Review of Systems Flashcards by Tori Chatman

General Health Screen Components

-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

How well did you know this?

Not at all

Perfectly

CV System Review

-Syncope
-palpitations
-Sweats
-edema
-skin discoloration

How well did you know this?

Not at all

Perfectly

Pulmonary System Review

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

How well did you know this?

Not at all

Perfectly

Hematologic System Review

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

Looking for:
-blood cell conditions
-bleeding disorders

How well did you know this?

Not at all

Perfectly

GI System Review

-swallowing difficulties
-indegestion
-intolerance
-bowl dysfunction

How well did you know this?

Not at all

Perfectly

Stool Color Meanings

Black, Tarry, Shiny, Sticky: upper Gi bleeding

Black, not sticky: ingestion of iron, licorice

Lack Grey, pale: obstructive jaundice

Bright red: lower GI bleeding

How well did you know this?

Not at all

Perfectly

Reproductive System Review

urethral/vagina dysfunction
-sexual dysfunction
-pain with intercourse
-menstruation
-Hx pregnancy
-menopause

How well did you know this?

Not at all

Perfectly

Urinary System Review

-color
-flow
-force
-difficulty initiation/incontinence

How well did you know this?

Not at all

Perfectly

Nervous System Review

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

How well did you know this?

Not at all

Perfectly

Endocrine System Review

-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

How well did you know this?

Not at all

Perfectly

Integumentary System Review

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

How well did you know this?

Not at all

Perfectly

Psychologic System Review

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

How well did you know this?

Not at all

Perfectly

MSK System Review

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

How well did you know this?

Not at all

Perfectly

DDx: Joint Pain

-OA MC
-PTs are primary care

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

How well did you know this?

Not at all

Perfectly

Criteria for Inflammatory Back Pain

-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

How well did you know this?

Not at all

Perfectly

Ankylosing Spondylitis

-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

How well did you know this?

Not at all

Perfectly

Non-Specific LBP

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

Non-joint involvement:
-N/A

How well did you know this?

Not at all

Perfectly

Classification for RA

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

4+ Sensitivity 85%, Specificity 90%

Rheumatoid Arthritis

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

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

Systemic Lupus Erythematosus

-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

Gout

-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

Psoriatic Arthritis

-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

Reactive Arthritis (Reiter’s Syndrome)

-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

Septic Arthritis

-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

Limb Pain

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

Dizziness

-impariment in spatial percepttion and sability -consider neck conditions -very common 17-20% -rare in children, concerns for tumor, concussions, nutrition -4 types

Vertigo

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

Vertebra Artery Insufficiency

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

Upper Cervical Ligamentous Instability

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

Serious Patthologic Neck Conditions

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

Dysequilibrium

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

Presyncope

-vascular comprimise -CV disease -hypoglycemia or meds

Non-Specific Dizziness

-panic/anxiety -cervicogenic

Cervicogenic Headache

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

Migraine Headache

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

Cluster Headache

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

Tension Headache

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

Concussion Physical S/S

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

Concussion Emotional S/S

-irritable -sadness -nervousness

Concussion Cognitive S/S

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

Concussion Sleep S/S

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

Trauma

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)

TBI Red Flags

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

High Risk Sites of Overuse Injury

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