Lecture Massage therapy review: Passing the NCETMB, NCETM, and MBLEx (2/e): Chapter 3 - Laura A. Abbott

Chapter 3 - Pathology. This chapter presents the following content: Areas of competence, medical terminology, the nine regions of the abdomen, risk factors for disease, microorganisms, modes of disease transmission, stages of inflammation, disorders/diseases, drugs and herbal therapy, effects of physical and emotional abuse and trauma.

Massage Therapy Review:  Passing the NCETMB, NCETM, and MBLEx Chapter 3  Pathology McGraw­Hill © 2011 by The McGraw­Hill Companies, Inc. All rights reserved  3-2 Pre­class Assignment  Review Chapter 3 of  your Massage  Therapy Review  book McGraw­Hill © 2011 by The McGraw­Hill Companies, Inc. All rights reserved  3-3 Terminology  Pathology  Acute  Chronic  Disease  Pathophysiology – Endemic – Epidemic – Pandemic  Etiology  Morbidity  Mortality McGraw­Hill © 2011 by The McGraw­Hill Companies, Inc. All rights reserved  3-4 Understanding Medical Terminology  Terminology helps us to understand and break  down words, some of which may be  unfamiliar to us  Be familiar with the At a Glance: Medical  Terminology chart in the Massage Therapy  Review Book McGraw­Hill © 2011 by The McGraw­Hill Companies, Inc. All rights reserved 3-5 Nine Regions of the Abdomen Right  Hypochondriac  Region Epigastric Region Right  Lumbar  Region Right Iliac Region Umbilical Region McGraw­Hill Hypogastric Region Left Hypochondriac Region Left  Lumbar  Region Left Iliac Region © 2011 by The McGraw­Hill Companies, Inc. All rights reserved 3-6 Risk Factors for Disease  Age  Gender  Genetics  Physical Exposure  Nutrition  Congenital Defects  Occupational Hazards  Pre­existing Conditions  Lifestyle and Habits McGraw­Hill © 2011 by The McGraw­Hill Companies, Inc. All rights reserved 3-7 Microorganisms  Bacteria  Fungi  Protozoans  Viruses McGraw­Hill © 2011 by The McGraw­Hill Companies, Inc. All rights reserved 3-8 Modes of Transmission  Mucous Membranes  Intact Skin  Broken Skin  Ingestion  Inhalation McGraw­Hill © 2011 by The McGraw­Hill Companies, Inc. All rights reserved 3-9 Signs of Inflammation  Redness  Swelling Reduction of blood flow Buildup of  metabolic waste Tense, spasmed or contracted muscles Pain  Heat  Pain McGraw­Hill © 2011 by The McGraw­Hill Companies, Inc. All rights reserved 3-10 Disorders and Diseases  Medical Clearances  Indicated  Indicated with Restrictions  Absolute Contraindications McGraw­Hill © 2011 by The McGraw­Hill Companies, Inc. All rights reserved 3-11 Indicated with Restrictions  Acne  Boils  Bunions  Burns  Fibromyalgia  Gout (nonacute)  Hematoma  Hernia  Impetigo  Multiple Sclerosis  Osteoarthritis  Osteoporosis  Psoriasis  Rheumatoid Arthritis  Tendonitis  Varicose Veins  Herniated Disc McGraw­Hill © 2011 by The McGraw­Hill Companies, Inc. All rights reserved 3-12 Absolute Contraindications  Alcoholism or         Drunkenness Amyotrophic Lateral  Sclerosis (Lou Gehrig’s) Bronchitis Cancers Congestive Heart Failure COPD/Emphysema Diabetes Edema McGraw­Hill  Fever  Gout (acute)  Hepatitis  HIV/AIDS  Impetigo  MI/Angina  Osteomalacia  Seizures  Shingles  Substance Abuse © 2011 by The McGraw­Hill Companies, Inc. All rights reserved 3-13 Signs and Symptoms  Review and understand  the signs, symptoms,  and massage  implications  At a Glance: Signs and  Symptoms of Disease  chart in the Massage  Therapy Review Book McGraw­Hill © 2011 by The McGraw­Hill Companies, Inc. All rights reserved 3-14 Stages of Cancer  Stage One – Small lump that has invaded tissue beyond  lobules or ducts but not yet spread to nodes or  other areas  Stage Two – Slightly larger tumor size, or enlarged lymph  nodes that indicate more trouble may be  imminent.  No sign of metastases McGraw­Hill © 2011 by The McGraw­Hill Companies, Inc. All rights reserved 3-15 Stages of Cancer, Cont’d  Stage Three – Tumor is larger than 2 inches or has invaded other  areas.  Lymph nodes are enlarged.  No concrete  cancer in other organs  Stage Four – Cancer is detectable in other organs McGraw­Hill © 2011 by The McGraw­Hill Companies, Inc. All rights reserved 3-16 Drugs and Their Effects  Be familiar with charts on pages 114–116   Common medications: – – – – – Blood Pressure Cardiovascular Diabetes Hormone Replacements Thyroid  Note:  If clients are taking antibiotics and are contagious, you  shouldn’t be massaging them! McGraw­Hill © 2011 by The McGraw­Hill Companies, Inc. All rights reserved 3-17 Physical and Emotional Abuse  Stress and Its Effects  Traumatic Distress – How quickly the client is upset – How frequently it is triggered – How intense the source is – How long the upset lasts – How long it takes to calm down McGraw­Hill © 2011 by The McGraw­Hill Companies, Inc. All rights reserved 3-18 Physical Symptoms of Trauma  Eating Disturbances  Sleep Disturbances  Sexual Dysfunction  Low Energy  Chronic or  Unexplained Pain McGraw­Hill © 2011 by The McGraw­Hill Companies, Inc. All rights reserved 3-19 Emotional Symptoms of Trauma  Depression  Spontaneous Crying  Anxiety  Panic Attacks  Fearfulness  Compulsive/Obsessive Behaviors  Irritability, Anger McGraw­Hill © 2011 by The McGraw­Hill Companies, Inc. All rights reserved 3-20 Cognitive Symptoms of Trauma  Memory Lapses  Difficulty Making Decisions  Decreased Ability to Concentrate  Feeling of Distracted McGraw­Hill © 2011 by The McGraw­Hill Companies, Inc. All rights reserved .. . 3- 2 Pre­class Assignment  Review Chapter 3 of  your Massage Therapy Review  book McGraw­Hill © 2011 by The McGraw­Hill Companies, Inc. All rights reserved  3- 3 Terminology ... © 2011 by The McGraw­Hill Companies, Inc. All rights reserved 3- 13 Signs and Symptoms  Review and understand  the signs, symptoms,  and massage implications  At a Glance: Signs and Symptoms of Disease ... Terminology helps us to understand and break  down words, some of which may be  unfamiliar to us  Be familiar with the At a Glance: Medical  Terminology chart in the Massage Therapy Review Book McGraw­Hill © 2011 by The McGraw­Hill Companies, Inc. All rights reserved