Week 1.3 Chief Complaint by Symptoms Flashcards
(27 cards)
what are some locations of symptoms for joint pain
lumbar region
first MTP
medial aspect of the knee
upper limb
what are some natures of complaints
gout, OA, RA, ankylosing spondy, systemic lupus, reactive arthritis, septic arthritis
why is it important to know how many joints are involved
to know what kind of condition we are dealing with (OA/RA vs, gout)
what are some conditions associated with monoarticular pain
OA, gout, psoriatic arthritis, septic arthritis
what are some conditions associated with poliarticular
RA, juvénile RA, psoriatic arthritis, systemic lupus, ankylosis spondy, reactive arthritis
what 3 joints are not usually involved in OA
TMJ, elbow, wrist.
what levels of the C-spine are typically affected by OA
usually C5-6, C6-7
what levels of the C-spine are typically associated with RA
the whole C-spine, with upper cervical spine instability.
what are some systemic complaints associated with RA
dry eye and mouth, reactive lymphadenopathy, intermittent hoarseness, pleural effusion and fibrosis, pericardial effusions, enlarged spleen, amyloidosis, mononeuropathy, peripheral neuropathy, neutropenia, anemia, thrombocytosis, necrotizing vasculitis, cutaneous vasculitis,
what are some conditions associated with non-joint limb pain
hypothyroidism lyme polymyalgia rheumatica satin related myopathies vascular and neurogenic claudication tibial stress reaction injury DVT compartment syndrome.
what are some symptoms associated with hypothyroidism
myalgia, pain, stiffness, slow and steady weight gain,
what is polymyalgia rheumatica
pain and stiffness in the shoulder girdle, pelvic and thigh region, and bilateral and symmetrical. The arm, hand and wrist may also be involved. you have morning stiffness for an hour or longer, and you have difficulty with bed mobility, transitions, and ambulation.
how many people over the age of 60 have dizziness
20-30 percent
what are some causes of dizziness
vestibular, cardiovascular, craniovertebral junction disorders, neurologic, psychiatric
what are some associated complaints with dizziness
hearing loss, tinnitus, aural pressure, CNS or cerebellar signs.
what are emergency situations with dizziness
inter cranial bleeds, and cardiac arrhythmia.
disequilibrium clinical manifestations are characterized by impaired
walking, hearing, vision.
what is the history of cardinals signs
bilateral or quadrilateral limb paresthesias
perioral lip numbness,
nystagmus
drop attacks
what are some fracture tests
- Canadian c-spine rules
- gross loss of active or passive ROM
- observation of mastic or facial ecchymosis
- light cranial compression is painful
- abnormal end feel ligamentous
- painful and weak on restricted isometric contraction
- tuning fork (pain with vibration)
what are the CN tests
- olfactory
- optic
3, 4, 6. oculomotor, trochlear, abducens - trigeminal
- facial
- vestibulocochlear
9, 10. glossopharyngeal, vagus - accessory
- hypoglossal
what tests do you use for sensation
light touch, pain, temperature
what tests do you use for mechanoreception
conscious proprioception, vibration, stereognosis
what tests do you use for motor
strength, spasticity, DTR, clonus
what tests do you use for nocioceptive reflex
babinski, Oppenheimer, Hoffman
