Term
|
Definition
| Brief examination of the anatomy and physiology of the following systems: cardiopulmonary, integumentary, neuromuscular, musculoskeletal. Also includes examination of client affect and communication, learning style, barriers to learning. |
|
|
Term
| What is the purpose of the Systems Review |
|
Definition
| To rule in PT treatment and to identify appropriate tests and measures to use for PT treatment |
|
|
Term
|
Definition
| A screening for medical disease performed by asking specific questions about specific body systems, looking for clusters of signs and symptoms that may indicate a possible systemic problem |
|
|
Term
| What is the purpose of the Review of Systems |
|
Definition
| Rule out PT: identify if characteristics of systemic disease are present |
|
|
Term
| When might you choose to do a review of systems |
|
Definition
| Pain patterns don't fit known musculoskeletal patterns, constitutional symptoms present, pain out of proportion to injury |
|
|
Term
| What questions are answered by the systems review? |
|
Definition
| What should I do next? What do I need to look at in depth? |
|
|
Term
| What questions are answered by the review of systems |
|
Definition
| Are there signs of systemic disease that warrant referral outside PT? |
|
|
Term
| Is a Systems Review a systematic evaluation of each body system |
|
Definition
|
|
Term
| is a Review of Systems an opportunity for PT to diagnose specific pathologic disease |
|
Definition
|
|
Term
| Describe questions you might ask in a Review of Systems |
|
Definition
| Ask questions about general symptoms, those related to cancer or other relevant systems |
|
|
Term
| What are some things to ask about in a review of systems that relate to cancer |
|
Definition
| Fever/chills/sweats? Fatigue/weakness? Night pain? Unexplained weight loss? Appetite loss? Nausea and vomiting? |
|
|
Term
| What are some things to ask about in a review of systems that relate to GI, hepatic, biliary systems |
|
Definition
| Any change in eating habits? Any change in bladder/bowel? Any change in color of urine or stools? Change in frequency? Diarrhea or constibation? Bloody stool? Heartburn or constipation? Shoulder pain? Nausea/vomiting/loss of appetite? |
|
|
Term
| What does the Review of Systems look for |
|
Definition
|
|
Term
| Why should PTs perform medical screens? |
|
Definition
| Direct access. Patiens are quicker and sicker. Medical specialization. Change in status. New disclosure. WE HAVE TO ENSURE THAT PATIENTS ARE APPROPRIATE FOR PT. |
|
|
Term
| What is the difference between a medical diagnosis and a PT diagnosis? |
|
Definition
| PT diagnosis identifies the impact on function as seen at the level of the whole person. Medical diagnosis looks at the disease on a cellular level. |
|
|
Term
| Is this a PT diagnosis or a medical diagnosis? chronic postural dysfunction with associated cervical joint dysfunction |
|
Definition
|
|
Term
| Is this a PT diagnosis or a medical diagnosis? Parkinson's Disease |
|
Definition
|
|
Term
| What part of a patient examination will give you the majority of what you need to know to diagnose a patient? |
|
Definition
|
|
Term
| What are some things mentioned in a subjective exam that you should follow up on? |
|
Definition
| insidious onset, trauma, medications, comorbidities, red flags or warning signs |
|
|
Term
| what should you always finish a subjective exam with? |
|
Definition
| Is there anything else you think is important that we haven't discussed yet? |
|
|
Term
| What is the suffix for a beta blocker |
|
Definition
|
|
Term
| what is the suffix for an ACE inhibitor |
|
Definition
|
|
Term
| what is the suffix for an antihyperlipidemic |
|
Definition
|
|
Term
| what is a suffix for a glucocorticoid |
|
Definition
|
|
Term
| what are the 5 suffixes for antibacterial drugs |
|
Definition
| cillin, cycline, micin, mycin, quinolone |
|
|
Term
| what are beta blockers prescribed for |
|
Definition
|
|
Term
|
Definition
|
|
Term
| What are ACE inhibitors prescribed for |
|
Definition
