Red Flags: Systemic Origin

Question 1

PMH

Answer 1

Personal/family Hx of Cancer

Recent infection when followed by neurological, joint or back pain

Recent Hx of trauma

Hx of immunosuppression

Hx of drug use: injection

Question 2

Risk Factors : Systemic Disease

Answer 2

Substance abuse: alcohol, drug, or tobacco
Age
Gender
BMI
Exposure to radiation
Race/Ethnicity
Sedentary lifestyle
Domestic violence
Hysterectomy
Occupation

Question 3

Clinical Presentation: Systemic Disease

Answer 3

> Insidious onset/unknown etiology
Sx not improved or relieved by physical therapy
Significant weight loss or gain without attempting to lose or gain
Gradual, progressive, or cyclical presentation of Sx
Sx that are unrelieved by rest or change of position
Sx persisting beyond expected time of condition
Sx do not fit typical neuromuscular or musculoskeletal pattern

Question 4

Clinical Presentation: Systemic Disease cont.

Answer 4

> Growing mass or a hematoma that is not decreasing in size
Postmenopausal bleeding
Bilateral Sx such as edema, numbness, tingling, clubbing, nail bed changes, skin rash, or pigment changes
Change in muscle tone or ROM in those with neurological conditions

Question 5

Pain Pattern: Systemic Disease

Answer 5

Pain w/ ROM

Pain not consistent with psychological overlay

Throbbing or deep, aching pain

Poorly localized pain

Pain that comes and goes like spasms

Pain associated with S&S relating to certain viscera or system: GI, GU, cardiac, pulmonary

Change of pain with food intake

Question 6

Associated S&S: Systemic Origin

Answer 6

Unusual menstrual cycle or Sx

Presence of unusual/abnormal vital signs

Proximal muscle weakness and/or DTRs

Change in mental status including confusion

Joint pain with skin rashes