Flashcards in 8.29 Systems Review 2 Deck (17)
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1
key phrases for malaise
- just don't feel right
- feels like I'm getting sick
- can't pinpoint why
2
malaise
general feeling of uneasiness or out of sorts feeling
3
Malaise and previous hx of illness
If they’ve had an illness before (i.e. cancer), may worry that it’s coming back
4
What is malaise based upon?
- clinician's interpretation
- Not generally understood by patients, so won’t be part of the questionnaire
5
unexplained weight loss: red flag
- 5-10% loss over 6-12 months
- warning sign for underlying diseases
6
unexplained weight gain: red flag
gain of 10 pounds in 2 weeks
7
Weight loss questions
- Was it intended?
- Did you change your diet?
- Under stress lately?
- Any new symptoms over period of weight loss?
- any swelling (esp. swollen ankles)
8
Problem reason for eating less
- not hungry lately
- sick to their stomach
9
Why is it a concern for a pt to be eating less than normal due to lack of hunger or sick feeling?
- cancer
- GI
- psychological
- CVD
- preeclampsia
- thyroid disorder
- renal disease
etc....
10
What is a warning sign of preeclampsia?
5 pound weight gain in one week during pregnancy
11
What is preeclampsia?
A potentially dangerous pregnancy complication characterized by high blood pressure
12
yellow flags of paresthesia, numbness, and weakness
weakness without other neuro symptoms
13
red flags for paresthesia, numbness, and weakness
- progressive sensory or strength deficits
- saddle paresthesia
- urinary retention
- increased urinary frequency
- urinary incontinence
14
specific symptoms for paresthesia, numbness, and weakness
- glove and stocking distribution
- B extremity deficits
- combo of UE and LE patterns
15
sensory loss: consider
numbness
tingling
16
strength loss: consider
- weakness (not related to recent activity)
- frank weakness (foot drop)
17
