. Skin reactions can occur from spray deodorants/antiperspirants.
  441. FIGURE 4-30 Contact dermatitis. The resultant skin rash often provides clues to its source such as spandex rubber in a bra.
  442. BOX 4-2 Materials and Chemicals Known to Cause Contact Dermatitis
  443. Etiology
  444. Signs and Symptoms
  445. Treatment
  446. Massage Considerations
  447. Rosacea (Acne Rosacea, Adult-Onset Acne)
  448. Description
  449. Etiology
  450. FIGURE 4-31 Poison ivy (A) and poison oak (B) are frequent sources of contact dermatitis (C).
  451. FIGURE 4-32 Nickel found in earrings (A) and wristbands (B) are common causes of contact dermatitis.
  452. FIGURE 4-33 Some people develop contact dermatitis from tape adhesive (A) or latex in gloves (B).
  453. FIGURE 4-34 Seborrheic dermatitis. Lesions on side of nose.
  454. Signs and Symptoms
  455. Treatment
  456. Massage Considerations
  457. FIGURE 4-35 Rosacea. This condition is characterized by persistent skin redness; pustules also appear, which may resemble teenage acne.
  458. FIGURE 4-36 Rosacea. Some people may also acquire a red, bulbous nose (rhinophyma).
  459. Pityriasis Rosea
  460. Description
  461. Etiology
  462. Signs and Symptoms
  463. Treatment
  464. Massage Considerations
  465. FIGURE 4-37 Pityriasis rosea. A herald patch appears before a more generalized rash.
  466. FIGURE 4-38 Pityriasis rosea. Rash of secondary lesions.
  467. Lichen Planus
  468. Description
  469. Etiology
  470. Signs and Symptoms
  471. Treatment
  472. Massage Considerations
  473. FIGURE 4-39 Lichen planus. Skin rash consist of flat-topped, red-to-violet colored lesions.
  474. Scleroderma
  475. Description
  476. Etiology
  477. Signs and Symptoms
  478. FIGURE 4-40 Lichen planus. The skin rash is often more noticeable on dark skin.
  479. FIGURE 4-41 Scleroderma. In this case the right leg is more affected with the skin appearing hard, shiny, and stretched.
  480. Treatment
  481. Massage Considerations
  482. FIGURE 4-42 Scleroderma. The face may take on a masklike appearance; affected hands appear red to pale and swollen; fingers often become tapered and flexed.
  483. SPOTLIGHT ON MASSAGE
  484. Scleroderma
  485. Discoid Lupus Erythematosus (Cutaneous Lupus Erythematosus)
  486. Description
  487. FIGURE 4-43 Hives (urticaria). This condition is characterized by the presence of wheals (raised red welts).
  488. Hives (Urticaria)
  489. Description
  490. Etiology
  491. Signs and Symptoms
  492. Treatment
  493. Massage Considerations
  494. FIGURE 4-44 Swelling (angioedema) is common (40% of cases) during allergic reactions that involve the presence of hives.
  495. LICE AND MITES
  496. Lice (Pediculosis, Cooties)
  497. Description
  498. Etiology
  499. Signs and Symptoms
  500. Treatment
  501. FIGURE 4-45 Lice. A, Head louse. B, Nits on hair is the most common sign of head lice.
  502. FIGURE 4-46 Lice. A, Body louse on clothing. B, Skin rash of body lice infestation.
  503. FIGURE 4-47 Lice. A, Pubic louse (crab). B, Skin rash of pubic lice infestation.
  504. FIGURE 4-48 Head louse. Cross-section of nit cemented to hair shaft.
  505. Massage Considerations
  506. Scabies (Itch Mites)
  507. Description
  508. Etiology
  509. Signs and Symptoms
  510. Treatment
  511. FIGURE 4-49 Scabies. A, Scabies mite with a small oval egg within her body. B, Hands are frequent areas of infestation.
  512. Massage Considerations
  513. SKIN INJURIES
  514. FIGURE 4-50 Scabies. Common sites of infestation showing both anterior (image on left) and posterior views (image on right).
  515. FIGURE 4-51 Scabies trail. Burrow created and used by female mites to deposits their eggs.
  516. FIGURE 4-52 Scabies. Microscopic view inside burrow containing eggs and mite feces.
  517. Bruise (Purpura, Contusion)
  518. Description
  519. FIGURE 4-53 Bruise. Note the discoloration beneath the skin.
  520. Etiology
  521. FIGURE 4-54 Senile purpura. This condition is seen in elderly adults where skin is easily bruised, usually on the forearms.