| The effects of ACE inhibitors are renal vasodilation, decreased BP. Used for people with CHF. |
|
|
Term
| what are common negative side effects of beta blockers |
|
Definition
| decrease effects of epinephrine and other stress hormones, thereby decreasing normal response of BP and HR during exercise: don't use HR to monitor exertion in someone on a beta blocker |
|
|
Term
| what are common negative side effects of ACE inhibitors |
|
Definition
| Because ACE inhibitors affect the kidneys (cause renal vasodilation), there can be interactions with NSAIDs = rapid swelling = angiodema |
|
|
Term
| what are negative side effects of statins = antihyperlipidemics |
|
Definition
| myopathies. rhabdomyolysis |
|
|
Term
| what are common negative side effects of glucocorticoids |
|
Definition
| immunosuppression, osteoporosis, weight gain, growth failure, glaucoma, drug withdrawal stress |
|
|
Term
| what are general negative side effects of antibiotics |
|
Definition
|
|
Term
| what is a negative side effect associated with minocycline |
|
Definition
|
|
Term
| what is a negative side effect associated with quinolone |
|
Definition
|
|
Term
| Name the NSAIDs that start with the letter A |
|
Definition
| Aspirin, Aleve, Advil, Anaprox |
|
|
Term
| Name the 2 NSAID trade names that start with the letter C |
|
Definition
|
|
Term
| Name the 3 Cox 2 inhibitor compounds with their trade names |
|
Definition
Celecoxib = Celebrex
Rofecoxib = Vioxx
Valtecoxib = Bextra |
|
|
Term
| Do any NSAIDs start with the letter B? |
|
Definition
| Only Bextra = Cox 2 inhibitor |
|
|
Term
| Name the NSAIDs that start with the letter D |
|
Definition
| Diclofenac, Diflunisal, Dolobid |
|
|
Term
| Name the NSAIDs that start with the letter E |
|
Definition
|
|
Term
| Name the NSAIDs that start with the letter F |
|
Definition
|
|
Term
| Name the NSAIDS that start with the letter G |
|
Definition
|
|
Term
| Name the NSAIDs that start with the letter H |
|
Definition
|
|
Term
| Name the NSAIDs that start with the letter I |
|
Definition
| ibuprofen, indomethacin, indocin |
|
|
Term
| Name the NSAIDs that start with the letter J |
|
Definition
|
|
Term
| Name the NSAIDs that start with the letter K |
|
Definition
|
|
Term
| Name the NSAIDs that start with the letter L |
|
Definition
|
|
Term
| Name the NSAIDs that start with the letter M |
|
Definition
| motrin, meclofenamate, meclofen, meclomen, mefanamic acid, meoxicam, mobic |
|
|
Term
| Name the NSAIDs that start with the letter N |
|
Definition
| naproxen, naprosyn, nabumetone, nalfon |
|
|
Term
| Name the NSAIDs that start with the letter O |
|
Definition
|
|
Term
| Name the NSAIDs that start with the letter P |
|
Definition
|
|
Term
| Name the NSAIDs that start with the letter R |
|
Definition
|
|
Term
| Name the NSAIDs that start with the letter S |
|
Definition
|
|
Term
| Name the NSAIDs that start with the letter T |
|
Definition
| toradol, tolmetin, tolectin |
|
|
Term
| Name the NSAIDs that start with the letter V |
|
Definition
|
|
Term
| what are negative side effects of NSAIDs |
|
Definition
| GI gastropathy. NSAIDs are also renal vascoconstrictors, which can increase BP and peripheral edema. Patients with HTN or CHF are at risk for complications. |
|
|
Term
| why were Vioxx, Bextra recalled by FDA |
|
Definition
| increased risk of cardivacsular events |
|
|
Term
| is it good to get significant deep, bony pain relief from aspin |
|
Definition
|
|
Term
| what are symptoms of NSAID problems |
|
Definition
| upper abdominal pain, bloating, nausea, heartburn, loss of appetite, vomiting |
|
|
Term
| what are some GI meds that might be used with NSAIDs because of GI gastropathy |
|
Definition
| pepsid, tagamet, zantac, protonix, prilosec, prevacid, nexium |
|
|
Term
| what are the 4 parts of an evaluation to determine whether to make a referral |
|
Definition
1. personal/family history
2. subjective interview
3. objective exam
4. review of systems |
|
|
Term
| what might make you want to do a review of systems on a patient |
|
Definition
| red flags have come up in history, subjective, or objective exam |
