8.29 Systems Review 3 Flashcards Preview

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Flashcards in 8.29 Systems Review 3 Deck (28)
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1

changes in mentation

- onset of confusion, disorientation, or worsening of these symptoms
- can be a manifestation of multiple disorders

2

Most important things to consider with changes in mentation?

- memory loss
- impulsivity (different, out of character, mood swings?)
- chronic HA or head injuries?

3

Other questions to ask with changes in mentation

- attention loss?
- more confused than normal?
- Any activities harder than they should be?

4

If patient has a head injury or stroke and these symptoms haven't worsened since they have last seen the physician, then this becomes a

yellow flag

5

Follow up questions if symptoms of mentation change have worsened

- When did you notice changes?
- Has it gradually gotten worse?
- Are you taking medications?
- Any changes in medications?

6

FUPs for a report of nausea

- describe the nausea (constant, intermittent, frequency)
- How long?
- Any new/unusual symptoms?
- Do you know why you're nauseated?
- Is your doctor aware?
- Is there vomiting?
- Any vomiting without nausea
- How are you treating?

7

If the doctor is aware of the nausea, what should you also ask?

Has it gotten worse since you saw them?

8

Red flags: nausea/vomiting

- may be related to medication use
- Rx meds

9

red flags: OTC drugs and nausea/vomiting

may mix with Rx drugs

10

Red flags: medications and nausea/vomiting

- Ask why they are taking the meds, how long, and if their doc knows
- supplements

11

problem with supplements

not regulated by FDA

12

Questions to ask about Rx meds

- do you need more of them to feel comfortable compared to a few weeks/months ago?
- may reveal a serious condition that is worsening

13

s/s of heart and vascular problems

- dyspnea
- blue, cold
- nail clubbing
- palpitations

14

palpitations

less than 30 seconds of heart pounding

15

v-tac

heart pounding more than a minute

16

pulmonary red flags

- SOB
- positional dyspnea
- wheezing
- coughing
- stridor

17

positional dyspnea is also known as

3 pillow orthopnea

18

orthopnea

having trouble breathing when lying down flat

19

orthopnea often occurs when there is

fluid in the lungs

20

3+ pillow orthopnea

- terminology used with smokers or COPD
- 2+ pillows is usu indicative of a lung problem

21

wheezing

airway is plugged

22

stridor involves both

- larynx
- trachea

23

Janeway lesions and Osler nodes are pathognomonic to

bacterial endocarditis

24

Janeway lesions look like

subcutaneous hemorrhages

25

Janeway lesions are caused by

capillary breakdown

26

Pts with Janeway lesions are generally on these meds

blood thinners

27

What do Osler nodes look like?

- blanched center
- looks like a bug bite

28

Where are Osler nodes commonly located

- palms of hands
- soles of feet

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