  522. Signs and Symptoms
  523. Treatment
  524. Massage Considerations
  525. Burns
  526. Description
  527. Etiology
  528. Signs and Symptoms
  529. Treatment
  530. Massage Considerations
  531. FIGURE 4-55 Burns with skin cross sections. A, Undamaged skin. B, First-degree burn. C, second-degree burn. D, Third-degree burn.
  532. SPOTLIGHT ON MASSAGE
  533. Burns
  534. FIGURE 4-56 Burns. A, First degree. B, Second degree. C, Third degree.
  535. FIGURE 4-57 Rules of nines are used to estimate the amount of body surface affected by burns.
  536. Stretch Marks (Stria)
  537. Description
  538. Etiology
  539. Signs and Symptoms
  540. Treatment
  541. Massage Considerations
  542. Scar
  543. Description
  544. Etiology
  545. Signs and Symptoms
  546. FIGURE 4-58 Stretch marks (stria). During pregnancy, the woman’s abdomen is a common site of stretch marks.
  547. FIGURE 4-59 Scars. These scars were caused by shingles.
  548. Treatment
  549. Massage Considerations
  550. Corn and Callus (Clavus)
  551. Description
  552. FIGURE 4-60 Scar (hypertrophic). These elevated scars do not grow beyond the boundaries of the original wound. In this case, surgery was performed to improve neck mobility.
  553. FIGURE 4-61 Scar (hypertrophic). Close-up view of lesions.
  554. FIGURE 4-62 Scar (keloid). These elevated scars extend beyond the wound site. In this case, scarring was caused by severe acne.
  555. FIGURE 4-63 Corn. Corn located on skin over interphalangeal joint of fifth toe.
  556. Etiology
  557. Signs and Symptoms
  558. Treatment
  559. FIGURE 4-64 Callus. Callus on bottom of foot.
  560. Massage Considerations
  561. Decubitus Ulcer (Bedsore, Pressure Sore, Pressure Ulcer)
  562. Description
  563. Etiology
  564. Signs and Symptoms
  565. Treatment
  566. Massage Considerations
  567. OTHER SKIN DISORDERS
  568. Ichthyosis Vulgaris (Fish Scale Disease)
  569. Description
  570. Etiology
  571. Signs and Symptoms
  572. Treatment
  573. Massage Considerations
  574. FIGURE 4-65 Decubitus ulcers. All four stages beginning with stage I (top set of images) and ending with stage IV (bottom set of images). Illustrations on the left show skin cross-sections and photographs on the right depict ulcers corresponding to the left set of images.
  575. Epidermal Cyst (Sebaceous Cyst, Epidermoid Cyst)
  576. Description
  577. Etiology
  578. Signs and Symptoms
  579. Treatment
  580. TABLE 4-3 Skin Pigmentations
  581. FIGURE 4-66 Ichthyosis vulgaris. Close-up view of affected skin.
  582. Massage Considerations
  583. BENIGN AND PREMALIGNANT SKIN PROLIFERATIONS
  584. Actinic Keratosis (Senile Keratosis, Solar Keratosis)
  585. Description
  586. Etiology
  587. Signs and Symptoms
  588. FIGURE 4-67 Epidermal (sebaceous cysts). A, Cyst with opening. B, Cyst on lateral edge of eyelid.
  589. Treatment
  590. Massage Considerations
  591. Seborrheic Keratosis
  592. Description
  593. Etiology
  594. Signs and Symptoms
  595. Treatment
  596. Massage Considerations
  597. FIGURE 4-68 Actinic keratosis. These elevated scaly lesions are most often seen in elderly adults and are found on sun-exposed skin (face, scalp, back of hand, forearms).