|
|
Term
| what to include in patient referral to MD |
|
Definition
short eval summary
list red flags
ask for advisement
describe form of follow up
send to dr who made the refferal to you |
|
|
Term
| What are characteristics of pain? |
|
Definition
| onset, location, description, duration, intensity, frequency, pattern, aggs/eases, associated symptoms |
|
|
Term
| what are the 5 sources of pain |
|
Definition
| cutaneous, somatic, visceral, neuropathic, referred |
|
|
Term
| what are the types of pain |
|
Definition
| myofascial, joint, radicular, arterial/pleural/tracheal, gastrointestinal, pain at rest, night pain, pain with activity, diffuse pain, chronic pain |
|
|
Term
| what are causes of myofascial pain |
|
Definition
| muscle tension, muscle spasm, muscle trauma, intrinisic tissue, trigger points |
|
|
Term
| what are causes of joint pain |
|
Definition
| drug induced, IBD, arthritis |
|
|
Term
| what are the 5 types of pain patterns |
|
Definition
| vascular, neurogenic, musculoskeletal, visceral, emotional |
|
|
Term
| why does organ pain often refer elsewhere? |
|
Definition
embryologic development: tissues were formed at the same time in utero
Multisegmental innervation: same innervation
Direct pressure: encroachment on other structures
|
|
|
Term
| why do organ problems often go unnoticed |
|
Definition
| there are not many nerve receptors in visceral tissue. You might not know that the organ is inflamed until it stretches the sensitive organ capsule or impinges nearby structures. |
|
|
Term
| what are some ways to detect visceral problems early |
|
Definition
| Raul, constitutional signs |
|
|
Term
|
Definition
|
|
Term
| what are the key elements of an objective medical screen |
|
Definition
| mental status, nutritional signs, vital signs, inspection, palpation, percussion, auscultation, skin, nail beds, lymph nodes, neuro including cranial nerves |
|
|
Term
| what are the contents of the right upper quadrant |
|
Definition
| liver, gallbladder, kidney, small and large intestine |
|
|
Term
| what are the contents of the right lower quadrant |
|
Definition
| large intestine, appendix, small intestine |
|
|
Term
| what are the contents of the left upper quadrant |
|
Definition
| stomach, spleen, pancreas, small intestine, kidney, large intestine |
|
|
Term
| what are the contents of the left lower quadrant |
|
Definition
| large intestine, small intestine |
|
|
Term
| what is the order of things in a medical screen of the abdomen? |
|
Definition
| inspection, ausculatation, percussion, palpation |
|
|
Term
| should you palpate a transplanted organ, enlarged spleen, or known aortic aneurysm? |
|
Definition
|
|
Term
| what are characteristics of a tension headache |
|
Definition
| bilateral. more common in females. associated with muscle tension, tender points, anxiety. |
|
|
Term
| what type of headache has an aura |
|
Definition
| migraine. MAYBE cervicogenic, but not typically. |
|
|
Term
| what are characteristics of a cervicogenic headache |
|
Definition
| unilateral, slightly more common in females. average age of onset 33. not reponsive to migraine medications. neck pain. decreased neck ROM. weak deep neck flexors. pain in posterior head/neck. |
|
|
Term
| what are tests to do to determine if someone has a cervicogenic headache |
|
Definition
| cervical flexion test, flexion rotation test |
|
|
Term
| what are characteristics of a migraine headache |
|
Definition
| 50% unilateral, more common in females, average age of onset 18, responsive to migraine medications, rarely neck involved, anterior head, aura, nausea, photo/phonophobia, pain with bending forward |
|
|
Term
| what type of headache is more common in men |
|
Definition
|
|
Term
| what is a cluster headache |
|
Definition
| at least 5 severe or very severe unilateral orbital, supraorbital, and/or temporal pain lasting 15-180 minutes accompanied by ipsilateral facial, nasal, or ocular signs |
|
|
Term
| how frequent are cluster headaches |
|
Definition
|
|
Term
| what are some common medical differential diagnoses of headaches |
