8.22 Symptom Investigation Flashcards Preview

8501 Clin Med > 8.22 Symptom Investigation > Flashcards

Flashcards in 8.22 Symptom Investigation Deck (21):
1

Able to find an accurate dx from a thorough hx

2/3 of the time

2

Reasons for PTs to be seen first

- faster care
- 50% reduction in imaging
- higher pt satisfaction

3

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

4

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)

5

What are common words of concern?

- cramping, colicky
- throbbing, aching
- pressure
- tightness
- heaviness
- weakness
- severe/disabling
- worst pain I have ever had

6

When would the words of concern make you think that something was non-musculoskeletal in origin?

If coupled with other info from hx

7

What words are often associated with vascular disorders?

- throbbing
- pounding
- pulsating

8

What words are often associated with neurologic disorders

- sharp
- lancinating
- shocking
- burning

9

What words are often associated with visceral disorders

- aching
- squeezing
- gnawing
- burning
- cramping

10

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

11

common sites and symptoms of cancer metastasis: brain

- headaches
- seizures
- vertigo

12

common sites and symptoms of cancer metastasis: respiratory

- cough
- hemoptysis
- dyspnea

13

common sites and symptoms of cancer metastasis: lymph nodes

lymphadenopathy

14

common sites and symptoms of cancer metastasis: liver

- hepatomegaly
- jaundice

15

common sites and symptoms of cancer metastasis: skeletal

- pain
- fx
- spinal cord compression

16

Cardiovascular red flags

- SOB
- dizziness
- 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)

17

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

18

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

19

What are the 5 D's?

- dizziness
- diplopia
- dysarthria
- dysphagia
- drop attacks

20

Misc red flags

- fever or night sweats
- recent severe emotional disturbances
- swelling/redness in any joint with no hx of injury
- pregnancy

21

What might fever or night sweats indicate?

infection

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