  598. FIGURE 4-69 Seborrheic keratosis. These lesions often have the appearance of being stuck or pasted on the skin.
  599. Skin Tag (Acrochordon, Cutaneous Papilloma)
  600. Description
  601. Etiology
  602. Signs and Symptoms
  603. Treatment
  604. Massage Considerations
  605. SKIN CANCER
  606. FIGURE 4-70 Skin tag (acrochordon). Skin tags are commonly located in the axilla.
  607. Basal Cell Carcinoma
  608. Squamous Cell Carcinoma
  609. Malignant Melanoma
  610. CASE STUDY
  611. REFERENCES
  612. SELF TEST
  613. Chapter 5 Musculoskeletal Pathologies
  614. LIST OF PATHOLOGIES
  615. LEARNING OBJECTIVES
  616. MUSCULOSKELETAL SYSTEM OVERVIEW
  617. FIGURE 5-1 Skeletal muscles. A, Anterior view. B, Posterior view.
  618. TABLE 5-1 Muscle Histological Table
  619. FIGURE 5-2 Structure of a muscle.
  620. FIGURE 5-3 Skeletal system. A, Anterior view. B, Posterior view.
  621. FIGURE 5-4 Spongy and compact bone.
  622. FIGURE 5-5 Typical synovial joint.
  623. MUSCULOSKELETAL PATHOLOGIES
  624. BOX 5-1 Manifestations of Musculoskeletal Disease
  625. SKELETAL DISORDERS
  626. Osteoporosis
  627. Description
  628. Etiology
  629. FIGURE 5-6 Osteoporosis. A, Comparing the size of a normal vertebral body (left) with one affected by osteoporosis (right). B, Image of normal bone (electron microscopic image). C, Osteoporotic bone (electron microscopic image).
  630. TABLE 5-2 The Relationship of Bone Density and Osteoporosis Diagnosis*
  631. Signs and Symptoms
  632. FIGURE 5-7 Osteoporosis: causes and consequences.
  633. BOX 5-2 Risk Factors for Osteoporosis
  634. GENETIC
  635. ANTHROPOMETRIC
  636. HORMONAL AND METABOLIC
  637. DIETARY
  638. LIFESTYLE
  639. ILLNESS AND TRAUMA
  640. MEDICATION USE
  641. Treatment
  642. Massage Considerations
  643. Osteomalacia and Rickets
  644. Description
  645. Etiology
  646. Signs and Symptoms
  647. Treatment
  648. FIGURE 5-8 Hip replacement surgery. A, Surgical repair with screws and a plate. B, Appliance, or artificial hip.
  649. FIGURE 5-9 Osteomalacia of the femur. Note how transparent the affected bone is compared with the pelvis as a result of demineralization.
  650. Massage Considerations
  651. Paget Disease (Osteitis Deformans)
  652. Description
  653. Etiology
  654. Signs and Symptoms
  655. Treatment
  656. Massage Considerations
  657. Spondylolysis
  658. Description
  659. FIGURE 5-10 Paget disease. A, Posterior view of male with Paget disease with bowed leg. B, Radiographic image of bowed leg. Note that the tibia is bowed and not the fibula.
  660. FIGURE 5-11 Paget disease: signs and symptoms.
  661. Etiology
  662. Signs and Symptoms
  663. Treatment
  664. Massage Considerations
  665. FIGURE 5-12 Osteomyelitis: stages of disease showing abscess formation, sequestration, and involucrum.
  666. FIGURE 5-13 Osteomyelitis: photograph of femur with osteomyelitis showing shell of involucrum and pocket of sequestrum.
  667. SPOTLIGHT ON MASSAGE
  668. Low Back Pain Reduced
  669. Osteomyelitis
  670. Description
  671. Etiology
  672. Signs and Symptoms
  673. Treatment
  674. Massage Considerations
  675. Bone Cancers
  676. Marfan Syndrome
  677. Description
  678. Etiology
  679. Signs and Symptoms
  680. Treatment
  681. Massage Considerations
  682. FIGURE 5-14 Marfan syndrome: typical features.
  683. SPINAL DEVIATIONS
  684. Kyphosis (Hyperkyphosis, Hunchback)
  685. Description
  686. FIGURE 5-15 Kyphosis. A, Osteoporosis in elderly woman with resultant kyphosis. B, Radiograph of kyphosis.
  687. Etiology
  688. Signs and Symptoms
  689. Treatment
  690. Massage Considerations
  691. Lordosis (Hyperlordosis, Swayback, Saddleback)
  692. Description
  693. Etiology
  694. FIGURE 5-16 Lordosis. A, Normal spinal alignment (image on left) and spinal alignment seen in lordosis (image of right). B, Photograph of boy with severe lordosis.