|
Definition
| temporal arteritis, trigeminal neuralgia, meningitis, encephalitis, cervical spine disease, medication side effects, stroke, tumor, subdural hematoma, aneurysm, TMJ, structural lesion: chiari malformation, os odontoideum, trauma, klippel feil |
|
|
Term
| what are headache warning signs |
|
Definition
| constitutional signs, history of trauma, stiff neck, jaw claudication, scalp sensitivity, visual changes, throbbing, sudden worsening, temporal artery tenderness, cocaine use, night/waking, worst headache, constant, new onset especially late in life, pregnant, neurological changes, bilateral or quadrilateral symptoms |
|
|
Term
| what are risk factors of vertebrobasilar insufficiency |
|
Definition
| age >65, diabetes, alcoholism, smoking, heart disease |
|
|
Term
| what are warning signs of vertebrobasilar insufficiency |
|
Definition
| neck pain, vertigo, visual changes, headache, syncope, swallowing, speech, balance |
|
|
Term
| how to test for vertebrobasilar insufficiency |
|
Definition
| go to end range rotation. do passive extension IF no symptoms with rotation. |
|
|
Term
| what system is VBI a problem with? |
|
Definition
|
|
Term
| what system is BPPV a problem with? |
|
Definition
|
|
Term
| what are the differences between VBI and BPPV |
|
Definition
VBI: symptoms persist > 1 minute, carotid bruits, neck pain, visual changes, neurological changes
BPPV: symptoms brief < 1 minute, no related neck pain or carotid bruits |
|
|
Term
| what is the purpose of the transverse ligament? |
|
Definition
| to prevent posterior to anterior translation of C1 on C2 |
|
|
Term
| when might you do upper cervical ligament testing |
|
Definition
| as differential diagnosis for HA, before doing cervical mobilization, if the patient is likely to have instability because of prevalence for their disease, if they show signs of instability |
|
|
Term
|
Definition
|
|
Term
| what diseases have instability prevalence |
|
Definition
| Down's Syndrome, Klippel-Feil, Os Odontoideum, Trauma |
|
|
Term
| what are some signs of instability of upper cervical spine |
|
Definition
| LOB, clumsiness, parasthesias of face and limbs, nystagmus, hyperreflexia, clunk |
|
|
Term
| what is the first test for upper cervical instability to do |
|
Definition
|
|
Term
| How to do Sharp Purser test |
|
Definition
| Patient is seated. PT blocks C2 spinous process with one hand. Patient flexes head 35 deg. PT pushes Anterior to Posterior on forehead. Should be a blocked/firm ending if transverse ligament is intact. |
|
|
Term
| what is the stress test of the transverse ligament (how do you do it?) |
|
Definition
| Patient is supine. PT picks up their head by cradling the occiput. should be a hard end feel. + test is sensation of lump in the throat. |
|
|
Term
| How to do the stress test of the alar ligament |
|
Definition
| PT stands on side of patient and holds C2 between thumb and forefinger. Sidebend head away from thumb. Normal = bump of C2 running into thumb. |
|
|
Term
| when would you refer someone after a head and neck screen |
|
Definition
| insidious symptom onset, inability to reproduce symptoms, night/waking pain, no response to treatment, painful/red eye, abnormal thyroid, vasovertebral insufficiency, upper cervical instability, temporal arteritis, neurologic changes, mentation changes, cluster HA, migraine HA |
|
|
Term
| what is the CAUTION of cancer warning signs |
|
Definition
Change in Bowel or Bladder
A sore that doesn't heal
Unusual bleeding or discharge
Thickening or lump
Indigestion or swallowing difficulty
Obvious change in a wart or mole
Nagging cough or hoarsness
|
|
|
Term
| what are cancer warning signs besides the CAUTION signs |
|
Definition
| constitutional signs/symptoms, night pain, constant pain, intense pain, bone pain, unexplained weight loss, fatigue, loss of appetite, proximal muscle weakness |
|
|
Term
| what are risk factors for cancer |
|
Definition
