Signs & Symptoms Flashcards by Random Carrott

Hypovolemic Shock

Tachycardia
Tachypnea
Pale, cool, diaphoretic
Thirst
Weakness
***Normotensive***

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Decompensated Hypovolemia

Weak, thready pulse
Decreased body Temp
Decreased LOC
Decreased BP

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Cardiogenic Shock

Chest pain
SOB
Irregular pulse
Pale, cool, diaphoretic
Anxiety
Crackles - A/E
JVD
Peripheral edema

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Decompensated Cardiogenic Shock

Altered LOC 12 lead
Decreased BP
Decreased LOC
Bradypnea/Apnea

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Obstructive shock

Tachycardia
Tachypnea
***Chest pain***
***SOB***
Pale, cool, diaphoretic
Thirst
Anxiety
***Decreased A/E***
Normotensive

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Decompensated Obstructive shock

Weak, thready pulse
Pulsus paradoxus
***JVD***
***Beck's triad***
Absent A/E
Decreased BP
Decreased LOC

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Neurogenic Shock

Decreased extremity S/M
***Rapid Hypotension***
***Normal HR***
***Decreased CBT***
***Possible line of demarcation***
Decreased LOC

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Septic Shock

Fever
Localized rash
Tachycardia
Tachypnea
Weakness
Thirst
Lethargy
Normotensive

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Decompensated Septic shock

Generalized rash
Purple discolouration
Weak, thready pulse
Decreased BP
Decreased LOC

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Anaphylactic shock

Flushed skin
Urticaria
Pruritis
Angioedema
Tachycardia
Wheezing
Abdo pain

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Decompensated anaphylactic shock

Respiratory distress
Swelling
Decreased BP
Weak, thready pulse
Decreased LOC

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Pulmonary Embolism

Sudden onset
Sharp chest pain WORSE with deep breathing
Coughing up blood
SOB
Pink, foamy mucus
Clear lungs
One swollen leg/painful

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Angina

SOB
Nausea
Diaphoresis
Indigestion
Worse w/ exertion

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Myocardial Infarction

Feeling of impeding doom
Sharp chest pain
No relief by O2 + rest
Diaphoresis

St depression + tall T waves = Ischemia
ST elevation = Injury
Normal ST w/ phatologic Q-waves + wide QRS = Infarction

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Pneumothorax/Spontaneous Pneumothorax

SOB/WOB
JVD
Pulsus Paradoxus
CAN TURN INTO TENSION PNEUMORTHORAX

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Simple Pneumothorax

Only from BLUNT or PENETRATING trauma

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Concussion

*Amnesia*
Decreased LOC
*Brief periods of unconsciousness*
Dizzyness
Headache
*Tinnitus*
N/V

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Contusion

Personality changes
Aggression
Lack of emotion
Focal deficits
Mimics CVA
Decreased LOC
Coma

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Epidural Hematoma

Rapid onset
Rapid ALOC
Headache
N/V
Coma
All signs of herniation

Subdural Hematoma

***Gradual onset***
Headache
**Fluctuating LOC**
Coma
*Focal deficits*

Herniation Syndrome

Rapid onset of unequal pupils **(Fixed on one side)**
**Contralateral paralysis**
Coma
**Cushing's Triad**
**Posturing**

Intracerebral Hemorrhage

Decreased LOC
Focal Deficits
Mimic CVA
**Projectile emesis**
**Nucal Rigidity (Stiff Neck)** (Like Meningitis)

Cardiac Contusion

Chest pain
**Tachycardia**
Tachypnea, Dyspnea, Cyanosis
Increased pain w/ rests
Pulmonary edema
Hypotension
CHF
Decreased peripheral perfusion

Pericardial Tamponade

Beck's Triad : Muffled heart sound/JVD/Hypotension
Pulsus Paradoxus
Signs of external trauma
Skin changes
Chest pain
Decreased LOC

Tension Pneumothorax

JVD Lung sounds decreased on affected side Pulsus Paradoxus Equal pulses

Diaphragmatic Tears

**Bowel sounds** **Loss of peripheral pulses** Tachycardia, Cyanosis Tachypnea, Dyspnea Decreased LOC

Pulmonary Contusion

``` Hemoptysis Decreased breath sounds Increased pain w/ rests Diffused chest pain Tachycardia Tachypnea, Dyspnea, Cyanosis Hx of chest trauma ```

AAA

``` Ripping/Tearing Pulsating mass midline Syncope Unexplained hypotension Abdominal rigidity ```

Asthma

``` Tachycardia Tachypnea Wheezing Accessory muscle use Chest tightness ```

COPD

``` Swelling : Ankles/Feet/Legs Wheezing Fatigue Chronic cough Mucus (yellow/green) Cyanosis ```

Chronic Bronchitis

``` Chronic cough Exercise intolerance Wheezing Mucus (yellow/green) Blue Bloater SOB made worse w/ moving Chest discomfort ```

Chronic Emphysema

No cough Barell chest SOB

Pneumonia

``` Chills Chest pain w/ inhalation Coughing up mucus (green) Medium to high fever Confused Wheezing in 1 lobe N/V/D Muscle ache Flu like symptoms ```

Cough lasting more than 2 weeks SOB Low Fever/Chills/Night Sweats

DKA

``` Gradual onset Polydipsia Polyuria Polyphagia Ketone breath Kussmaul breathing Weak tachycardia Warm, dry, flushed skin Decreased LOC/coma ``` Turns into Hyperosmolar Coma

GI bleeds Acute

``` Depends on degree Hypotension Tachycardia N/V DRT in ABDO Postural hypotension ```

GI bleeds Chronic

``` Anemic in appearance Tires easily Persistent N/V and ABDO cramps Extremely foul BM/diarrhea Postural hypotension May show no S/S ```

Gastritis

``` Abdominal upset or pain Belching ABDO bloating N/V/D Feeling of fullness 'Heartburn' ```

Bowel obstruction

``` N/V ABDO pain in waves Constipation Distention Blood supply cut off as bowel distends Decreased bowel sound past obstruction Palpable hard mass SOB ```

Diverticulitis

``` ABDO pain Fever N/V Chills Cramping Constipation ```

Appendicitis

Pain diffuses and poorly localized at first As inflammation increases, sharp pain and pinpoint **McBurney's point** N/V **Low grade fever** **ABDO guarding**

Cholecystitis

Pain RUQ Pain worse w. movement N/V

Biliary colic (Gallstones)

Intermitten pain RUQ (1 hour after eating) Excessively gassy N/V/D

Renal disease Acute

``` Extreme pain Sharp, flank pain (or lower ABDO) Dysuria (pain w/ urination) Colis (Spasmodic pain form stones) Polyuria/oliguria (normal range is 30mL/hr or 400mL/day) Anuria (Less than 50mL/day) ```

Pancreatitis

Swollen & tender ABDO Severe pain, diffused N/V Fever

Cirrhosis

``` Anorexia N/V Fatigue Weight loss Jaundice Ascites & peripheral edema GI hemorrhage ABDO pain both upper quadrants Hypertension Esophageal varices ```

Chronic renal failure

``` Bone demineralization HTN Fever Pulmonary edema/systemic Kussmaul's resps Neurological impairments Increased infections ```