Flashcards in 8.22 Symptom Investigation Deck (21):
Able to find an accurate dx from a thorough hx
2/3 of the time
Reasons for PTs to be seen first
- faster care
- 50% reduction in imaging
- higher pt satisfaction
differential dx process
- positive response to tx confirms dx
- lack of response to tx raises questions
- concern of co-morbid conditions such as visceral pathology
Questions to ask about onset and behavior of symptoms
- How did symptoms develop?
- Changes in location?
- Intensity with certain movements or rest?
- Changes with posture
- Constant or intermittent?
- Agg factors?
- Night pain?
- Ease factors?
- Non-musculoskeletal activity (food intake and defecation)
What are common words of concern?
- cramping, colicky
- throbbing, aching
- worst pain I have ever had
When would the words of concern make you think that something was non-musculoskeletal in origin?
If coupled with other info from hx
What words are often associated with vascular disorders?
What words are often associated with neurologic disorders
What words are often associated with visceral disorders
What are the cancer red flags?
- persistent pain at night
- constant pain anywhere in the body
- unexplained weight loss
- loss of appetite
- unusual lumps/growths
- unwarranted fatigue
common sites and symptoms of cancer metastasis: brain
common sites and symptoms of cancer metastasis: respiratory
common sites and symptoms of cancer metastasis: lymph nodes
common sites and symptoms of cancer metastasis: liver
common sites and symptoms of cancer metastasis: skeletal
- spinal cord compression
Cardiovascular red flags
- pain/heaviness in chest
- pulsating pain anywhere in the body
- constant/severe pain in lower leg/arm
- discolored or painful feet
- swelling (no hx of injury)
Gastrointestinal/genitourinary red flags
- frequent/severe abdominal pain
- frequent heartburn or indigestion
- frequent nausea or vomiting
- changes/problems with bladder function (UTI, etc.)
- unusual menstrual irregularities
Neurological red flags
- changes in hearing
- frequent or severe headaches with no hx of injury
- difficulty with swallowing/speech
- visual changes
- balance problems
- fainting spells
- sudden weakness
- 5 D's
What are the 5 D's?
- drop attacks
Misc red flags
- fever or night sweats
- recent severe emotional disturbances
- swelling/redness in any joint with no hx of injury