  695. Signs and Symptoms
  696. Treatment
  697. Massage Considerations
  698. Scoliosis
  699. Description
  700. Etiology
  701. Signs and Symptoms
  702. FIGURE 5-17 Scoliosis: degrees of severity and skeletal changes (top image) and vertebral rotation (bottom image).
  703. Treatment
  704. Massage Considerations
  705. FIGURE 5-18 Braces used to treat scoliosis. A, A color and design with straps in the front to appeal to children and adolescents. B, Design with straps in the back (anterior view). C, Posterior view of B.
  706. FOOT DEFORMITIES
  707. Bunions (Hallux valgus)
  708. Description
  709. Etiology
  710. Signs and Symptoms
  711. Treatment
  712. Massage Considerations
  713. Hammertoes and Mallet Toes
  714. Description
  715. Etiology
  716. FIGURE 5-19 Bunion. A, Illustrated bunion of the right foot. B, Photograph of right foot affected by a bunion.
  717. FIGURE 5-20 Hammertoe. A, Illustrated hammertoe featuring the abnormally flexed proximal interphalangeal (PIP) joint. B, Photograph of hammertoes.
  718. FIGURE 5-21 Mallet toe. A, Illustrated mallet toe featuring an abnormally flexed distal interphalangeal (DIP) joint. B, Photograph of a mallet toe.
  719. Signs and Symptoms
  720. Treatment
  721. Massage Considerations
  722. Pes Planus and Pes Cavus (Flatfoot, High Instep)
  723. Description
  724. Etiology
  725. Signs and Symptoms
  726. Treatment
  727. Massage Considerations
  728. FIGURE 5-22 Pes planus (flat feet). A, Normal arch. B, Reduced arch, or flatfoot. C, Photograph of left foot with flatfoot.
  729. FIGURE 5-23 Pes cavus (high instep). A, Excessive arch. B, Photograph of feet with high insteps.
  730. JOINT DISORDERS
  731. Spondylolisthesis (Degenerative Spondylolisthesis)
  732. Description
  733. Etiology
  734. Signs and Symptoms
  735. Treatment
  736. Massage Considerations
  737. FIGURE 5-24 Spondylolisthesis. A, Illustration of spondylolisthesis at the junction between L4 and L5. B, Photograph of woman with severe spondylolisthesis.
  738. Patellofemoral Syndrome (Chondromalacia Patellae, Runner’s Knee)
  739. Description
  740. Etiology
  741. Signs and Symptoms
  742. Treatment
  743. Massage Considerations
  744. FIGURE 5-25 Arthroscopy: photograph of arthroscopic surgery.
  745. Ganglion Cyst (Ganglion)
  746. Description
  747. Etiology
  748. Signs and Symptoms
  749. Treatment
  750. Massage Considerations
  751. Baker Cyst (Popliteal Cyst)
  752. Description
  753. Etiology
  754. FIGURE 5-26 Ganglion cyst. A, Illustration of anterior (image on left) and posterior (image on right) views. B, Photograph of ganglion cysts located on posterior wrist.
  755. FIGURE 5-27 Baker cyst: cyst behind extended knee indicated by the arrow.
  756. Signs and Symptoms
  757. Treatment
  758. Massage Considerations
  759. Bursitis
  760. Description
  761. Etiology
  762. FIGURE 5-28 Bursitis: olecranon bursitis noting localized swelling.
  763. Signs and Symptoms
  764. Treatment
  765. Massage Considerations
  766. Temporomandibular Joint Dysfunction (Temporomandibular Joint Disorders)
  767. Description
  768. Etiology
  769. Signs and Symptoms
  770. Treatment
  771. Massage Considerations
  772. ARTHRITIS
  773. Osteoarthritis (Degenerative Joint Disease, Degenerative Arthritis)
  774. Description
  775. Etiology
  776. Signs and Symptoms
  777. Treatment
  778. Massage Considerations
  779. Spondylosis (Spinal Osteoarthritis)
  780. Description
  781. Etiology
  782. Signs and Symptoms
  783. Treatment
  784. Massage Considerations
  785. Rheumatoid Arthritis
  786. Description
  787. FIGURE 5-29 Osteoarthritis. A, Osteoarthritis of the hip. B, Bouchard and Heberden nodes often seen in osteoarthritis of the hand. C, Degenerative joint changes associated with osteoarthritis (normal [left] versus osteoarthritic joint [right]). D, Photograph of Heberden nodes. E, Radiograph of hip affected by severe osteoarthritis with arrows indicating loss of bone density.
