Diff DX - Physician Referral Flashcards Preview

Question 1

1

Cardiovascular Signs for Physician Referral

Answer

when pt has a combination of systemic s/s at presentation
women with chest or breast pain who have a +family history of breast cancer or heart disease
palpitation in any person with history of sudden death, more than 6 episodes in a min, or lasting several hours w/ s/s of pain, SOB, fainting, light headedness
anyone who cannot climb a single flight of stairs without feeling moderately winded (dyspnea) or awakens at night (PND) or experiences SOB when laying down (orthopnea)
a pt who is neurologically unstable as a result of recent CVA/TBI/SCI etc that experiences new arrhythmia

Question 2

2

Answer

Question 3

3

Answer

Age>50
Previous h/o CA or bilateral carpal tunnel syndrome, joint pain of unknown rheumatic cause
Anyone with back, pelvic, groin, or hip pain accompanied by abdominal complaint, palpable mass
Recent weight loss of 10% of total body weight within 2 weeks
Shoulder, back, hip, pelvic sacral pain accompanied by changes in b/b
Hip or groin pain reproduced by heel strike, hopping test or translation/rotational stress
Intense pain at night (7 or higher)
Signs of nerve root compression
Onset of new neurological deficits
Growing mass (p!ful or p!less) that continues to grow in size
disproportionate relief of pain from aspirin

Question 4

4

Answer

Women

any woman with chest, breast, axillary, or shoulder pain of unknown cause especially over the age of 40
Prolonged or excessive menstrual bleeding or breakthrough bleeding

Men

Any man with hip, groin, SI or additional presence of sciatica with previous history or prostate cancer