8.22 Symptom Investigation 4 (Red Flags) Flashcards Preview

8501 Clin Med > 8.22 Symptom Investigation 4 (Red Flags) > Flashcards

Flashcards in 8.22 Symptom Investigation 4 (Red Flags) Deck (30)
Loading flashcards...
1

What is an objective test that can be used to help dx PVD?

reactive hyperemia test

2

What is the test procedure for the reactive hyperemia test?

- pt supine, hold leg up in SLR at 45˚
- lower after 1-3 minutes

- looking for how long it takes blood to return to the leg

3

reactive hyperemia test: normal

3-5 seconds

4

reactive hyperemia test: PVD

anything over 20 seconds

5

sensitivity/specificity of Wells criteria for DVT

between 85 and 95%

6

What are the 5 P's of compartment syndrome?

- pain
- palpable tenderness
- paresis
- paresthesia
- pulselessness

7

How does VBI often present?

severe HA ~15 hours prior

8

In addition to symptoms in the shoulder, where else may s/s of an MI manifest?

arm - typically left, but sometimes right

9

For pts who have a hx of heart disease or heart attack, what should they always have with them at therapy?

nitroglycerin

10

Where do Pancoast tumors grow?

apex of the lung (no initial lung symptoms)

11

Pancoast tumor: after affecting the ulnar distribution, what is affected?

subclavian vein

12

Pancoast tumors and referral

- refer if they have risk factors and haven't seen improvement over 2-3 visits
- often misdiagnosed 8 months to 2 years
- makes the difference between metastatis and not

13

What are the t-spine and rib red flags?

- MI
- stable angina pectoris
- unstable angina pectoris
- pericarditis
- pleurisy
- pulmonary embolus
- pneumonia
- pneumothorax

14

Stable angina pectoris: what will you see?

- chest pain with predictable level of exertion
- relieved by nitroglycerin

15

stable angina pectoris: controlling

- not as much damage to the heart
- can be controlled easier than unstable angina

16

unstable angina pectoris

- chest pain outside of predictable pattern
- not responsive to nitroglycerin

17

What is the precursor to an MI?

unstable angina pectoris

18

What should you do if a patient experiences chest pain?

- refer if they aren't being medically managed
- don't get them to the level of exertion that induces angina

19

What is pericarditis?

- inflammation of the pericardium
- sharp, stabbing pain referred to lateral neck or shoulder

20

What increases pain with pericarditis?

L sidelying (more pressure on the heart)

21

What relieves pain with pericarditis

forward leaning posture

22

What is pleurisy?

- inflammation of the lining of the lung
- sharp, stabbing pain with inspiration
- dyspnea

23

Who gets pleurisy?

hx of a respiratory disorder

24

Where can pleurisy refer pain to?

shoulder region

25

What are s/s indicative of a pulmonary embolus?

- chest, shoulder, or upper abdominal pain
- dyspnea

26

Pts with a hx of ___ are at risk for a PE

DVT

27

Where is pleuritic pain often referred?

shoulder

28

What are s/s of pneumonia?

- fever, chills
- HA
- malaise
- nausea
- productive cough

29

What are some things that would make you think pneumothorax?

- chest pain with inspiration
- difficult to expand rib cage
- recent trauma, coughing, strenuous exercise

30

What will you hear with a pneumothorax?

- hyperresonance with percussion
- decreased breath sounds

Decks in 8501 Clin Med Class (102):