| personal history, family history, age 5-25 years (primary), age 50-80 years (metastatic), obesity, smoking, exposure, race, low SE status, no medical care/prevention, post menopausal, never pregnant, infertility, early menopause, early first intercourse, hx of STD, childhood sexual abuse, multiple sexual partners |
|
|
Term
| what are common locations of metastases |
|
Definition
| lymph nodes, liver, lung, bone, brain |
|
|
Term
| what are common locations of boney metastases |
|
Definition
| vertebra, pelvis, ribs, skull, femur |
|
|
Term
| what is pelvic inflammatory disease? |
|
Definition
| any inflammatory condition of the female reproductive organs - can be due to STD, post birth/abortion infection. |
|
|
Term
| what are symptoms of PID? |
|
Definition
| vague pelvic symptoms. positive psoas sign |
|
|
Term
| what are risk factors for PID? |
|
Definition
| multiple sexual partners, untreated STD, women 15-25, young age of first intercourse |
|
|
Term
|
Definition
| painful urination, constitutional symptoms |
|
|
Term
| what is/causes endocarditis |
|
Definition
|
|
Term
|
Definition
| LBP due to sepsis/abscess, cardiac/constitutional signs, |
|
|
Term
| risk factors of endocarditis |
|
Definition
| history of infection, mitral valve dysfunction, dental work, IV drugs |
|
|
Term
| what is a psoas abscess indicative of |
|
Definition
| any "itis" below the diaphragm |
|
|
Term
|
Definition
|
|
Term
| symptoms of osteomyelitis |
|
Definition
| local boney findings + constitutional symptoms |
|
|
Term
| what does WBC > 10,000 indicate |
|
Definition
|
|
Term
| what should you do if there is a pain of unknown cause |
|
Definition
|
|
Term
| what is the innervation of gynecologic region/organs |
|
Definition
|
|
Term
| what are problems that arise from pelvic floor |
|
Definition
| tension, myalgia, incontinence, prolapse |
|
|
Term
| risk factors for pelvic floor dysfunction |
|
Definition
| chronic cough, obesity, constipation, multiparity, complicated/long labor and delivery |
|
|
Term
|
Definition
| downward displacement of pelvic organs |
|
|
Term
| signs/symptoms of uterine prolapse |
|
Definition
| LBP, cramps, suprapubic pain, decreased pain with rest, increased pain with standing/coughing/sex/walking/bearing down |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| what are risk factors of cystocele and rectocele |
|
Definition
| multiparity, postmenopausal hormone deficiency, obesity, poor fitness, chronic cough, constipation |
|
|
Term
|
Definition
| uterine tissue elsewhere in the abdominal cavity that froms adhesions. causes menstrual pain that progresses to constant pain |
|
|
Term
| what are risk factors for endometriosis |
|
Definition
| women of childbearing age, infertility |
|
|
Term
| what are signs/symptoms of ectopic pregnancy |
|
Definition
| spotting and cramping after missed period. LBP. abdominal pain. shoulder pain esp. on the left (Kehr's sign.) |
|
|
Term
| risk factors for ectopic pregnancy |
|
Definition
| tubal ligation, IUD, STD, infertility treatment, gynecologic surgery |
|
|
Term
| what are risk factors for uterine cancer |
|
Definition
|
|
Term
| what are risk factors for ovarian cancer |
|
Definition
| over 55. early, multiple pregnancies. |
|
|
Term
| what are risk factors for cervical cancer |
|
Definition
| HPV, STDs, early intercourse |
|
|
Term
| if a woman is having pelvic symptoms, what should you do |
|
Definition
| refer her for a complete physical exam including internal pelvic exam if she has not had one recently. |
|
|
Term
| what are guidelines for PAP |
|
Definition
| within first 3 years of intercourse or no later than 21 |
|
|
Term
| what is the innervation of the urogenital system |
|
Definition
|
|
Term
| what is the 2nd most common cancer |
|
Definition
|
|
Term
| what are risk factors for prostate cancer |
|
Definition
|
|
Term
| what are signs/symptoms of prostate cancer |
|
Definition
|
|
Term
| what is the common age for testicular cancer |
|
Definition
|
|
Term
| how to test for kidney disorders |
|
Definition
| percussion, look for distinct pain pattern |
|
|
Term
| these index cards don't have information from kidney disorders pg 3 to SIJ pain patterns pg 5 |
