red flags

Question 1

what is a red flag for the “onset” of visual disturbances

Answer 1

sudden onset

Question 2

what is a red flag for visual disturbances
what people see
eye color

Answer 2

flashes

eye redness

Question 3

what is a red flag for painful visual disturbances

3 things

Answer 3

eye pain (photophobia)
scalp or temple tenderness
headache

Question 4

what is a red flag for visual disturbances history

Answer 4

history of trauma

Question 5

what is a red flag for visual disturbances patient general symptoms

Answer 5

nausea and vomiting

weakness and slurred speach

Question 6

what are the 4 warning signs for eye redness

Answer 6

pain (not discomfort or irritation)
decreased vision
profuse discharge
corneal defect grossly visible

Question 7

what are the red warnings for any fluid coming out of the ear

Answer 7

clear fluid emitting from the ear may be associated with cerebral injury

Question 8

what is the red flag warning association with lesions of the ear

Answer 8

auricular or cancerous lesions are most often found in the helix of the auricle. they are associated with sun exposure and should be assessed using the ABCD cancer screening criteria.

Question 9

what are tophi lesions of the auricle associated with

Answer 9

gout

Question 10

what is the red warning ear skin condition

Answer 10

red, warm, and very painful auricle can be associated with malignant otitis external and or mastoiditis and warrants immediate referral.

Question 11

when does epistaxis become a red flag

Answer 11

epitaxis is persistent recurrent or profuse

Question 12

what type of drainage from the nose and sinuses is a red flag

Answer 12

thin, honey colored sinus drainage following head trauma may indicate skull fracture

Question 13

what type of pain in the nose sinuses is a red flag

Answer 13

severe maxillary pain

Question 14

what type off sore throat condition is considered a red flag (2)

Answer 14

sore throat lasting more than 1 week- untreated strep

sore throat associated with drooling or stridor - indicating epiglottitis or peritonsillar abscess

Question 15

what type of red flag for the mouth and throat (lesion findings )

Answer 15

persistent, painless mouth lesions or lesions consistent with malignancy require referral

Question 16

onset of chest pain red flag

Answer 16

sudden onset of chest pain/pressure

Question 17

red flag type of chest pain

Answer 17

crushing chest pain

Question 18

duration red flag of chest pain

Answer 18

lasting more than 15 minutes

Question 19

associated symptoms with chest pain red flags

Answer 19

shortness of breath
diaphoresis
nausea and vomiting

Question 20

location of chest pain red flag

Answer 20

radiating to the left arm, neck, or jaw

Question 21

red flag- associated with activity of chest pain

Answer 21

pain worsens with exertion. physical activity

Question 22

red flag- what type of changes in vital signs red flag with chest pain

Answer 22

tachycardia, bradycardia, hypotension

Question 23

red flag- abdominal stools

Answer 23

black tarry stools

Question 24

red flags- abdominal presentation

Answer 24

progressive abdominal distension

Question 25

red flags- abdominal system GU presentation

Answer 25

decrease urine output

Question 26

red flags- abdominal pain- lab results

Answer 26

leukocytosis

graulocytosis

Question 27

red flags- abdominal pain radiation of pain

Answer 27

radiation of pain to shoulder (cholecystitis) or back (pancreatitis/aneurysm)

Question 28

red flags- abdominal pain- four types of pain situation

Answer 28

pain that awakens patient
pain that persists more than 6 hours and progresses in intensity
pain that changes location
pain worsened by movement, respirations
pain followed by vomiting or intractable vomiting

Question 29

red flag- abdominal pain -

Answer 29

associated syncope

Question 30

red flag- abdominal pain- vitals

Answer 30

hypovolemic shock

fever

Question 31

red flag- GU- color concerns- action to take?

Answer 31

gross hematuria- referred urgently to a urologist with accompany studies arranged and if possible completed before the appt.

Question 32

red flag- GU- testicular pain- action?

Answer 32

abrupt onset or worsening testicular pain, regardless of patient age

Question 33

red flag- GU- urine quality concerns

Answer 33

anuria and oliguria require aggressive evaluation and or admission for management

Question 34

re flag- GU- urinary retention- action

Answer 34

acute urinary retention must be referred to the nearest emergency department immediately

Question 35

red flag- GU- masses- action

Answer 35

large kidney mass

particularly when accompanied by the classic triad of gross hematuria, flank pain and a palpable mass- must be referred emergently to a urologist

Question 36

red flag- GU- vitals

Answer 36

toxic appearing patient with poor urine output

Question 37

red flag- GU- pain that does what

Answer 37

pain associated with any gu structure that awakes the patient or prevents sleep