Red Flags Flashcards
1
Q
PMH
A
- personal/family Hx of cancer
- recent infection (especially followed by neuro symtpoms)
- recurrent colds/flu
- Hx of recent trauma
- Hx of immunosuppression
- Hx of injection drug use
2
Q
Risk Factors
A
- substance abuse, tobacco, alcohol
- old/young age, gender specific
- high/low BMI
- radiation exposure
- race/ethnicity
- domestic violence
3
Q
Clinical Presentation 1
A
- insidious onset
- symptoms not improved by PT
- significant weight loss/gain without effort
- gradual, progressive, cyclical presentation of S/S
- unrelieved by rest or change in position
4
Q
Clinical Presentation 2
A
- if self-cope means no longer work
- symptoms out of proportion to injury
- symptoms persist beyond expected healing
- unable to alter symptoms during exam
- does not fit expected pattern
5
Q
Clinical Presentation 3
A
- no discernible pattern of symptoms
- a continually growing mass
- postmenopausal vaginal bleeding
- change in muscle tone
- bilateral symptoms
6
Q
Pain Patterns 1
A
- back or shoulder pain
- pain with and painless ROM
- pain not consistent with emotional or psychological overlay
- Night pain
- constant and intense pain
7
Q
Pain Patterns 2
A
- pain made worse by activity and relieved by rest
- throbbing knifelike, boring, deep ache pains
- poorly localized pain
- pain with S/S of viscera or systemic involvement
- change with MS symptoms with food intake
8
Q
Associated Signs and Symptoms
A
- recent signs of confusion with infection\
- presence of constitutional symptoms
- proximal weakness w/ DTR changes
- joint pain w/ skin rashes
- cluster of S/S
- unusual menstrual cycle/symptoms
9
Q
Immediate Referrals
A
- angina pain not relieved in 20 minutes
- angina w/ nausea, vomiting, sweating
- Bowel/bladder incontinence, saddle anesthesia
- inadequate ventilation or CO2 retention
- positive McBurney’s point or rebound tenderness
- sudden worsening of intermittent claudication
- throbbing chest, back, abdominal pain increases w/ exertion
- changes in size, shape, tenderness of lymph nodes
10
Q
Referrals for General Systemic
A
- unknown cause
- lack of significant NMS S/S
- lack of progress in PT
- changes in health status persist 7-10 days beyond
- jaundiced who isn’t diagnosed or in treatment
11
Q
Referrals for Women
A
- symptoms correlated with menses
- uterine bleeding after menopause
- vaginal bleed or elevated BP during pregnancy
- low back, hip, pelvic, groin, or SI symptoms w/o known etiologic basis
12
Q
Referrals related to Vitals
A
- persistent rise/fall of BP
- BP rise in women taking birth control
- pulse increase 20 bpm in 3 minutes
- difference in pulse pressure of more than 40 mmHg
- persistent low grade fever
- any unexplained fever
13
Q
Referrals for Cardiac Functioning
A
- more than 3 sublingual nitroglycerine to relieve angina
- severe chest pain
- angina pain radiates to jaw/left arm
- upper back feel abnormally cool, sweaty, moist
- palpitation in person with Hx of sudden death in family
- new arrhythmias following CVA
- unable to climb 1 flight of stairs
- worsening dyspnea w/ cardiac involvement
- syncope without warning
14
Q
Referrals for Cancer
A
- CAUTIONS mnemonic for early warning signs
- soft tissue lumps that persist or grow
- women presenting with unknown chest, breast, axillary, or shoulder pain
- man with pelvic, groin, SI, low pack pain with history of prostate cancer
- new onset acute back pain
- bone pain, especially WB persisting 1 week
15
Q
Referrals for Pulmonary
A
- shoulder pain aggravated by respiratory movements
- shoulder pain aggravated by supine positioning
- shoulder or chest pain subsides w/ lying on painful side
- weak or rapid pulse accompanied by fall in BP
