8.22 Systemic Disorders Flashcards Preview

8501 Clin Med > 8.22 Systemic Disorders > Flashcards

Flashcards in 8.22 Systemic Disorders Deck (24)
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1

general symptoms of systemic disorders

- fever
- fatigue/malaise
- abn sensation
- weight loss
- change in mentation
- insidious onset

2

Temperature is on this type of rhythm

circadian

3

What is the circadian rhythm of body temp?

- cooler in the morning (~97˚)
- warmer in evening (~99.3˚)

4

When do patients typically run a fever?

afternoon/night

5

When does a fever become a concern?

100-101˚F

6

When is fever a concern for the elderly? Why?

99-100˚F

fear of pneumonia is greater

7

What can happen at 104-106˚F?

convulsions

8

With fever, you may get alterations in _____

mentation

9

What are we concerned about with fatigue?

unusual lethargy
- everyone gets tired at times
- low energy levels

10

With fatigue, what is important to consider that may be affecting them?

- work, family, social, physical activity level, etc.
- stress, illness, time of day

11

What is malaise?

overall feeling

- general illness, lack of energy
- general uneasiness whose exact cause is difficult to ID

12

What sensory and motor screening things may be warranted if a pt has paresthesia, numbness, weakness, or other weird sensations?

- dermatomes
- myotomes
- reflexes
- balance/coordination
- proprioception

13

testing dermatomes

- sharp/dull
- 1-2 point discrimination
- hot/cold

14

testing myotomes

general to specific if necessary

15

testing reflexes

upper or lower chain or both

16

testing balance

- seated
- standing
- static
- dynamic

17

testing coordination

- finger to nose
- heel up shin
- Romberg test

etc.

18

testing proprioception

- position in space (static)
- dynamic movement replication

19

What would be merit concern with unexplained weight loss?

5% BW loss or more

20

What would be things to consider with unexplained weight gain?

- swelling
- fluid retention
- kidney or liver issues
- CHF
- medication (i.e. steroids)

21

AAOx3 or 4

- person
- place
- time
- event

22

Consider these with changes in mentation

- attention
- memory
- loss of consciousness or alertness
- thought process
- judgment

23

most common reasons for outpatient therapy in order

1. back pain
2. neck pain
3. knee pain
4. shoulder pain

24

These conditions require physician oversight for medications!

- OA
- RA
- SLE
- reactive arthritis
- septic arthritis

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