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Primary Care > Review of Systems > Flashcards

Review of Systems Flashcards

1
Q

General Health Screen Components

A

-Fatigue
-Malaise: uneasiness, feeling hat something isn’r right
-Fever, chills, sweats
-Weight loss/gain: 5% BMI, depression/cancer/GI
-Nausea/vom: metabolic, CV, liver, pregnancy
-Dizziness/lightheadedness: neuro, CV, DM, anxiety
-Paresthesia, numbness, weakness: renal, neuro, endocrine, drugs
-Change in Mentation: dementia, head injury, drugs, infection

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2
Q

CV System Review

A

-Syncope
-palpitations
-Sweats
-edema
-skin discoloration

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3
Q

Pulmonary System Review

A

-dyspnea
-cough
-clubbing of nails
-wheezing
-stridor (gasping)

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4
Q

Hematologic System Review

A

-exertional dyspnea
-palpitations
-angina
-fatigue
-pallor
-clubbing finger/toes
-lightheadness
-syncope

Looking for:
-blood cell conditions
-bleeding disorders

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5
Q

GI System Review

A

-swallowing difficulties
-indegestion
-intolerance
-bowl dysfunction

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6
Q

Stool Color Meanings

A

Black, Tarry, Shiny, Sticky: upper Gi bleeding

Black, not sticky: ingestion of iron, licorice

Lack Grey, pale: obstructive jaundice

Bright red: lower GI bleeding

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7
Q

Reproductive System Review

A
  • urethral/vagina dysfunction
    -sexual dysfunction
    -pain with intercourse
    -menstruation
    -Hx pregnancy
    -menopause
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8
Q

Urinary System Review

A

-color
-flow
-force
-difficulty initiation/incontinence

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9
Q

Nervous System Review

A

-numbness/tingling
-weakness
-tremors/seizures
-vision
-sexual difficulties
-hearing
-incontinence
-vom w/o nausea
-balance problems

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10
Q

Endocrine System Review

A

-general health
-psychological: personality, memory loss
-GI: n/v, anorexia, dysphagia, diarrhea, constipation
-Uro-genital
-MSK
-Sensory
-dermatologic
-Misc.: temp intolerance, visual issues, orthostatic hypo, bruising, thirst

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11
Q

Integumentary System Review

A

-changes of nails/skin/nails
-itching
-changes in sweating and dryness

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12
Q

Psychologic System Review

A

-general health screen
-major clinical depression
-chemical dependence
-abuse

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13
Q

MSK System Review

A

-location
-description of pain
-onset of symptoms
-changes in pain
-mmts ass with pain

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14
Q

DDx: Joint Pain

A

-OA MC
-PTs are primary care

-RA
-OA
-SLE
-Gout
-Psoriatic arthritis
-Reactive Arthritis
-Septic Arthritis

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15
Q

Criteria for Inflammatory Back Pain

A

-morning stiffness
-improces with exercise, not with rest
-pain at night (specifically 2nd half)
-alternating butt pain
-age of onset <50 or younger, insidious, 3m of LBP

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16
Q

Ankylosing Spondylitis

A

-rare
-<40yrs
-3:1 male to female
-autoimmune arthritis
-pain at rest that decreases with activity
-pain at night

Non joint involvement:
-IBS, uveitis (eye)
-weightt loss
-cardiopulm complications

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17
Q

Non-Specific LBP

A

-common
-35-55yrs
-1:1 male to female
-degenerative arthritis
-potential hip referral

Non-joint involvement:
-N/A

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18
Q

Classification for RA

A

-morning stiffness
-arthritis of >3 joints
-arthritis of hand joints
-symmetric arthritis
-nodules
-serum rheumatoid factor
-radiographic changes

4+ Sensitivity 85%, Specificity 90%

19
Q

Rheumatoid Arthritis

A

-20-50y
-Females more likely
-family hx
-autoimmune

-Sx increase with rest and intense activity, decrease with short rest, mild activity
-severe stiffness

20
Q

Systemic Lupus Erythematosus

A

-15-40ys
-Black females more likely
-family Hx
-Infection, sunlight, uv, meds

Sx: increase with rest, intense activity, decrease with short rest, mild activity
-moderate stiffness

Exam:
-skin rash, fever, photosensitivity, dyspnea, peripheral neuropathies

21
Q

Gout

A

-40s men, 50s women
-males more often
-nutrition, renal disorders, increased uric acid, cancer/treatment, HTN, diuretics

