1A Flashcards
nine DEADLY conditions
- depression
- suicidal
- cervical myelopathy
- cauda equina
- AAA
- DVT
- PE
- femoral head/neck fx
- atypical MI
risk factors for depression
Current or PMH of depression
Female (especially during pregnancy or post-partum)
Hx of DM, MI, cancer, CVA, chemical dependency
Significant loss suffered
(+) family hx (1º relative)
2 question depression screening tool
- over past 2 weeks have you felt down, depressed, hopeless?
- have you had little interest/pleasure in doing things?
suicide risk factors
solo
-90% have history of psychiatric illness (depression, substance abuse)
-previous attempt/fam hx
-history of CHRONIC progressive illness
-sense of hopelessness
-unemployed
-recent significant loss
what is the 2nd leading cause of death in ages 10-14 and 20-34?
SUICIDE
what 2 questions to ask after asking do you have thoughts of trying to harm yourself?
- plan?
- access to resources?
if yes-ambulance
Patient comes in with groin pain, hurts to WB. There is edema, bruising, and LLD. What could it be?
femoral head and neck fx
If I am suspecting femoral head/neck fx, what two tests?
patellar-pubic percussion test
fulcrum test
Patient comes in with lower back pain, gait ataxia, LOB, heavy legs, and urinary retention. What could it be?
cauda equina!
risk factors: stenosis, spinal fx, AS, TB and potts
Patient comes in with UE and LE numbness, urinary retention, STIFF NECK, and weak triceps/grip. Gait problems. What could it be?
CERVICAL MYELOPATHY
most common cause of non-traumatic para/quadriparesis?
cervical myelopathy
AAA can also present with
back, ab, hip, groin, butt pain! but NON MSK pain behaviors
insidious onset.
most people with AAA are symptomatic or asymptomatic?
asymptomatic
risk factors for AAA
over 60
male
smoking, high cholesterol, CAD
fam hx
patient presents with back pain. doesn’t change with rest/activity
insidious onset
also has weight loss, nausea, early satiety. On palpation, abdominal mass with VISIBLE PULSE!
What do they have?
AAA
+test: bruit
DVT presents as…
edema
aching, tight, tender
pitting edema
superficial venous plexus
HOT
clinical decision rule for DVT
1 point each!
- cancer
- immobilized
- bed ridden 3+ days, major surgery in past 3 months
- tender
- whole leg is swollen
- calf swelling more than 3 cm
- pitting edema
- collateral superficial viens
- hx of DVT
- -2 points if theres another diff dx also as likely
2+ = DVT likely
risk factors for PE!
- DVT
- immobile
- hx PE
- hx of ab/pelvic surgyer
- THR, TKR (bone or fat embolism)
- pregnancy late stage
- leg fx
- cancer in pelvis/abdomen
what does PE present as?
fast/abnormal breath
chest pain worse with cough
COUGH
anxiety
FAST HEART RATE
PALPITATIONS
Well’s criteria for PE
signs of DVT 3+
HR over 100 bpm 1.5+
immob 3+ days/surgery in last month 1.5+
previous PE/DVT 1.5+
hemoptysis 1+
cancer 1+
other diff dx are less likely 3+
2-6 mod, over 6 high
leading cause of death in women
MI
signs of MI
SOB
Fatigue
Sleep disturbance
Nausea (w/ & w/o vomiting)
Palpitations
Dizziness
Diaphoresis
Anxiety
Chest pain (w/ & w/o L UE pain)
Upper abdominal, epigastric, jaw, neck &/or tooth pain
Pain may or may not be associated w/ exertion
primary care is defined as…
“Accessible, comprehensive, coordinated and continual care delivered by accountable providers of personal health services.”
PTs have how many days of direct access?
10-15 days