  788. Etiology
  789. Signs and Symptoms
  790. FIGURE 5-30 Rheumatoid arthritis. A, Photograph of hand in a woman with an early stage of rheumatoid arthritis showing swelling of joints. B, Ulnar deviation. C, Swan neck deformity. D, Boutonnière deformity.
  791. Treatment
  792. Massage Considerations
  793. FIGURE 5-31 Rheumatoid arthritis (radiograph). A, Early stage of disease (insert displaying affected interphalangeal joint). B, More advanced stage with narrowing of joint spaces.
  794. FIGURE 5-32 Progression of rheumatoid arthritis. A, Normal joint. B, Rheumatoid arthritis in the joint. C, Advanced rheumatoid arthritis.
  795. FIGURE 5-33 Rheumatoid arthritis: signs and symptoms.
  796. Juvenile Rheumatoid Arthritis
  797. Description
  798. FIGURE 5-34 Juvenile rheumatoid arthritis. A, Affected knees. B, Affected hand.
  799. Etiology
  800. Signs and Symptoms
  801. Treatment
  802. Massage Considerations
  803. SPOTLIGHT ON MASSAGE
  804. Juvenile Rheumatoid Arthritis
  805. Ankylosing Spondylitis (Spondylarthritis, Rheumatoid Spondylitis, Spondylitis, Spondylarthropathy)
  806. Description
  807. FIGURE 5-35 Ankylosing spondylitis: typical posture of individual with ankylosing spondylitis.
  808. FIGURE 5-36 Ankylosing spondylitis: joints commonly involved and percentages of involvement. Structures not featured are jaw and the costovertebral joints.
  809. FIGURE 5-37 Ankylosing spondylitis (radiographs). A, Normal sacroiliac (SI) joints. B, Fusion of SI joints. C, Advanced ankylosing spondylitis with SI fusion, fusion of spinous processes, pubic symphysis—the entire area appears fused into one continuous skeletal mass. D, Vertebral column, noting its bamboo appearance as structures fuse.
  810. Etiology
  811. Signs and Symptoms
  812. TABLE 5-3 Comparison of Ankylosing Spondylitis and Rheumatoid Arthritis
  813. Treatment
  814. Massage Considerations
  815. Gouty Arthritis (Gout, Metabolic Arthritis)
  816. Description
  817. Etiology
  818. Signs and Symptoms
  819. FIGURE 5-38 Gouty arthritis. A, Common location at the metatarsophalangeal joint of the great toe (inset showing uric acid deposits). B, Gouty tophus on medial aspect of the great toe on right foot. C, Uric acid crystals in synovial fluid.
  820. Treatment
  821. Massage Considerations
  822. Lyme Disease (Lyme Arthritis, Neuroborreliosis, Borreliosis)
  823. Description
  824. Etiology
  825. Signs and Symptoms
  826. FIGURE 5-39 Lyme disease. A, Bull’s eye rash on right leg. B, Deer ticks often carry the bacteria responsible for Lyme disease.
  827. Treatment
  828. Massage Considerations
  829. Septic Arthritis (Infectious Arthritis)
  830. Description
  831. FIGURE 5-40 Septic arthritis: red, swollen right knee due to septic arthritis.
  832. Etiology
  833. Signs and Symptoms
  834. Treatment
  835. Massage Considerations
  836. MUSCULAR AND MYOFASCIAL DISORDERS
  837. Muscular Atrophy (Disuse Atrophy)
  838. Description
  839. FIGURE 5-41 Muscular atrophy.
  840. Etiology
  841. Signs and Symptoms
  842. Treatment
  843. Massage Considerations
  844. Contracture
  845. Description
  846. FIGURE 5-42 Contracture. Note the washcloth in the palm to reduce joint flexion.
  847. Etiology
  848. Signs and Symptoms
  849. Treatment
  850. Massage Considerations
  851. FIGURE 5-43 Dupuytren contracture. Note the flexed fourth finger, atrophy of the thenar eminence, and thickened longitudinal cord in the palm.
