Red Flags Flashcards

1
Q

Patient complains of severe deep back or abdominal pain that radiates to the groin, has increased BP after walking back to the exam room.

A

Red flag - call physician suspect AAA

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2
Q

Patient had an MI 2 months ago and presents to PT with a blood pressure of 80/55. Normal baseline for this patient at last visit was 120/70.

A

Red Flag - call physician bc it can indicate poor left ventricular function at rest

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3
Q

Patient shows up to outpatient PT with a hangover from a big football party last night.

A

Yellow Flag: Patient maybe dehydrated and physiological response may be exaggerated. Watch vitals closely and progress slowly.

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4
Q

Patient has an increased weight gain of greater than 3 pounds, no noticeable edema and no problems with breathing or vital signs. Patient has no history of heart problems and is 36 years old.

A

Yellow Flag: Weight gain maybe related high sodium meal, menstruation, kidney problems or medications. Monitor vitals for a possible undiagnosed cardiac condition especially related to exertion.

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5
Q

You go to a patient’s home, and she complains of general unwellness. BP is 80/40 and HR 48 bpm.

A

Red Flag: Call 911. Patient maybe having pacemaker problem, this should be checked out immediately.

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6
Q

Patient arrived to physical therapy after indulging at an all you can eat lunch.

A

Yellow Flag: Workload of the heart will be increased while digesting a big meal. Exercise responses maybe exaggerated, watch vital closely.

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7
Q

68-year-old female with a history of pulmonary edema and congestive heart failure, currently stable.

A

Yellow Flag: Watch for symptoms or unstable vitals. If patient becomes symptomatic, call physician.

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8
Q

While on a treadmill, patient experiences sharp sudden chest pain that is not relieved by rest or nitroglycerin x 3.

A

Red Flag: Call 911, Patient may be having an acute MI

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9
Q

Patient reports that his blood glucose level is 468 mg/dL and that he had Ketones present in his urine this am.

A

Red Flag: Call physician, no exercise. Patient could be going into a ketoacidosis, may need to call 911

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10
Q

Patient underwent a CABG 2 days ago and presents with incisional pain and difficulty coughing and clearing secretions.

A

Green Flag: Normal response following surgery. Monitor vital due to the history.

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11
Q

Patient states that he has an acute pericarditis with a fever and pain with respiration.

A

Red Flag: Call physician. With an acute disease with fever, no physical therapy until cleared by physician.

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12
Q

Patient had an acute MI 2 months ago and presents to outpatient physical therapy with a resting HR of 90 bpm that increased to 125 during a 6-minute walk test.

A

Green Flag: Normal response of deconditioning. May need to progress slowly and monitor closely.

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13
Q

Patient complains of right calf pain following a TKR. Patient’s calf in red, swollen and is complaining of some increasing dyspnea.

A

Red flag: Call Physician. Patient may need to go to the hospital for Doppler test. Call 911 if PE suspected.

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14
Q

While taking the patient’s heart rate you notice a very irregular rhythm and rapid greater than 130 bpm at rest and complains of dizziness.

A

Red Flag: Call physician. Patient may have a rapid ventricular response to a fib or flutter. No exercise.

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15
Q

Patient with h/o angina has angina while walking on the treadmill that stops as soon as he rests. No Nitro taken. HR stabilized to baseline with 3 minutes.

A

Depending on history, patient need to follow-up with physician. Close monitoring of exercise vitals. Check to see if patient has had a stress test.

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