Red Flags Flashcards
progressively declining mental function at any age
degeneration and death of brain neurons
chronic or repeated dizziness occurring other than when standing up
cerebral neuronal hypofunction
increasing confusion in elderly person days, weeks, or months after minor head trauma
chronic subdural hematoma
severe dizziness immediately after standing up
severe orthostatic hypertension
adult or child w/ inattention and/or hyperactivity severely interfering w/ daily function
attention deficit hyperactivity disorder
sudden unconsciousness followed by severe drowsiness in previously healthy adult
seizure
sudden leg weakness and possible unconsciousness in elderly person when turning head
drop attack from vertebrobasilar artery insufficiency
dizziness and slow heartbeat (<60 bpm) that does not increase w/ activity in elderly person
sick sinus syndrome (SSS)
loud snoring, gasping during sleep, excessive daytime sleepiness
sleep apnea
excessive daytime drowsiness and sudden falling asleep in daytime w/o warning
narcolepsy
animal bite of finger w/ subsequent swelling and pain
serious infection of tendon and/or bone (osteomyelitis)
cough w/ bloody sputum in patient w/o obvious respiratory infection
lung cancer
painless, bloody urine in man over 50 (gross hematuria)
urinary tract cancer (usually bladder cancer)
vaginal bleeding years after last menses
uterine cancer
new nipple retraction and/or fixed breast lump in male or female
breast cancer
blueness of lips (peri-oral cyanosis) and nail beds
advanced hypoxia
sudden shortness of breath in the middle of the night, cough, bilateral ankle swelling
paroxysmal nocturnal dyspnea (PND) from congestive heart failure (CHF)
cough w/ severe episodic shortness of breath and expiratory wheezing
moderate to severe chronic asthma
unexplained or poorly explained trauma or failure to thrive in a toddler or young child
child abuse and/or neglect
non-centring of reflected light in one pupil, crossed eye
strabismus
child w/ defective language skills, self-isolating behaviour, repetitive non-useful motions
autism
child w/ sore throat, high fever (>102F), inspiratory stridor, drooling
acute epiglottitis
crying child holding flexed arm against body w/ hand pronated
nursemaid’s elbow (dislocation of elbow)
new onset of constipation and unexplained weight loss in person over 40
carcinoma of colon and rectum
acute bloody diarrhea (>6-8 loose stools/day) and fever >101.5 F
serious enteritis (gastritis if also vomiting)
chronic fatigue w/ shortness of breath and/or chest pain
significant cardiopulmonary disease
chronic fatigue w/ enlarged lymph nodes and/or abdominal mass
primary lymphatic cancer/metastatic cancer
chronic fatigue in patient w/ jaundice and/or enlarged liver
serious liver disease, liver cancer, or mets
chronic fatigue and unintended or unexplained weight loss
cancer
chronic, debilitating fatigue, weakness, muscle pain, sleep disturbance
chronic fatigue syndrome (CFS)
persistence of fever 101.5 F for over two weeks
occult infection, metabolic, or autoimmune disease
fever >103.5 F plus severe sore throat
streptococcal throat infection
fever above 105 F
possible brain damage if not brought down
progressive unilateral loss of hearing and balance
acoustic neuroma (AN)
indigestion, upper abdominal pain, feeling of fullness under diaphragm following a meal
acute gallbladder inflammation (acute cholecystitis)
amenorrhea, anorexia, and athleticism in young women
female athletic triad
pain that progressively worsens over weeks or months
ongoing tissue damage
pain that steadily increases in severity over weeks to months
threat of irreversible damage
progressively worsening pain after surgery
pain red flag post-surgery