Do not want to miss list Flashcards
1
Q
Full list
A
- major depression
- suicide risk
- femoral head/neck fractures
- cauda equina syndrome
- cervical melopathy
- abdominal aortic aneurysm
- deep venous thrombosis
- pulmonary embolism
- atypical myocardial infarction
2
Q
Major depression disorder
A
- patient responds yes to depression screening questions
- noting 3-4 of following: significant weight loss, insomnia or hypersomnia, psychomotor agitation, fatigue, feelings of worthlessness or guilt, difficulty concentrating, recurrent thoughts of suicide
3
Q
Risk factors associated with MDD
A
- current or previous history of major depressive episodes
- women, especially during pregnancy or postpartum time
- significant medical history
> diabetes
> myocardial infarction
> cancer
> CVA
> chemical dependency - suffering significant loss
- positive family history
4
Q
Suicide risk factors
A
- gender (males = suicide completion; females = suicide attempts)
- widowed, divorced, living alone
- history of psychiatric illness
- previous suicide attempt
- history of chronic progressive illnesses
- recent significant loss
- unemployed
- sense of hopelessness
- family history of suicide completion or attempts
5
Q
Management of suicidal patients
A
- does the patient have a plan in place
- are resources related to patient’s plan readily available
> patient states they own gun
> patient has filled a
medication prescription - who should be contacted
6
Q
clinical manifestations of suicide risk
A
- “i don’t know how much longer I can take this”
- stopping therapy, with potential for continued progress
- stopping other forms of treatment
- patients expressing thoughts of death
- wishing they were dead
7
Q
femoral head/neck fractures risk factors
A
- female
- hormonal menstrual irregularites
- involvement in running, jumping, marching activites
- change in training program or routine: new activity or increased in activity intensity/change in footwear and training surface
- nutritional deficiencies
- leg length discrepancy
- diminished muscle strength
- loss of general function and mobility
8
Q
femoral head/ neck fracture clinical manifestations
A
- pain and local tenderness
- deformity
- edema
- ecchymosis
- loss of general function and mobility
30% of those suffering a hip fx die within a year
9
Q
MOI femoral head/ neck fractures
A
- trauma
- fall, slip
- sneeze
- lifting
- opening stuck window
- falling down steps
10
Q
cauda equina syndrome risk factors
A
- low back injury, central disk herniation
- congenital or acquired spinal stenosis
> degenerative disk or facet joint disease
> degenerative spondylolisthesis - spinal fracture
- ankylosing spondylitis
- tuberculosis, Pott’s disease
11
Q
clincial manifestations of cauda equina
A
- urinary dysfunction
- bowel dysfunction
- sexual dysfunction
- sensory deficits
> perineum and saddle regions
> lower extremities - motor deficits
> lower limbs
12
Q
cervical myelopathy risk factors
A
- spondylotic changes in cervical spine
- age: mid 50s to 60s and older
- previous history of neck trauma
> MVA
> sports injury - RA
13
Q
Clinical manifestations of cervical myelopathy
A
HISTORY
- impaired hand dexterity
- gait, balance difficulties
- numbness, paresthesia- extremities
- neck stiffness
- urinary dysfunction
PHYSICAL EXAM
- hand- intrinsic atrophy
- muscle weakness, often of triceps; hand intrinsic
- muscle weakness of lower extremities
- upper motor neuron signs
14
Q
AAA risk factors
A
- age
- male gender
- history of smoking
- hypercholesterol
- history of CAD
- family history of AAA
15
Q
Clinical manifestations of AAA
A
- usually asymptomatic, but may produce pain > lumbar region, back > hip and buttock > groin >abdominal region - satiety, weight loss, and nausea - palpable abdominal mass
