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Definition
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Definition
| low-up abs/same side lumbar |
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Definition
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Definition
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Definition
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Definition
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Definition
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Definition
| right abs and tspine/ inf scapula |
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Definition
| right mid-low abs/tspine/right c spine |
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Definition
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Definition
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Definition
| up sacral/suprapubic/left low quadrant |
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Definition
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Definition
| ant cspine/up tspine/ left UE |
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Definition
P=pain provocation or palliation
Q= quality of pain
R= region or radiation
S= severity
T= timing |
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Term
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Definition
Patient profile
Location and description of symptoms
Symptom behavior – 24 hr report
Symptom history
Medical history
Review of systems |
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Term
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Definition
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Term
| Unexplained weight change, especially loss of body weight of >5% in 4 weeks: |
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Definition
● Gastrointestinal disorder (cancer or ulcer)
● Diabetes
● Hyperthyroidism
● Adrenal insufficiency
● Infections
● Depression |
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Term
| Malaise, fatigue, or loss of energy. These are common complaints, especially with longstanding problems, but might indicate: |
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Definition
● Infections
● Depression
● Hyperthyroidism
● Dibatetes
● Cancer
● Rheumatoid arthritis
● Anemia |
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Term
| 4. Nausea and/or vomiting imply gastrointestinal involvement but may also denote: |
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Definition
● Pregnancy
● Cancer
● Side-effects from medications |
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Definition
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| Numbness and/ or Weakness: |
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Definition
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| Syncope, dizziness and lightheadedness all indicate disturbed blood flow to the brain |
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Definition
● Cardiovascular disease
● Hypoglycemia |
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Definition
● Cardiovascular system
● Pulmonary systems |
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Term
| 12-14. Dysuria, changes in urinary frequency and sexual dysfunction |
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Definition
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Term
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Definition
● Chest
● Left or right shoulder girdle or upper extremity
● Mid thoracic
● Epigastric regions. |
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Term
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Definition
● Left or right shoulder girdle
● Thorax, to thoracolumbar junction
● Unresolved/ atypical thoracic outlet syndrome with history of cancer
● Significant risk of lung cancer
● Horner’s syndrome. This is a condition that involves a number of symptoms, from dropping eyelid (ptosis) to lack of sweating on one side of the face, as well as asymmetric pupil size. It is seen as a result injury the cervical spine, but could also indicate a Pancoast tumour |
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Term
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Definition
● Pain related to the upper gastrointestinal system: abdominal (epigastric), thoracic, and shoulder girdle pain
● Pain related to the lower gastrointestinal system: abdominal (umbilical/hypogastric), lumbar, and pelvic
● Long term use of NSAIDs, corticosteroids, narcotics |
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Term
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Definition
● History of serious urogenital disease or disorder
● Pain: Flank, lumbar, pelvic |
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Term
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Definition
● Possibly palpating lymph nodes is not something you do on a regular basis. Admittedly they are not easy to find in normal individuals. If you do find suspicious lymph nodes this finding may indicate neoplasm or an infection. Note the following:
● Normal nodes can be up to 1cm in size
● Fixed or immobile nodes raise concern
● Nodes should not be tender - absence of tenderness still does not exclude malignancy
● Normal node are generally soft or firm in consistency |
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Term
| Palpating for an Aortic Aneurysm |
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Definition
● Most often found caudal to the renal arteries
● Evidenced by a prominent pulsation within a confined area
● If the palpable pulse is wider than 2-3 inches, be concerned
● Auscultation: bruit |
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Term
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Definition
We test for deep tendon reflexes using a 0-4 scale:
0+ is absent response
1+ a decreased response
2+ normal
3+ a brisk response
4+ a very brisk |
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