8.22 Systemic Disorders Flashcards
general symptoms of systemic disorders
- fever
- fatigue/malaise
- abn sensation
- weight loss
- change in mentation
- insidious onset
Temperature is on this type of rhythm
circadian
What is the circadian rhythm of body temp?
- cooler in the morning (~97˚)
- warmer in evening (~99.3˚)
When do patients typically run a fever?
afternoon/night
When does a fever become a concern?
100-101˚F
When is fever a concern for the elderly? Why?
99-100˚F
fear of pneumonia is greater
What can happen at 104-106˚F?
convulsions
With fever, you may get alterations in _____
mentation
What are we concerned about with fatigue?
unusual lethargy
- everyone gets tired at times
- low energy levels
With fatigue, what is important to consider that may be affecting them?
- work, family, social, physical activity level, etc.
- stress, illness, time of day
What is malaise?
overall feeling
- general illness, lack of energy
- general uneasiness whose exact cause is difficult to ID
What sensory and motor screening things may be warranted if a pt has paresthesia, numbness, weakness, or other weird sensations?
- dermatomes
- myotomes
- reflexes
- balance/coordination
- proprioception
testing dermatomes
- sharp/dull
- 1-2 point discrimination
- hot/cold
testing myotomes
general to specific if necessary
testing reflexes
upper or lower chain or both
testing balance
- seated
- standing
- static
- dynamic
testing coordination
- finger to nose
- heel up shin
- Romberg test
etc.
testing proprioception
- position in space (static)
- dynamic movement replication
What would be merit concern with unexplained weight loss?
5% BW loss or more
What would be things to consider with unexplained weight gain?
- swelling
- fluid retention
- kidney or liver issues
- CHF
- medication (i.e. steroids)
AAOx3 or 4
- person
- place
- time
- event
Consider these with changes in mentation
- attention
- memory
- loss of consciousness or alertness
- thought process
- judgment
most common reasons for outpatient therapy in order
- back pain
- neck pain
- knee pain
- shoulder pain
These conditions require physician oversight for medications!
- OA
- RA
- SLE
- reactive arthritis
- septic arthritis