|
Definition
|
|
Term
| what system does pain from SI to flank indicate? |
|
Definition
|
|
Term
| what system does pain from SI to buttock indicate? |
|
Definition
|
|
Term
| what are causes for immediate referral based on SIJ, sacrum, and pelvic screening? |
|
Definition
| fracture, infection, ectopic pregnancy |
|
|
Term
| you are totally killing it! way to go, girl! |
|
Definition
|
|
Term
| what are reasons for routine referral based on SIJ, sacrum, and pelvic screening |
|
Definition
| bloody stool, undiagnosed hernia, suspected cancer, back pain unrelieved by rest or position change, women >21 without routine pap smear, men > 60 with LBP without routine physical |
|
|
Term
| read from the book about categories within the review of systems |
|
Definition
|
|
Term
| risk factors for pimary bone cancer |
|
Definition
| <20, aspirin relief, night pain, deep ache, weightbearing pain, lump, swelling, fracture risk |
|
|
Term
| what are risk factors for recurrent metastatic bone cancer |
|
Definition
| > 50, night pain, painless neurological deficits in LEs, more common in breast, lung, prostate, colon, spinal cord tumors |
|
|
Term
| what is the primary cancer of the lymph system |
|
Definition
| hodgkin's disease/lymphoma |
|
|
Term
| risk factors for infectious/inflammatory cause of LE pain |
|
Definition
| history of rheumatologic disease, dental work, reactive arthritis, STDs, joint replacement |
|
|
Term
| what are risk factors for GI infection causes of LE pain |
|
Definition
| history of bowel disease, GI cancer, Crohn's Disease, ulcerative colitis, or presence of LBP and abdominal pain |
|
|
Term
| can urologic infections cause LE pain? |
|
Definition
|
|
Term
| what are vascular causes of LE pain |
|
Definition
| DVT, vascular and neurogenic claudication, CHF, chronic venous insufficiency |
|
|
Term
| what are signs/symptoms of chronic venous insufficiency |
|
Definition
| bilateral pitting edema, varicosities, history of heart disease, high blood pressure |
|
|
Term
| thrombocytopenia is a condition of low what? |
|
Definition
|
|
Term
| what age kid gets Legg Calve Perthes? |
|
Definition
|
|
Term
| what is Legg Calve Perthes? |
|
Definition
|
|
Term
| what are risk factors for DVT? |
|
Definition
Wells' Clinical Decision Rule for DVT
Active Cancer within 6 mos +1
LE paralysis/immobility +1
Pain posterior calf or anterior groin +1
Bed rest > 3 months or Major surgery < 1 month +1
entire leg swelling +1
3cm girth to contralateral +1
unilateral pitting edema +1
superficial collateral veins +1
alternative dx more likely -2
-2 to 0 = low risk DVT
1-2 = moderate risk DVT
3 or > high risk DVT |
|
|
Term
| Describe vascular claudication |
|
Definition
Caused by poor blood circulation
Usually bilateral
No dysthesia
decreased pulses
color/skin changes
cold limb
normal DTRs
pain in all spinal positions
brought on by exertion
relieved promptly by rest
history of heart disease |
|
|
Term
| Describe Neurogenic Claudication |
|
Definition
caused by spinal stenosis/nerve compression
bilateral or unilateral
burning, dysthesia
normal pulses
normal skin
decreased DTRs
+SLR, sciatica
brought on by extension
relieved by flexion (often not immediate relief) |
|
|
Term
| what is a test to differentiate vascular and neurogenic claudication |
|
Definition
| van Gelderen Bicycle Test |
|
|
Term
| How to do the van Gelderen Bicycle Test |
|
Definition
1. Palpate distal pulses at rest
2. Aerobic biking in spinal flexion until symptoms reproduced
3. Recheck distal pluses.
+ for vascular claudication if symptoms reproduced, especially with diminished pulses |
|
|
Term
| what is the capsular pattern of the hip |
|
Definition
|
|
Term
| what does a positive sign of the buttock indicat |
|
Definition
| serious hip pathology: refer |
|
|
Term
| what is the sign of the buttock composed of |
|
Definition
limited hip and knee flexion
limited SLR
non-capsular pattern at hip |
|
|
Term
| what are lower quarter warning signs |
|
Definition
Age < 20 or > 50
+ related systemic
review of systems (put them on WB restrictions!!!)
