- 571.5 Cirrhosis of liver without mention of alcohol
- K74.0 Hepatic fibrosis
- K74.60 Unspecified cirrhosis of liver
- K74.69 Other cirrhosis of liver
- As of November 2012, the APTA Guide to Physical Therapist Practice does not include practice patterns for organ system pathology; therefore, the associated or secondary musculoskeletal, cardiovascular/pulmonary, or potential neuromuscular patterns would be indicated.
- 315.4 Developmental coordination disorder
- 718.45 Contracture of joint, pelvic region and thigh
- 719.70 Difficulty in walking involving joint site unspecified
- 728.2 Muscular wasting and disuse atrophy, not elsewhere classified
- 728.89 Other disorders of muscle, ligament, and fascia
- 729.9 Other and unspecified disorders of soft tissue
- 780.7 Malaise and fatigue
- 781.2 Abnormality of gait
- 782.3 Edema
- 786.0 Dyspnea and respiratory abnormalities
- 786.05 Shortness of breath
- Destruction of liver, liver disease
- May result from excessive alcohol use over time
- Complaints often include changes in bowel habits: constipation, diarrhea, urgency, incontinence, cramping
- Pain is frequently referred to lower back
- Abdominal pain or tenderness (constant, intermittent)
- Nausea, vomiting
- Changes in bowel habits: diarrhea, constipation
- Acute drop in blood pressure; may cause decreased blood flow to intestines
- Lack of appetite, unexplained weight loss
- Abdominal pain upon ingesting food
- Joint pain possible
- Malaise, fatigue
- While PT may not manage GI disorders specifically, clients may receive care for secondary problems: weakness, gait abnormalities, limited aerobic endurance, sarcopenia, musculoskeletal/ neuromuscular problems, weight loss/gain
- Symptoms may be characteristic of multiple GI disorders, confounding medical diagnosis
- PT should recognize possible GI pathology in differential diagnosis, especially when findings are inconsistent with conditions commonly treated
- Diagnosis for occult problems may take time, require intensive diagnostic testing
- GI disorders frequently refer pain to other body areas; individuals may be inappropriately referred to PT
- GI problems commonly related to stress, constipation
- More serious problems include autoimmune conditions: Crohn’s, appendicitis (acute pain)
- May indicate inguinal or umbilical hernia
- In females, GI complaints may indicate gynecological problems: cancer/tumors in reproductive organs, endometriosis, uterine fibroids, ectopic pregnancies
- History of heartburn or indigestion may indicate GI or cardiac problems
- Chronic or episodic diarrhea, loss of bowel control (incontinence or urgency), blood in stool may be symptomatic of inflammatory disease, pre-cancerous condition, or cancer
- Affects adults; higher rate among alcoholics
- Spiderlike vessels on the skin
- Extremity edema
- Hepatic encephalopathy
- Sensitivity to medications
- Insulin resistance
- Abdominal/stomach pain, cramping (constant or intermittent, severe)
- Pain upon ingesting food or liquid
- Lower abdominal pain
- Pain with defecation
- Pain after ingesting fatty foods (gallbladder sign)
- Joint pain
- Bowel changes
- Diarrhea (acute, chronic)
- Constipation (acute, chronic)
- Blood in stool, dark or fresh-bleeding
- Rectal bleeding
- Change in stool odor or color
- Feeling of having to ...
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