8.22 Symptoms Investigation 3 (Red Flags) Flashcards Preview

8501 Clin Med > 8.22 Symptoms Investigation 3 (Red Flags) > Flashcards

Flashcards in 8.22 Symptoms Investigation 3 (Red Flags) Deck (19)
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1

What are some red flags for head, face, and TMJ?

- vertebrobasilar insufficiency
- meningitis
- primary brain tumor
- subarachnoid hemorrhage

2

vertebrobasilar insufficiency may result in

- dizziness, vertigo
- visual disturbances
- HA
- nausea
- LOC
- apprehension with CAROM

3

head, face, TMJ: meningitis signs

- headache
- fever
- GI distress
- photophobia
- confusion
- seizures

4

What will be positive if the pt has meningitis?

slump sign

5

head, face, TMJ: brain tumor s/s

- ataxia
- speech deficits
- HA
- visual changes
- GI distress
- altered mental status
- seizures

6

head, face, TMJ: subarachnoid hemorrhage s/s

- severe HA (sudden onset)
- brief LOC
- brain tumor signs
- meningeal irritation

7

c-spine/shoulder red flags

- myocardial infarction
- pancoast tumor

8

Age group: MI

- men over 40
- women over 50

9

MI s/s

- chest pain
- pallor
- nausea
- palpitations
- presence of risk factors

10

MI s/s: timing

presence of s/s over 30 mins, not relieved by nitroglycerin

11

Who gets Pancoast tumors?

men over 50 with hx of smoking

12

Pancoast tumor: Where is the pain?

nagging pain over shoulder and vertebral edge of scapula

13

Pancoast tumor: Where does the pain progress?

burning pain in ulnar nerve distribution

14

Elbow, wrist, hand: red flag problems

- Raynaud's
- CRPS

15

Raynaud's: what happens to the hands

- hands and feet blanch, go cyanotic, then red with cold or emotional distress
- pain in hands and feet with redness

16

Raynaud's: health hx predisposing factors

- PMH of RA
- occlusive vascular disease
- smoking
- beta-blockers

17

CRPS often occurs after ____

trauma

18

CRPS: s/s

- severe aching/stinging pain not typical of injury
- pitting edema
- erythema
- warmth

19

CRPS: analgesics

pain doesn't respond to analgesics

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