E1-Systems Review, Oncology, Infectious Disease Flashcards
what is the purpose of a systems review
identify non MSK or red flag S&S that require a referral
what is the best way to look for red flag S&S
look for combinations, isolation is just informative
where are red flags most found
hx and observation
what are commons signs of infection
malaise
fever, chills, sweats
N&V
enlarged, tender lymph nodes
signs specific to the infected systems
what is different about the symptoms in an older individual
mentation changes
subnormal body temp
bradycardia or tachy
fatigue/lethargy
what is in a systems review for infection
hx and observation
palpation- lymph nodes, heat, swelling, possible abdominal quadrants
vitals
what are common S&S of the immune system
GI pain/dysfunction
muscle or joint pain
skin and weight changes
typically affecting more than 1 part of the body
emotional changes
what are S&S of the immune system more likely to be a cause of
autoimmune conditions
what is in an immune system review
hx and observation
temperature
palpation of lymph nodes
what are cancer S&S
hx of cancer
P!- local and referred, especially at the same time at night (due to tumors metabolic activity), no change with position change
increased WBC with absence of infection
swollen and NON tender lymph nodes
what is in the cancer review
hx and observation
palpation of lymph nodes- NON tender
temperature
what are common signs of an integumentary system
itchy/dry/rough texture
hives/rash
callus
blisters
edema
change nail appearance
why would skin with dry/rough or itchy skin be a red flag
impaired circulation/oxygenation (diabetes)
what causes callus
excessive friction
why might blisters in abundance be different that just a normal blister
blisters in abundance could mean systemic issues
what are the ABCDE for melanoma
Assemetry
border
color
diameter
evolution
what might be an issue if a patient has an abundance of cafe au lait
underlying genetic problem
why is a patch of hair on the spine might be a red flag
underlying genetic condition
loss-impaired circulation
if a pt has skin irritation involving redness/red streaks, what might that inidcate
acute inflammation, stage 1 pressure ulcer, infection, allergic reaction
what does an ulceration or wound indicate
necrotic tissue
what is in a integumentary review
hx and observation
palpation- heat, swelling, skin mobility
what conditions within the endocrine system can affect the MSK system
neuromusculoskeletal- RA, OA, adhesive capsulitis, bilateral CTS, osteoporosis
what are common endocrine S&S
growth alterations
polydipsia
polyuria
increased perspiration
fluid imbalance
what is in an endocrine review
hx and observation
selective tension testing and/ or MMT
vitals