Red Flags Flashcards
1
Q
Fracture
A
acute presentation trauma history sudden onset of pain high severity of pain multidirectional provocation risk of osteoporosis long term steroi use low BMI other non-traumatic fracture in history
2
Q
Infection
A
acute or sub acute recent open wound post op in dwelling catheter post cytoscopy immunosuppressed (HIV positive) IV drug use fevors rigours night sweats generally unwell UTI or other recent infection hot locally
3
Q
Cancer
A
sub acute insidious onset constant unremitting pain non-mechanical pain no relief with rest unwell unexplained, significant weight loss past history of cancer family history of cancer treatment unsuccessful failure of symptoms to ease
4
Q
Neurological
A
acute bilateral distribution of symptoms widespread sign multiple spinal levels involved bladder/bowel dysfunction saddle anaesthesia saddle paraesthesia sock/glove anaesthesia clumsy/unsteady falls and tripping dermatomal rash (shingles) severe weakness spasticity progressive signs
5
Q
Inflammatory
A
persistent episodic pain slow insidious onset of pain pain worse in the morning wake up in the 2nd half of the night eased with activity worse with rest multiple joint involvement psoriasis dactylitis (sausage fingers) eye redness (iritis) stiffness in the morning family history stomach problems related to joint pain persistent limitation in all directions fatigue/fever hip/shoulder/neck stiffness in the morning
6
Q
Non-Spinal
A
ABDOMINAL AORTIC ANEURYSM - acute PVD/CAD hypertensive bruit 60+ smoker pulsatile mass abdominal pain syncope
Other organ symptoms
7
Q
Cauda Equina Syndrome
A
Bowel dysfunction Bladder dysfunction Saddle anaesthesia Saddle paraesthesia sexual dysfunction Bilateral symptoms HOSPITAL IMMEDIATELY
