8.22 Symptoms Investigation 3 (Red Flags) Flashcards

1
Q

What are some red flags for head, face, and TMJ?

A
  • vertebrobasilar insufficiency
  • meningitis
  • primary brain tumor
  • subarachnoid hemorrhage
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2
Q

vertebrobasilar insufficiency may result in

A
  • dizziness, vertigo
  • visual disturbances
  • HA
  • nausea
  • LOC
  • apprehension with CAROM
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3
Q

head, face, TMJ: meningitis signs

A
  • headache
  • fever
  • GI distress
  • photophobia
  • confusion
  • seizures
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4
Q

What will be positive if the pt has meningitis?

A

slump sign

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5
Q

head, face, TMJ: brain tumor s/s

A
  • ataxia
  • speech deficits
  • HA
  • visual changes
  • GI distress
  • altered mental status
  • seizures
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6
Q

head, face, TMJ: subarachnoid hemorrhage s/s

A
  • severe HA (sudden onset)
  • brief LOC
  • brain tumor signs
  • meningeal irritation
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7
Q

c-spine/shoulder red flags

A
  • myocardial infarction

- pancoast tumor

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8
Q

Age group: MI

A
  • men over 40

- women over 50

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9
Q

MI s/s

A
  • chest pain
  • pallor
  • nausea
  • palpitations
  • presence of risk factors
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10
Q

MI s/s: timing

A

presence of s/s over 30 mins, not relieved by nitroglycerin

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11
Q

Who gets Pancoast tumors?

A

men over 50 with hx of smoking

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12
Q

Pancoast tumor: Where is the pain?

A

nagging pain over shoulder and vertebral edge of scapula

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13
Q

Pancoast tumor: Where does the pain progress?

A

burning pain in ulnar nerve distribution

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14
Q

Elbow, wrist, hand: red flag problems

A
  • Raynaud’s

- CRPS

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15
Q

Raynaud’s: what happens to the hands

A
  • hands and feet blanch, go cyanotic, then red with cold or emotional distress
  • pain in hands and feet with redness
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16
Q

Raynaud’s: health hx predisposing factors

A
  • PMH of RA
  • occlusive vascular disease
  • smoking
  • beta-blockers
17
Q

CRPS often occurs after ____

A

trauma

18
Q

CRPS: s/s

A
  • severe aching/stinging pain not typical of injury
  • pitting edema
  • erythema
  • warmth
19
Q

CRPS: analgesics

A

pain doesn’t respond to analgesics