8.22 Symptom Investigation 2 (Red Flags) Flashcards Preview

8501 Clin Med > 8.22 Symptom Investigation 2 (Red Flags) > Flashcards

Flashcards in 8.22 Symptom Investigation 2 (Red Flags) Deck (21)
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1

Low back region: What could be going on?

- back related tumor
- abdominal aneurysm
- back related infection
- cauda equina syndrome
- spinal fx

2

low back region: risk factors for cancer

- age over 50
- hx of cancer
- weight loss
- failure of conservative care

3

low back region: abdominal aneurysm clues

- PVD
- symptoms not related to movement

4

low back region: back related infection clues

- recent infection (UTI/skin)
- IV drugs
- immunosuppressive disorder

5

low back region: cauda equina syndrome clues

- b/b
- saddle paresthesia
- weakness
- myotomes/dermatomes

6

low back region: spinal fx clues

- trauma
- age over 70
- prolonged steroid use

7

What are some potential nonmusculoskeletal conditions of the pelvis, hip, and thigh region?

- colon cancer
- pathological fx of femoral neck
- AVN
- Legg-Calve-Perthes disease
- slipped capital femoral epiphysis

8

pelvis, hip, and thigh region: colon cancer clues

- age over 50
- rectal bleeding/black stool
- weight loss
- pain unchanged by position
- hx cancer in immediate family

9

pelvis, hip, and thigh region: pathological fx of femoral neck clues

- age over 70
- falls
- severe/constant pain
- LE is externally rotated

10

pelvis, hip, and thigh region: AVN clues

- long term corticosteroid use
- trauma
- hx of AVN on contralateral side

11

pelvis, hip, and thigh region: Legg-Calve-Perthes clues

- boys age 5-8 with groin or thigh pain
- antalgic gait

12

pelvis, hip, and thigh region: slipped capital femoral epiphysis

Who tends to get this?

- overweight adolescents
- hx of recent growth spurt or trauma

13

LE red flags - conditions

- peripheral arterial occlusive disease
- DVT
- compartment syndrome
- septic arthritis

14

LE red flags: peripheral arterial occlusive disease

clues on pt's lifestyle

- age over 60
- Type II DM
- heart disease
- smoker
- sedentary

15

LE red flags: peripheral arterial occlusive disease

What are some of the signs that would clue you in?

- intermittent claudication
- cool extremity
- decreased pedal pulses
- prolonged venous filling time

16

DVT clues

- recently immobilized
- pain worse with moving
- less pain with elevation
- TTP
- warm
- swollen

17

Homans' sign is present in ___% of pts with thrombosis and ___% in those without

33
21

18

Reliability of Homans' sign

- unreliable
- insensitive
- nonspecific

19

What are the other criteria for dx of a DVT?

- Wells criteria for DVT
- Padua CPR for hospitalized pts

20

LE red flags: What would clue you in to compartment syndrome as a possible dx?

- recent trauma
- unaccustomed exercise
- paresthesia
- decreased pulses

21

LE red flags: What would clue you in to septic arthritis as a possible dx?

- recent infection, surgery, or injection
- constant aching/throbbing pain
- tenderness
- warmth
- immunosuppressive disorder

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