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579 Intestinal malabsorption
579.0 Celiac disease
579.1 Tropical sprue
579.2 Blind loop syndrome
579.3 Other and unspecified postsurgical nonabsorption
579.4 Pancreatic steatorrhea
579.8 Other specified intestinal malabsorption
579.9 Unspecified intestinal malabsorption
Associated physical therapy diagnoses
315.4 Developmental coordination disorder
718.45 Contracture of joint, pelvic region and thigh
719.70 Difficulty in walking
728.2 Muscular wasting and disuse atrophy
728.89 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
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K90.1 Tropical sprue
K90.2 Blind loop syndrome, not elsewhere classified
K90.3 Pancreatic steatorrhea
K90.4 Malabsorption due to intolerance, not elsewhere classified
K90.89 Other intestinal malabsorption
K90.9 Intestinal malabsorption, unspecified
K91.2 Postsurgical malabsorption, not elsewhere classified
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PREFERRED PRACTICE PATTERN
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As of July, 2014, 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.
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PATIENT PRESENTATION
The patient is a 47-year-old male who presents to the clinic with increasing difficulty in ambulating and poor tolerance for activity. He presents to the outpatient facility with a referral from his primary care physician for gait training and conditioning. The patient appears very cachectic with pale skin and sunken eyes. The patient stands and sits with a slumped kyphotic posture. He reports malaise and fatigue with small bouts of activity and appears to be depressed. In addition, the patient reports he has no appetite, and when he does eat he feels bloated and nauseous.
Upon physical therapy examination, the patient’s mobility status is modified independent due to decreased speed and general joint discomfort. He can only ambulate for 45 m before he needs to sit and rest. Bilateral upper extremity and lower extremity strength is 3+/5 proximally and 4/5 distally. Joint range of motion is full with inconsistent achy discomfort. Sensory is fully intact. Performance on the functional strength and endurance tests (30-second chair stand and the 6-minute walk) results in significantly below-average scores for his age. The patient requires several sitting rest periods during the 6-minute walk test. His Borg scale perceived exertion grade during the 6-minute walk is “very hard.” During pulmonary testing the patient demonstrated poor maximal inspiratory and expiratory pressures and a weak cough ability revealing weakness of his diaphragmatic and respiratory musculature.
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Malabsorption: Decreased absorption of fat and other nutrients caused by liver, biliary, pancreatic, or intestinal disease1
Impaired absorption of nutrients in gastrointestinal (GI) tract
Symptoms such as gas, bloating, abdominal pain, diarrhea resulting from malabsorption
May be acute, postoperative, chronic, viral, bacterial, congenital/hereditary
Complaints of change in bowel habits (constipation, urgency, incontinence, cramping)
Referred pain in low back
Inflammatory ...