Do Not Want To Miss List Flashcards
Major Depression Risk Factors
Current or previous major depressive episodes
- Women - pregnancy or post pardum
- Significant medical history (diabetes, myocardial infarction, cancer, CVA, chemical dependency)
- Suffering from significant loss - death of a loved one, loss of job or change in social status
- positive family history
Suicide Risk Factors
- Gender - Males = higher completion rate
- Widowed, divorced, living alone
- History of psychiatric illness
- previous suicide attempt
- recent loss - job or loved one
- Unemployed
- sense of hopelessness
- Family history of suicide
Suicidal pt management
- contact counselor, case manager, chaplain
- resources?
- plan?
Suicide clinical manifestations
“i dont know how much longer i can take this”
- stoppin therapy w/ continued progress
- stopping other treatment
- thoughts of death, wishing they were dead
Femoral head/neck fx
- Female due to bone quality
- Hormonal irregularities menstrual
- Involvement in running, jumping, marching activities
- Change in training program or routine (new activity or change in footwear)
- Nutritional deficiencies
- Leg length discrepancy
- Diminished muscle strength
- loss of general function and mobility
Femoral Head Clinical manifestations
- pain and local tenderness
- deformity
- edema
- ecchymosis
- loss of general function and mobility
- 30% die within a year
Femoral head/neck fx MOI
Trauma Fall Sneeze Liftin Opening stuck window Falling down steps
Cauda Equina Syndrome risk factors
Low back injury, central disk herniation, Stenosis, spinal fx, ankylosing spondylitis, TB
Cauda Equina Syndrome Clinical manifestations
Urinary dysfunction Bowel dysfunction Sexual dysfunction Sensory deficits - saddle, LE Motor deficits - lower limbs
Cervical myelopathy risk factors
Spondylotic changes in C spine
- Age 50s - 60s
- Previous history of neck trauma (MVA/Sports injury)
- Rheumatoid arthritis
Cervical myelopathy History
- Impaired hand dexterity (clumsiness)
- Gait/balance difficulties - legs weak/stiff
- Numbness, paresthesia - extremities
- Neck stiffness
- Urinary dysfunction
Cervical Myelopathy physical examination
Hand - intrinsic atrophy
Muscle weakness, often triceps
Muscle weakness of lower extremity
Upper motor neuron signs (hyperactive DTR, clonus, positive babinskis and hoffmans)
AAA Risk factors
Age - older Men History of smoking Hypercholesterol History of coronary heart disease family history of AAA
AAA clinical manifestaions
Usually asymptomatic - can product pain in lumbar region, hip/buttock, groin, abdominal region
- Satiety, weight loss and nausea
- Palpable abdominal mass
-
AAA LBP description
Sudden Severe Intense Hot Searing Ripping or tearing sensation IMMEDIATE SURGICAL INTERVENTION
DVT Risk Factors
Previous history of DVT History of cancer, CHF, SLE Major surgery or other trauma Immobility Hormone changes in women (pregnancy recent birth) Age > 60 years
DVT Clinical manifestations
Ache, tightness, tenderness General pitting edema Prominent superficial venous plexus Increased local skin temp Wells Criteria
PE risk factors
Dyspnea, tachypnea, pleuritic chest pain, pain with deep respiration, cough, persistent cough, apprehension, anxiety tachycardia
Atypical MI Modifiable risk factors
Overal health smoking, obesity hypertension Alc consumption
Non modifiable risk factors
> 55 for women
45 for men
Fam hisotyr
Ethnicty )african americans)
Clinical manifestations
50% experience chest pain w/ w/o L UE pain SOB Fatigue Sleep disturbance Nausea w/ or without vomiting palpitations dizziness diaphoresis anxiety
