8.22 Symptoms Investigation 3 (Red Flags) Flashcards
(19 cards)
What are some red flags for head, face, and TMJ?
- vertebrobasilar insufficiency
- meningitis
- primary brain tumor
- subarachnoid hemorrhage
vertebrobasilar insufficiency may result in
- dizziness, vertigo
- visual disturbances
- HA
- nausea
- LOC
- apprehension with CAROM
head, face, TMJ: meningitis signs
- headache
- fever
- GI distress
- photophobia
- confusion
- seizures
What will be positive if the pt has meningitis?
slump sign
head, face, TMJ: brain tumor s/s
- ataxia
- speech deficits
- HA
- visual changes
- GI distress
- altered mental status
- seizures
head, face, TMJ: subarachnoid hemorrhage s/s
- severe HA (sudden onset)
- brief LOC
- brain tumor signs
- meningeal irritation
c-spine/shoulder red flags
- myocardial infarction
- pancoast tumor
Age group: MI
- men over 40
- women over 50
MI s/s
- chest pain
- pallor
- nausea
- palpitations
- presence of risk factors
MI s/s: timing
presence of s/s over 30 mins, not relieved by nitroglycerin
Who gets Pancoast tumors?
men over 50 with hx of smoking
Pancoast tumor: Where is the pain?
nagging pain over shoulder and vertebral edge of scapula
Pancoast tumor: Where does the pain progress?
burning pain in ulnar nerve distribution
Elbow, wrist, hand: red flag problems
- Raynaud’s
- CRPS
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
Raynaud’s: health hx predisposing factors
- PMH of RA
- occlusive vascular disease
- smoking
- beta-blockers
CRPS often occurs after ____
trauma
CRPS: s/s
- severe aching/stinging pain not typical of injury
- pitting edema
- erythema
- warmth
CRPS: analgesics
pain doesn’t respond to analgesics