trauma
alcoholism
immunosuppression
jt replacement
painful loading
sign of the buttock |
|
|
Term
| what are the 4 Fs for gall bladder problems? |
|
Definition
| female, fat, flatulent, forty |
|
|
Term
| what are lower quarter urgent signs |
|
Definition
bone pain with loading and + fracture signs (Immediate WB restrict)
lymph node enlargement
abdominal symptoms
hip, groin, low back +
bone pain, night pain, aspirin relief, young person (immeidate WB restrict)
infection (immediate WB restrict)
suspicion of thrombocytopenia |
|
|
Term
| what are guidelines for lower quarter recommended referral |
|
Definition
| joint replacement complicatoins |
|
|
Term
| what are the 3 P's to rule out MI? |
|
Definition
pleural: is pain reproduced with deep breathing? if yes, pulmonary system is the likely source
Palpation: You can't reproduce cardiovascular pain with palpation
Position: position doesn't change cardiovascular pain, but rest might. |
|
|
Term
| what is the first task with chest pain? |
|
Definition
| determine cardiac vs not cardiac |
|
|
Term
| can ankylosing spondylosis affect the shoulder? |
|
Definition
| ankylosing spondylosis most commonly affects the SIJ and spine but can also affect larger joints of hip and shoulder |
|
|
Term
| what is Kehr's sign and what might it indicate? |
|
Definition
| left shoulder pain: ectopic pregnancy, slpeenomegaly |
|
|
Term
|
Definition
| kidney stones. pain comes in waves with renal peristalsis |
|
|
Term
| how are pulses affected by arterial insufficiencies |
|
Definition
|
|
Term
| what is the color of body part with arterial insufficiency |
|
Definition
|
|
Term
| what is the temperature of body part with arterial insufficiency |
|
Definition
|
|
Term
| is there edema of body part with arterial insufficiency |
|
Definition
|
|
Term
| describe skin of body part with arterial insufficiency |
|
Definition
| shiny, thin, hairless, distal ulcers |
|
|
Term
| describe sensation of body part with arterial insufficiency |
|
Definition
| pain with exercise and elevation. feels better with dangling. |
|
|
Term
| describe pulses of body part with venous insufficiency |
|
Definition
|
|
Term
| describe color of body part with venous insufficiency |
|
Definition
|
|
Term
| describe temperature of body part with venous insufficiency |
|
Definition
|
|
Term
| is there edema of body part with venous insufficiency |
|
Definition
|
|
Term
| describe skin of body part with venous insufficiency |
|
Definition
| discolored, scaly, ulcers throughout (not just distal), varicosities |
|
|
Term
| describe sensation of someone with venous insufficiency |
|
Definition
| pain with static posture, relieved with compression and elevation |
|
|
Term
| what is a test for clubbing |
|
Definition
|
|
Term
| what are palmar xanthomas |
|
Definition
| lipid deposits on palms of hands caused by high cholesterol and diabetes |
|
|
Term
| what are causes of finger and toenail clubbing |
|
Definition
| Crohn's, cardiac/cyanosis, lung cancer/hypoxia/cystic fibrosis, ulcerative colitis, biliary cirrhosis, present at birth, neoplasm, GI involvement |
|
|
Term
|
Definition
| chemotherapy, malnutrition |
|
|
Term
|
Definition
| white nails caused by decrease in vascularity, hepatic, cardiac, diabetes, malnutrition |
|
|
Term
| what do spoon nails indicate |
|
Definition
| iron deficiency, thyroid problems, syphilis |
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