  852. Dupuytren Contracture (Dupuytren Disease)
  853. Description
  854. Etiology
  855. Signs and Symptoms
  856. Treatment
  857. Massage Considerations
  858. Headaches (Cephalalgia, Cephalgia)
  859. Description
  860. Etiology
  861. Signs and Symptoms
  862. Treatment
  863. Massage Considerations
  864. FIGURE 5-44 Headaches: types of headaches with their associated pain patterns.
  865. TABLE 5-4 Types of Headaches
  866. SPOTLIGHT ON MASSAGE
  867. Headaches
  868. Fibromyalgia Syndrome (Fibromyalgia, Myofascial Fibrocystitis, Fibrositis, Muscular Rheumatism)
  869. Description
  870. Etiology
  871. FIGURE 5-45 Fibromyalgia: anatomic locations of tender points associated with the diagnosis of fibromyalgia, according to the American College of Rheumatology.
  872. Signs and Symptoms
  873. Treatment
  874. Massage Considerations
  875. TABLE 5-5 Select Clinical Manifestations of Fibromyalgia
  876. SPOTLIGHT ON MASSAGE
  877. Fibromyalgia Syndrome
  878. Myofascial Pain Syndrome
  879. Description
  880. Etiology
  881. Signs and Symptoms
  882. Treatment
  883. Massage Considerations
  884. Muscular Dystrophy
  885. Description
  886. FIGURE 5-46 Muscular dystrophy: initial muscle involvement of three types of muscular dystrophies. A, Duchenne. B, Fascioscapulohumeral. C, Limb girdle.
  887. TABLE 5-6 Comparison Table of Fibromyalgia and Myofascial Pain Syndrome
  888. TABLE 5-7 Types of Muscular Dystrophies
  889. Etiology
  890. FIGURE 5-47 Muscular dystrophy. Young man with late stage Duchenne muscular dystrophy showing severe loss of muscle mass.
  891. Signs and Symptoms
  892. Treatment
  893. Massage Considerations
  894. FIGURE 5-48 Myositis ossificans (radiograph). Note the calcified area on posterior thigh indicated by the arrows.
  895. Myositis Ossificans
  896. Description
  897. Etiology
  898. Signs and Symptoms
  899. Treatment
  900. Massage Considerations
  901. MUSCULOSKELETAL INJURIES
  902. Dislocations and Subluxations
  903. Description
  904. Etiology
  905. Signs and Symptoms
  906. FIGURE 5-49 Shoulder dislocation.
  907. Treatment
  908. Massage Considerations
  909. Fractures
  910. Description
  911. Etiology
  912. TABLE 5-8 Types of Fractures
  913. Signs and Symptoms
  914. Treatment
  915. Massage Considerations
  916. Sprain
  917. Description
  918. Etiology
  919. FIGURE 5-50 Fracture types. A, Closed or simple with skin intact. B, Open or compound with broken skin. C, Longitudinal. D, Transverse. E, Oblique. F, Greenstick. G, Comminuted. H, Impacted. I, Pathologic. J, Nondisplaced. K, Displaced. L, Spiral. M, Compression. N, Avulsion. O, Depression.
  920. FIGURE 5-51 Fracture (radiograph). Radiograph of mid-humeral fracture.
  921. FIGURE 5-52 Sprain: inversion ankle sprain (second degree).
  922. TABLE 5-9 Classification of Sprains and Strains
  923. Signs and Symptoms
  924. Treatment
  925. Massage Considerations
  926. Strain (Pull)
  927. Description
  928. Etiology
  929. Signs and Symptoms
  930. Treatment
  931. FIGURE 5-53 Strain. A, Illustration of torn biceps brachii (third degree). B, Photograph of torn biceps brachii sprain with abnormal bulge at the muscle’s distal end.
  932. Massage Considerations
  933. SPOTLIGHT ON MASSAGE
  934. Postoperative Pain
  935. Volkmann Contracture (Ischemic Contracture)
  936. Description
  937. Etiology
  938. Signs and Symptoms
  939. FIGURE 5-54 Volkmann contracture (ischemic contracture). Most cases are caused by a supracondylar fracture of the humerus that occludes the brachial artery and median nerve.
  940. Treatment
  941. Massage Considerations
  942. Tendinitis (Tendonitis)
  943. Description
  944. FIGURE 5-55 Tendinitis: common areas of tendon inflammation. A, Epicondylitis of the elbow. B, Tendinitis of the Achilles’ tendon.
  945. Etiology
  946. Signs and Symptoms
  947. Treatment
  948. Massage Considerations
  949. Tenosynovitis
  950. Epicondylitis

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