red flags Flashcards
what is a red flag for the “onset” of visual disturbances
sudden onset
what is a red flag for visual disturbances
what people see
eye color
flashes
eye redness
what is a red flag for painful visual disturbances
3 things
eye pain (photophobia)
scalp or temple tenderness
headache
what is a red flag for visual disturbances history
history of trauma
what is a red flag for visual disturbances patient general symptoms
nausea and vomiting
weakness and slurred speach
what are the 4 warning signs for eye redness
pain (not discomfort or irritation)
decreased vision
profuse discharge
corneal defect grossly visible
what are the red warnings for any fluid coming out of the ear
clear fluid emitting from the ear may be associated with cerebral injury
what is the red flag warning association with lesions of the ear
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.
what are tophi lesions of the auricle associated with
gout
what is the red warning ear skin condition
red, warm, and very painful auricle can be associated with malignant otitis external and or mastoiditis and warrants immediate referral.
when does epistaxis become a red flag
epitaxis is persistent recurrent or profuse
what type of drainage from the nose and sinuses is a red flag
thin, honey colored sinus drainage following head trauma may indicate skull fracture
what type of pain in the nose sinuses is a red flag
severe maxillary pain
what type off sore throat condition is considered a red flag (2)
sore throat lasting more than 1 week- untreated strep
sore throat associated with drooling or stridor - indicating epiglottitis or peritonsillar abscess
what type of red flag for the mouth and throat (lesion findings )
persistent, painless mouth lesions or lesions consistent with malignancy require referral
onset of chest pain red flag
sudden onset of chest pain/pressure
red flag type of chest pain
crushing chest pain
duration red flag of chest pain
lasting more than 15 minutes
associated symptoms with chest pain red flags
shortness of breath
diaphoresis
nausea and vomiting
location of chest pain red flag
radiating to the left arm, neck, or jaw
red flag- associated with activity of chest pain
pain worsens with exertion. physical activity
red flag- what type of changes in vital signs red flag with chest pain
tachycardia, bradycardia, hypotension
red flag- abdominal stools
black tarry stools
red flags- abdominal presentation
progressive abdominal distension
red flags- abdominal system GU presentation
decrease urine output
red flags- abdominal pain- lab results
leukocytosis
graulocytosis
red flags- abdominal pain radiation of pain
radiation of pain to shoulder (cholecystitis) or back (pancreatitis/aneurysm)
red flags- abdominal pain- four types of pain situation
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
red flag- abdominal pain -
associated syncope
red flag- abdominal pain- vitals
hypovolemic shock
fever
red flag- GU- color concerns- action to take?
gross hematuria- referred urgently to a urologist with accompany studies arranged and if possible completed before the appt.
red flag- GU- testicular pain- action?
abrupt onset or worsening testicular pain, regardless of patient age
red flag- GU- urine quality concerns
anuria and oliguria require aggressive evaluation and or admission for management
re flag- GU- urinary retention- action
acute urinary retention must be referred to the nearest emergency department immediately
red flag- GU- masses- action
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
red flag- GU- vitals
toxic appearing patient with poor urine output
red flag- GU- pain that does what
pain associated with any gu structure that awakes the patient or prevents sleep
