8.29 Systems Review Flashcards Preview

8501 Clin Med > 8.29 Systems Review > Flashcards

Flashcards in 8.29 Systems Review Deck (19)
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1

Difference between signs and symptoms

- Signs are objective
- Symptoms are patient reported

2

When is fatigue considered a red flag?

- interferes with daily activities
- persists for 2-4 weeks or longer

3

How might fatigue present?

- psychological
- endocrine/metabolic
- infection
- neoplasms
- sleep disturbances
- connective tissue disease

4

Definition of fever: range

99.5-101

5

If temperature reaches 103, the pt will no longer:

feel chilled or hot

6

a substance typically produced by a bacterium, that produces fever when introduced or released into the blood

pyrogen

7

Other s/s that may occur with fever

- malaise
- fatigue
- myalgias
- chills
- sweats
- tachycardia
- confusion
- delirium

8

What is a huge red flag with fever, especially in the geriatric population?

change in mentation

9

Refer pt with fever to PCP when:

- fever lasts longer than 2-3 weeks without being seen by physician
- fever is 102 or higher (immediate!)

10

What part of the brain is the thermostat?

hypothalamus

11

cycle of fever and chills

1. vasoconstriction
2. piloerection
3. epinephrine secretion
4. shivering

12

feeling like you are spinning is likely

vestibular

13

feeling like the room is spinning around you is likely

ocular

14

spinning is indicative of

vestibular issues

15

Key terms to look for with dizziness and lightheadedness

- spinning
- lightheadness
- faint
- nausea/vomiting

16

Key FUPs for dizziness/lightheadness?

- What brins on your symptoms?
- Which positions make your s/s worse?
- Any hearing loss/visual disturbances?
- Have you fallen because of your dizziness?

17

If laying down alleviates dizziness/lightheadedness, you should think (generally)

vascular (i.e. orthostatic hypotension, vertebral artery insufficiency)

18

If laying down makes the dizziness/lightheadedness worse, you should think (generally)

vestibular (i.e. BPPV)

19

Top 3 questions for dizziness/lightheadedness?

- What makes your s/s worse?
- Assess safety (walking, driving, falls)
- Assess severity

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