PT 415C Cardiopulmonary Conditions DIRECTION: 1. See attached rubrics so you would know how you will be rated. 2.

All students should attend the lecture scheduled by location. 3. Reports will be submitted online on the following dates: Modules 1. Reviewing the background knowledge on cardiopulmonary conditions, and understanding the concept of evidence-based physical therapy practice. 2. Extracting and documenting a complete medical history of a patient with cardiopulmonary conditions and establishing its differential diagnoses. 3. Integrating evidence-based practice in the evaluation, assessment and diagnosis of cardiopulmonary conditions. 4. Integrating evidence-based practice in goal setting, treatment planning and intervention of cardiopulmonary conditions. Date of Transmission January 1 Deadline for Submission January 15

January 15

February 12

February 12 February 26

February 26 March 12

4. Module 4 will be released online upon submission of the final exam permit to the Office of the Dean on or before February 26, 2011. 5. Ask somebody to submit the final examination permit to the Office of The Dean on or before February 26, 2011. 6. A failing grade will be given if no reports are submitted on March 12, 2011. 7. An INC (incomplete) grade will be given if partial reports are submitted on March 12, 2011 and/or final exam permit is not submitted on March 12, 2011. 8. Acknowledge the source/sources of your answer/answers in each number. Write them inside the parenthesis after each answer. Unsupported answers will not be checked and will be sent back to you. Please use the following format: Books: Author/s, Title of the Book, Edition, Publisher, Place of Publication, Year of Publication Print Journal: Author/s, Title of the Article, Name of the Journal, Volume No., Issue No., Year e-Journal: Author/s, Title of the Article, Website, Date Posted 9. Format for reports: a. Microsoft word format compatible with Word 1997-2003 document, Times New Roman, Font 11 b. Use short bond paper, 1-inch margin all sides, portrait c. Answer the questions directly and briefly. Follow the instructions. If you are asked to illustrate, do not discuss. d. Avoid pictures that would total beyond 2MB in each term report. MODULE 1 1. Trace the blood flow in the heart of a patient with Tetralogy of Fallot. Explain how this differs to a heart of a normal person. 2. Tabulate the location and timing (during depolarization or repolarization) of occurrence of murmur in: a. Aortic stenosis/regurgitation c. Pulmonic stenosis/regurgitation b. Mitral stenosis/regurgitation d. Tricuspid stenosis/regurgitation Discuss the implication of each murmur to the cardiac cycle.

3. Illustrate (draw) and discuss briefly the lung capacities of a patient with emphysema. 4. Explain how the four principles of cardiac conditioning are interrelated. 5. Give two common protocols for exercise tolerance test. Describe how are these done? What are the indications and absolute and relative contraindications of exercise tolerance test? 6. Give an example of a PRT program compartmentalizing into warm up phase, training phase and cool down phase. Breakdown the exercises in the program using a table showing the type of the exercise, the intensity of the exercise, the duration and frequency of the exercise. 7. Illustrate the landmarks for placement of ECG chest and limb leads. 8. What are the typical ECG findings of the following: a. Ischemia c. Ventricular hypertrophy b. Myocardial Infarction d. Atrial hypertrophy 9. Given a 50 year-old male patient complaining of chest pain, with ECG tracings shown below, outline a cardiac rehabilitation protocol of this patient during the in-hospital phase, training phase and maintenance phase.

10. List down the precautions in exercising a 55 year-old male patient on cardiac monitor showing the tracing below:

11. Given a 55 year-old male patient complaining of chest pain, with ECG tracings shown below, outline a cardiac rehabilitation protocol of this patient during the in-hospital phase, training phase and maintenance phase.

12. Give an example of arterial and venous Doppler results and explain the significance of the results. 13. Give an example of a pulmonary function test results of a COPD patient and explain the significance of the results. 14. Explain the significance of arterial blood gas determination in PT management for restrictive lung disease. 15. Discuss oxygen supplementation to COPD patients while performing therapeutic exercises. 16. List down the precautions in exercising patients hooked to mechanical ventilators. 17. Discuss the relationship between evidence-based practice and clinical practice guidelines for rehabilitation of patients with chronic bronchitis. 18. What are the highest and lowest level of evidences for intervention, prognosis and diagnosis? Discuss why are they considered highest and lowest forms of evidences? 19. Explain the diagram below in relation to rehabilitative management of patients with left ventricular hypertrophy.

20. Given a 60 year-old, Filipino, hypertensive, chronic smoker, obese patient with engorged veins and pigmentation in the lower limbs who has been complaining of intermittent claudication, you want to know which orthopaedic footwear best suits this patient so he can avoid developing foot ulcer. Formulate a clinical question on intervention in PICO format. 21. Scientific evidences are found in search engines and databases. Discuss how you will search for the literatures related to the case in No. 20.

References:

Books Braddom, R. Physical Medicine and Rehabilitation, 3rd ed., Philadelphia: W. B. Saunders Co., 2007. Braunwald, E, et. al., Harrisons Principles of Internal Medicine, 15th ed. New York: McGraw-Hill, Inc., 2001. DeGowin, RL and Brown, DD. DeGowins Diagnostic Examination, 7th ed. New York: McGraw-Hill, Inc., 2004. Delisa, JA. Rehabilitation Medicine: Principles and Practice, 4th ed., Philadelphia: Lippincott-Raven Publishers, 2005. Goodman, CC and Snyder, TK. Differential Diagnosis for Physical Therapists: Screening for Referral, 4th ed., St. Louis, MO: Saunders, 2007. Goodman, CC and Fuller, KS. Pathology: Implications for the Physical Therapist, 2nd ed., St. Louis, MO: Saunders, 2003. Guckian, JC. The Clinical Interview and Physical Examination. Philadelphia: JB Lippincott Co., 1987. Irwin, S and Tecklin, JS. Cardiopulmonary Physical Therapy, 2nd ed., Philadelphia: C. V. Mosby Co., 1990. Kisner, C and Colby, LA. Therapeutic Exercise: Foundations and Techniques, 4th ed., Philadelphia: F. A. Davis Co., 2000. Law, M. Evidence-based Rehabilitation. Thorofare: Slack, 2002. OSullivan, SB and Schmitz, TJ. Physical Rehabilitation Assessment Treatment, 4th ed., Philadelphia: F. A. Davis Co., 2001. Portney, LG and Watkins, MP. Foundations of Clinical Research: Applications to Practice, 3rd ed., New York: Prentice Hall, 2008. Rothstein, JM, Roy, SH and Wolf, SL. The Rehabilitation Specialists Handbook, 3rd ed., Philadelphia: F. A. Davis Co., 2005. Sackett DL, et. al. Evidence-based Medicine: How to Practice and Teach EBM. Edinburgh: Churchill Livingstone, 2000.

Snell, R. Clinical Anatomy, 7th ed., Philadelphia: Lippincott Williams and Wilkins, 2004. Wolf, SL. Clinical Decision Making in Physical Therapy, 1st ed. Philadelphia: FA Davis Co., 1985. Journals http://www.acponline.org/ http://www.jr2.ox.ac.uk/bandolier/ EBM Database http://www.ncbi.nlm.nih.gov/entrez/query.fcgi http://www.shef.ac.uk/scharr/ir/netting/ http://cochrane.org/reviews http://www.york.ac.uk/inst/crd/darehp.htm http://fhs.usyd.edu.au/index.htm http://sumsearch.uthscsa.edu/ Websites http://www.cebm.utoronto.ca http://www.cochrane.org http://www.clinicalevidence.org http://www.informedhealthonline.org/item.aspx