Ch 3: signs and symptoms

Question 1

What is the diagnosis?

• Discoloration or cyanosis (bluish hue)
• Pain/tenderness of affected area
• Pain with placement of BP cuff around calf inflated to 160-180 mmHg
• Positive Homans’s sign (pain with gentle forced DF)
• Unilateral tenderness or leg pain (in calf)
• Unilateral swelling (leg circumference difference)
• Warmth of skin

Answer 1

Deep Vein Thrombosis

Question 2

What is the diagnosis?

• Edema of entire extremity (unilateral)
• Pain may or may not be present
• Paresthesias
• Skin taut and shiny
• Stemmer’s sign (taut skin on dorsum of foot)
• Worse with dependent positions

Answer 2

Lymphedema

Question 3

What is the diagnosis?

• Palpable cord (vein hardened along length)
• Redness
• Subcutaneous vein distention
• Warmth

Answer 3

Superficial Vein Thrombosis

Question 4

What is the diagnosis?

• Blurred vision
• Disorientation or confusion
• Fatigue
• Lightheadedness
• Loss balance

Answer 4

Orthostatic Hypotension

Question 5

What is the diagnosis?

• Malaise
• Fever (temp >100*F)
• Expanding redness or radiating streaks
• Increasing skin temp
• Drainage (colored and smells)
• Increasing pain despite interventions
• Increased edema or joint effusion
• Loss of appetite, nausea, vomiting
• Chills
• Night sweats
• Unexplained rashes

Answer 5

Infection

Question 6

What is the diagnosis?

• Dyspareunia (pain during intercourse)
• Dysuria (painful urination)
• Fever and chills
• Flank pain
• Hematuria (blood in urine)
• Low back pain
• Pelvic/lower abdominal pain
• Pyuria (pus in urine)
• Urinary frequency
• Urinary urgency

Answer 6

UTI (urinary tract infection)

Question 7

What is the diagnosis?

• A sense of hopelessness
• Appetite loss (or overeating)
• Difficulty in concentration, remembering, and making decisions
• Fatigue or decreased energy
• Feelings of guilt
• Frequent or unexplained crying spells
• Loss of interest or pleasure in ordinary activities
• Persistent sadness or feelings of emptiness
• Problems sleeping

Answer 7

Depression

Question 8

What is the diagnosis?

• Mental or visual blurring
• Nausea
• Sense of weakness/rubbery legs
• Syncope (faintess)

Answer 8

Orthostatic Hypotension

Question 9

What is the diagnosis?

• Dyspnea with exertion
• Fatigue
• Heart palpitations
• Listlessness
• Pallor (palms, nail beds)
• Rapid pulse

Answer 9

Anemia

Question 10

What is the diagnosis?

• Chills and fever
• Cyanosis
• Dyspnea
• Hacking cough
• Headache
• Malaise
• Productive cough (rust colored, green sputum)
• Sudden, sharp pleuritic pain
• Tachypnea

Answer 10

Pneumonia

Question 11

What is the diagnosis?

• Abnormal fatigue
• Cough (hacking, nonproductive)
• Cyanosis (fingernail and toenail beds)
• Dyspnea (shortness of breath)
• Lips may be dark
• Pale
• Prolonged expiration
• Speaks with short and panting phrases
• Wheezing (inspiration or expiration)

Answer 11

Asthma

Question 12

What is the diagnosis

• Diaphoresis (unexplained sweating)
• Diarrhea
• Dizziness/syncope (fainting)
• Fatigue (unexplained/unusual)
• Fever
• Malaise (feeling discomfort, lack of health)
• Nausea
• Night sweats (can occur during day)
• Pallor (paleness, lack of healthy color)
• Vomiting
• Weight loss (unexplained)

Answer 12

Constitutional symptoms

Question 13

What is the diagnosis?

• Anxiety, restlessness, apprehension
• Diffuse chest pain
• Dyspnea (shortness of breath)
• Fever
• Tachypnea (rapid, short breathing)
• Hemoptysis (bloody sputum)
• Persistent cough
• Pleuritic chest pain (sharp, localized)
• Possible sudden death
• Tachycardia (rapid pulse)

Answer 13

Pulmonary embolism