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Differential Diagnosis > 1] Review Of Systems And Physical Screening Exam > Flashcards

1] Review Of Systems And Physical Screening Exam Flashcards

1
Q

Purpose of the review of systems

A

Identify characteristics of associated signs and symptoms

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2
Q

The systematic review utilizes what?

A

Physical assessment for diseases of each system

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3
Q

General health checklist

9 things

A 
Fever/chills
Appetite
Fatigue 
Weight loss/gain
Vitals
Insomnia 
Irritable 
Voice changes
Falls/dizzy
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4
Q

What is a constitutional disease

A

Disease that affects the entire body rather than a specific part

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5
Q

Red flag for fever, chills or sweating

A

More than 99.5 degrees or more than 2.3 deg higher than their normal

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6
Q

Red flag for tiredness when

A

Impedes ability to perform normal ADL and IADL and it lasts for more than 2 weeks

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7
Q

What kind of symptom is malaise?

A

Constitutional

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8
Q

Malaise is defined as?

A

Discomfort, uneasiness or indisposition often indicates infection; feeling that something isnt right

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9
Q

Paraesthesia is ?

A

Numbness

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10
Q

Unusual neuro symptoms for MSK patients (3)

A

Severe sensory change
Bilateral extremity deficits
Gait/balance issues

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11
Q

3 things you are screening for during a physical exam

A

Signs and Sx that mimic the disease condition
Conditions that impact NMS conditions
Occult disease

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12
Q

5 vital signs

A 
HR
BP
RR
Temperature 
Pain
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13
Q

Additional vital signs

A

Level of consciousness
Level of physical activity
Walking speed = 6th vital sign

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14
Q

Normal BMI

A

18.5 - 24.9

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15
Q

Less than 15 BMI

A

Very Severe underweight

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16
Q

15 - 15.9 BMI

A

Severe underweight

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17
Q

16 - 18.4 BMI

A

Underweight

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18
Q

25 - 29.9 BMI

A

Overweight

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19
Q

30 - 34.9 BMI

A

Obesity class I

20
Q

35 - 39.9 BMI

A

Obesity class II

21
Q

More than 40 BMI

A

Obesity class III

22
Q

Cut off waist circumference for women and men

A 
Women = 35 inches
Men = 40 inches
23
Q

Finger clubbing is a sign of?

A

Oxygen deprivation and possibly cancer

24
Q

Edema is defined as

A

Excess fluid in tissues

25
Q

Malignant melanoma ABCDE characteristics

A 
A = asymmetrical shape
B = border irregular
C = color changes
D = diameter
E = evolving
26
Q

Small, purplish, hemorrhagic spots on the skin that appear in certain severe fevers and are indicative of great prostration, as in typhus. They may be due to an abnormality of the blood-clotting mechanism.

A

Petechiae

27
Q

A bruise is aka

A

Ecchymosis

28
Q

Size of abnormal lymph nodes

A

More than 1 cm big

29
Q

Lymph node vs trigger point

A

With a lymph node, when you contract, it wont change

30
Q

LUQ contents

A 
Spleen
Stomach
Pancreas
L kidney and adrenal gland
L ureter
Transverse colon
Small intestine
31
Q

RUQ contents

A 
Liver
Gallbladder
Ascending and transverse colon
Duodenum 
Pancreas
Small intestine
R kidney and adrenal gland
R ureter
32
Q

LLQ contents

A

Left: kidney, ureter, ovary, spermatic cord,

Sigmoid colon

33
Q

RLQ contents

A

Appendix
Ascending colon
R: kidney, ureter, ovary, spermatic cord

34
Q

Dull sounds of abdominal percussion

A

Solid organ
Feces
Mass

35
Q

Tympanic sounds of abdominal percussion

A

Hollow organ

Gas

36
Q

Rebound tenderness is?

A

Increased Sx when you let off palpation

37
Q

Appendicitis

- rebound tenderness

A

RLQ

+ pain on withdrawal

38
Q

Special tests: appendicitis

Rovsings sign

A

LLQ

+ pain at RLQ

39
Q

Pinch an inch test for appendicitis

A

McBurney’s point

+ pain with release

40
Q

What is Murphy’s sign

A

For cholecystitis; you hook fingers under lower R costal border, ask them to take a deep breath in; palpate liver

41
Q

AAA has mortality rate of?

A

90%

42
Q

Signs of AAA

A

Pulsatilla mass
Abdominal bruit
Femoral bruit
Femoral pulse deficit

43
Q

Risk factors for AAA

A

More than 60 years old
HTN
Smoking
Family history

44
Q

Normal width of palpable pulse

A

2-3 cm or 1 inch

45
Q

Do not palpate for AAA where and why

A

Below umbilicus b/c thats where aortic bifurcation is

46
Q

Special test for kidneys

A

Murphys percussion test for rib tenderness

47
Q

Kidneys are around what region

A

T12 - L3

Differential Diagnosis (7 decks)

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