Sx: inc WB activity, joint use, dec w/ rest, but still there
-excruciating pain
-stiffness
-night pain
-rapid progression

Exam:
-fever, tachycardia

22
Q

Psoriatic Arthritis

A

-Psoriasis in teens-20s, arthritis follows 20ys later
-family Hx

Sx: inc w/ rest, intense activity, dec w/ short rest, mild activity
-tenderness in joints
-moderate stiffness

Exam:
-psoriasis, fever, fatigue

23
Q

Reactive Arthritis (Reiter’s Syndrome)

A

-peak onset in 20s
-males
-vejeral or dysenteric disease

Sx: inc w/ rest, intense activity, dec w/ short rest, mild activity
-tenderness in joints
-moderate to severe stiffness

Exam:
-urethitis, conjuctivitis, n/v, weight loss

24
Q

Septic Arthritis

A

-abrupt onset
-corticosteroid use, DM, infect, joint trauma

Sx: inc WB activity, joint use, dec w/ rest, but still there
-excruciating pain
- less stiffness
-night pain
-rapid progression
-severe Sx

Exam:
-fever, chills

25
Q

Limb Pain

A

-calf/thigh pain
-gait issues
-not typically managed by PTs

26
Q

Dizziness

A

-impariment in spatial percepttion and sability
-consider neck conditions
-very common 17-20%

-rare in children, concerns for tumor, concussions, nutrition
-4 types

27
Q

Vertigo

A

-sensation of spinning
-asym of vestib sys (peripheral 40%, central 25%)
-2-10% incidence

28
Q

Vertebra Artery Insufficiency

A

-usually basilar
-drop attacks, dizziness, dysphagia, dysarthria, diplopia (4 Ds)
-nausea, numbness, nystagmus (3 Ns)
-CN signs
-markers for CVA

29
Q

Upper Cervical Ligamentous Instability

A

-occipital HA and numbness
-limited AROM
-signs of myelopathy

30
Q

Serious Patthologic Neck Conditions

A

-Vertebral Artery Indufficiency
-Upper cervical ligamentous instability
-Cervical Myelopathy
-Neoplastic Conditions
-Inflammatory of Systemic Disease

31
Q

Dysequilibrium

A

-dizziness, imbalance, unsteadiness w/o vertigoo
-changes in brain or body

32
Q

Presyncope

A

-vascular comprimise
-CV disease
-hypoglycemia or meds

33
Q

Non-Specific Dizziness

A

-panic/anxiety
-cervicogenic

34
Q

Cervicogenic Headache

A

-non throbbing, secodary to other coonditions
-15-20%
-cervical spine dysfunction
-unilateral
-provoked by neck mmts
-mild to moderate

35
Q

Migraine Headache

A

-pounding, pulsating
-10-15%
-unilateral but can shift sides
- >1 sign of: n, v, photophobia, phonophobia

36
Q

Cluster Headache

A

-Crushing
-<1%
-clusters every other day for 8 days
-other S/s: congestion, edema, sweating, ptosis, restlessness

37
Q

Tension Headache

A

-band, tightening
->40%
-stress, anxiety, depression
-bilateral
-mild to moderate

38
Q

Concussion Physical S/S

A

-HA
-N/V
-balance
-dizziness
-visual issues
-sensitivity to light/noise
-numbness and tingling
-dazed

39
Q

Concussion Emotional S/S

A

-irritable
-sadness
-nervousness

40
Q

Concussion Cognitive S/S

A

-mental fog
-feeling slow
-concentration issues
-remembering issues
-forgetful
-confusion
-slow responses

41
Q

Concussion Sleep S/S

A

-drowsiness
-Sleep (more or less)
-difficulty falling asleep

42
Q

Trauma

A

Major: Fx, instabiltiy, imaging

Minor: pathological (osteoporosis), tumors

Repetitive Overuse: bony stress

Fx Screening: ascultation w/ bony precussion, tuning fork

Head Injury: TBI, Concussion (functional not anatomic disturbance)

43
Q

TBI Red Flags

A

-double vision, severe HA, sezizure, LOC, consciouness issues

44
Q

High Risk Sites of Overuse Injury

A

-femoral neck
-anterior cortex of tibia
-med malleolus
-navicular
-base of 2nd and 5th met head
-talus
-patella

Primary Care (7 decks)

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