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NPTE Clinical Files | Physical Therapy

Hypercortisolism

NPTE Clinical Files | Physical Therapy

Kyle Rice

Health & Fitness

4.9631 Ratings

🗓️ 29 May 2019

⏱️ 11 minutes

🧾️ Download transcript

Summary

Sandra is reviewing a patient's medical record who has a history of hypercortisolism and persistent weight gain. 

The physical therapist is challenged with anticipating the potential findings in the patient's medical record. 

How well do you know your endocrine gland dysfunctions? Let's test your knowledge in this excellent episode about Hypercortisolism.

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Transcript

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0:00.0

You are now tuning in to the MPTE clinical files to mock MPTE-based questions told and solved

0:07.0

week by week. Thank you for tuning in to the MPT clinical files. My name is Kyle Rice, the MPT

0:12.2

prep coach, the founder of the PT Hustle and the creator of the MPT Prep Success Coaching Program.

0:18.4

And if you would like a free cheat sheet that goes along with this specific

0:22.4

question, tune in to the end of this episode. And I'm going to give you more information on how to

0:27.7

get that. All right. So for our next MPT clinical file, we have our physical therapist, Sandra,

0:32.7

and Sandra is reviewing a patient's medical record who is in the hospital for a right pelvic fracture.

0:38.9

The patient has a history of hyper-chortisolism and persistent weight gain.

0:43.7

Which of the following findings is the most consistent with the patient's medical record?

0:48.5

So we have A, thickening of bone in the face and thorax, B, hyponetremia, C, hyperglycemia, and D is dehydration.

0:59.9

All right, so let's knock this one out.

1:02.1

Sandra, she's our PT, is reviewing a patient's medical record who's in the hospital for a right pelvic fracture.

1:08.0

Now, I read that first sentence and I don't really see anything magical

1:12.9

there. I mean, it's pretty straightforward, right? And I don't really feel like that's helping me

1:17.1

out too much. Now, as I go to the second sentence, it says the patient has a history of hyper-chortisolism

1:23.2

and persistent weight gain. Now, this is where I really got to slow up, because if you want to win at the MPTE,

1:30.4

you have to understand conditions like hyper-cortisolism.

1:35.1

You have to, all right?

1:37.2

And so I want you to slow it real quick.

1:38.9

Think about this, please.

1:40.9

What is hyper-cortisolism?

1:42.7

What does that really mean?

...

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