PC: Review of Systems lecture 3 Flashcards
(50 cards)
weight loss or gain can be indicative of
depression,cancer, dysfunction
note: 5-10% BW lost of gained unexplained
nausea and vomiting indicative of
metabolic, CV, liver dysfunction
prego
meds
increase ICP,HA, hemorrhage
dizziness and lightheadness indicative of
neurologic, CV dysfunction
DM,anxiety, psychosis
paresthesia, numbness, weakness indicative of
renal and endocrine disorder
adverse drug reactions
progressive neurologic loss
change in mentation, cognitive abilities
-delirium, dementia
-head injury
-adverse drug reactions
-infection
signs of pulmonary system
1.dyspnea
2.cough
3.clubbing of nails
4.wheezing and stridor
in hematologic system what are you looking for?
erythrocyte, leukocyte, platelet conditions
-bleeding disorder
stool color: black, tarry, shiny, sticky
upper GI bleeding
stool color: black, but not sticky
ingestion of iron and bismuth salts, black licorice, some commercial CC cookie
stool color light gray, pale
obstructive jaundice
stool color bright, blood color
lower GI bleeding
urinary system: dark
hepatic or biliary obstructive disease, acute rhabdomyolysis
urinary system: red
many GI disorders
urinary system: reddish
blood, ingestion of veg dyes, beets, use of some meds (phenazopyridine)
most common cause of joint pain
OA
inflammatory back pain
improvement w/ exercise
no improvement with rest
pain at night
age at onset 40 yrs or younger
insidious onset
4+ criteria
Ankylosing Spondylitis vs Non-Specific LBP
age
gender
pain where
rest? exercise?
non joint conditions
AS: rare LBP:common
AS: <40 yrs LBP: 35-55
male:female (3:1) male:female (1:1)
AS: autoimmune LBP: degenerative
AS: pain and stiff in hip and neck (increase with rest; decrease with activity); LBP: (referral to hip; decrease with rest or position)
AS: pain at night
AS: non-joint condition - uveitis, IBS
LBP: n/a
RA classification criteria
morning stiffness
arthritis of >3 joints
arthritis of hand joints
symmetric arthritis
rheumatoid nodules
serum rheumatoid factor
radiographic changes
serum rheumatoid factor
abnormal amts of serum rheumatoid factor determined by any method for which results have been + in <5% of normal control subjects
what is the RA criteria
4+ in pt with disease <1 yr
sensitivity 85%
specificity 90%
criteria must be present for more than or equal to 6 weeks
RA vs SLE
RA: 20-50 yrs
SLE: 15-40 yrs
RA: autoimmune thyroid disorders
SLE: infecton,sunlight or UV exposure, meds
RA: severe post rest stiffness >60mins
SLE: moderate post rest stiffness>60mins
pain at night is not
OA
RA and SLE are similar in that
- females
-+ family hx - S: increase with rest; intense
-S: decrease with short rest; mild activity
-tender at affected joints
-night pain
-progress rapid or slow
-sym varies mild - severe
when does gout peak
5 m -6th (f)decade
