8.29 Systems Review 2

Question 1

key phrases for malaise

Answer 1

• just don’t feel right
• feels like I’m getting sick
• can’t pinpoint why

Question 2

malaise

Answer 2

general feeling of uneasiness or out of sorts feeling

Question 3

Malaise and previous hx of illness

Answer 3

If they’ve had an illness before (i.e. cancer), may worry that it’s coming back

Question 4

What is malaise based upon?

Answer 4

• clinician’s interpretation

- Not generally understood by patients, so won’t be part of the questionnaire

Question 5

unexplained weight loss: red flag

Answer 5

• 5-10% loss over 6-12 months

- warning sign for underlying diseases

Question 6

unexplained weight gain: red flag

Answer 6

gain of 10 pounds in 2 weeks

Question 7

Weight loss questions

Answer 7

• Was it intended?
• Did you change your diet?
• Under stress lately?
• Any new symptoms over period of weight loss?
• any swelling (esp. swollen ankles)

Question 8

Problem reason for eating less

Answer 8

• not hungry lately

- sick to their stomach

Question 9

Why is it a concern for a pt to be eating less than normal due to lack of hunger or sick feeling?

Answer 9

• cancer
• GI
• psychological
• CVD
• preeclampsia
• thyroid disorder
• renal disease
  etc. …

Question 10

What is a warning sign of preeclampsia?

Answer 10

5 pound weight gain in one week during pregnancy

Question 11

What is preeclampsia?

Answer 11

A potentially dangerous pregnancy complication characterized by high blood pressure

Question 12

yellow flags of paresthesia, numbness, and weakness

Answer 12

weakness without other neuro symptoms

Question 13

red flags for paresthesia, numbness, and weakness

Answer 13

• progressive sensory or strength deficits
• saddle paresthesia
• urinary retention
• increased urinary frequency
• urinary incontinence

Question 14

specific symptoms for paresthesia, numbness, and weakness

Answer 14

• glove and stocking distribution
• B extremity deficits
• combo of UE and LE patterns

Question 15

sensory loss: consider

Answer 15

numbness

tingling

Question 16

strength loss: consider

Answer 16

• weakness (not related to recent activity)

- frank weakness (foot drop)

Question 17

paresthesia, numbness, and weakness affecting bowel and bladder could be due to

Answer 17

• renal
• endocrine
• adverse drug effects
• MS
• hypothyroidism