Post Follow up on History Flashcards
1
Q
What should we pay attention to with cardio/peripheral vascular and pulmonary checklists
A
- dyspnea/orthopnea
- cough -duration, positional, productive, sputum
- palpitations
- syncope
- sweat
- edema
- cold distal extremeties
- skin discoloration
- open wounds/ulcers
- clubbing of nails
- wheezing/stridor
- is it acute or chronic
2
Q
Potential maifestations of hematologic disorders
A
- exertional dyspnea
- palpitations
- anginal pain patterns
- fatigue
- pallor
- digital clubbing
- lightheadedness
- syncope
- drowsiness
- confusion
- easy brusing/bleeding
- fever, chills, sweats
- malaise
3
Q
GI checklist
A
- swallowing difficulites
- indigestion, heartburn (upper GI - full early, or get symptoms w/i an hour of eating)
- food intolerance
- bowel dysfunction: stool (solid, round, long, brown), frequency (normal varies), difficulty
4
Q
Urinary system checklist
A
- color
- flow
- reduced caliber/force or stream
- difficulty intiating
- incontience
- males could be prostate and females could be endometriosis etc
5
Q
reproduction checklist
males
A
- urethral discharge
- sexual dysfunction
- pain during intercourse, ejaculation
6
Q
Reproduction checklist
females
A
- vaginal discharge
- pain with inercourse
- menstruation-frequency, duration, flow, dysmenorrhea
- number of pregnancies and deliveries
- menopause-perimenopausal, postmenopausal vaginal bleeding or spotting
7
Q
endocrine system checklist
A
goes across systems and structures
- general health
- GI
- urogenital
- MSK
- sensory
- dermatologic
- miscellaneous
8
Q
Screening for integumentary system
A
- changes in skin
- changes in nails
- changes in hair
- pruritus (itching)
- change in sweating or dryness of skin (type of sweating)
9
Q
Selection of body systems to screen
with cervical and left/right shoulder pain
A
- Cardio
- pulmonary
- upper GI
- structures above umbilicus = refer up and structres below umbillicus = refer down
10
Q
Selection of body systems to screen with
Thoracic spine pain
A
- GI
- gentiourinary
- thoracolumbar junction
11
Q
Selection of body systems to screen with
Lumbar-pelvic pain
A
- GI
- gentiourinary
- thoracolumbar junction
- kidneys
- peripheral vasculature
12
Q
Selection of body systems to screen with
Inconsistent symptom patterns
A
- psychological
- endocrine
- neurological
- rheumatic
- adverse druge reaction
13
Q
Thyroid palpation
A
- can be enlarged on one side and not the other
- should feel mushy, soft symmetrical and no nodules
- when swallowing it should move
- T3/T4 levels and calcitonin
- TSH can effect this
14
Q
Hyperthyroidism
Signs and symptoms
A
- Sudden weight loss, even when your appetite and food you eat remains the same/increases
- rapid heartbeat/irregular heartbeat/palpitations
- increased appetite
- nervousness, anxiety and irritability
- tremor - usually a fine trembling in hands and fingers
- sweating
- changes in menstrual patterns
- increased sensitivity to heat
- changes in bowl patterns
- enlarged thyroid/goiter
- fatigue/muscle weakness
- difficulty sleeping
- skin thinning
- fine, bittle hair
- Graves disease: protruding eyes, red or swollen eyes, excessive tearing/discomfort in one or btoh eyes, light sensitivity, blurry or double vision, inflammation or reduced eye movement
15
Q
Hypothyroidism
A
- Obesity, joint pain, infertility and heart disease
- fatigue
- increased sensivity to cold
- constipation
- dry skin
- weight gain
- puffy face
- hoarseness
- muscle weakness
- elevated blood cholesterol
- muscle aches, tenderness and stiffness
- pain, stiffness or swelling in joints
- heavy/irregular periods
- thinning hair
- slowed heart rate
- depression
- impaired memory
